SYMPTOM ORIENTED PAIN MANAGEMENT Under the Aegis of Pain Management and Research Foundation—India SYMPTOM ORIENTED PAIN MANAGEMENT Editors DK Baheti MD Professor and Head, Department of Anesthesiology and Pain Bombay Hospital Institute of Medical Sciences, Mumbai Pain Physician to Lilavati, Raheja, Shushrusha Hospital Mumbai, Maharashtra, India Sanjay Bakshi MD Interventional Pain Management Lenox Hill Hospital, New York, USA Beth Israel Hospital, New York, USA Spine and Pain Medicine 899 Park Avenue, NY 10021, USA Sanjeeva Gupta MD Dip NB FRCA FIPP Consultant in Pain Management and Anesthesia Bradford Teaching Hospitals NHS Foundation Trust Department of Anesthesia, Pain Management and Critical Care Field House, Bradford Royal Infirmary, Duckworth Lane Bradford, BD9 6RJ, UK RP Gehdoo MD DA Professor of Anesthesia Tata Memorial Hospital Parel, Mumbai, Maharashtra, India Foreword Subhash Jain ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • Panama City • London ® Jaypee Brothers Medical Publishers (P) Ltd. 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Symptom Oriented Pain Management First Edition: 2012 ISBN 978-93-5025-797-5 Printed at C ONTRIBUTORS A Mudkana Aydin Steve M Lecturer Board Certified in Physical Medicine Department of Neurology and Rehabilitation and Pain Grant Medical College and Management Sir JJ Group of Hospitals Manhattan Spine and Pain Medicine Mumbai, Maharashtra, India New York, NY, USA Abrahmsen Gerard PA-C Baranidharan G MBBS FRCA FFPMRCA Attending Pain Physician PG Dip Anaesthesia (Leeds University) Manhattan Spine and Pain Medicine Consultant in Anesthesia and Pain New York, USA Medicine, Leeds Teaching Hospitals NHS Trust, UK Anil K Sharma MD DABPM Honorary Senior Clinical Lecturer Director, Pain Management Leeds University, UK Monmouth Medical Center, USA Chabaria Anjali Past President, New Jersey State Society of Interventional Pain Psychiatrist and Psychotherapist MD Physicians DPM Director, Mindtemple Daffodils Member Clinical Guideline Building, 3rd Floor Committee and Spine Line Editor Off Gulmohar Road, Juhu Scheme North American Spine Society Juhu, Maharashtra, India Member Standards Committee of Chandramohan M International Spine Intervention MBBS DMRD FRCR Society (ISIS) Consultant Musculoskeletal Radiologist, Bradford AR Cooper MD FFARCSI FFPMCAI FIPP Teaching Hospitals NHS Trust Consultant in Anesthesia and Pain Honorary Senior Lecturer Relief, Causeway Hospital Coleraine University of Leeds, UK N Ireland Arun Bhaskar MBBS FRCA FFPMRCA Charles Daknis MD DABPM FABIIP Spine and Pain Centers Consultant in Pain Medicine of New Jersy, USA Anesthesia and Critical Care The Christie NHS Foundation Trust Cherrie Weiss PA-C, ATC, CSCS Manchester, UK Premier Pain Centers Shrewsbury, NJ 07702, USA Ashish Gulve Consultants in Pain Management Dakshesh Sanghavi MS PT James Cook University Hospital Rehabilitation Coordinator Middlesbrough, UK Jamaica Hospital Medical Center Jamaica, NY, USA Ashok Saksena MD DA FAMS Professor and Head Devajit Srivastava Department of Anesthesia Specialist Registrar in Pain Medicine University of Delhi, India The Walton Centre for Neurology and Chief Executive Editor Neurosurgery NHS Foundation Trust Indian Journal of Pain Liverpool, L9 7LJ, UK viii Symptom Oriented Pain Management DK Baheti MD Krishna B Formerly Prof and HOD, Department Head, Department of Radiation of Anesthesiology and Pain Oncology, Hinduja Hospital Bombay Hospital Mahim, Mumbai, Maharashtra, India Institute of Medical Sciences Consultant Pain Physician Kyriakides K MB ChB FRCA FFPMRCA Consultant in Anesthesia and Lilavati, Raheja, Shushrusha Hospital Pain Management Mumbai, Maharashtra, India Bradford Teaching Hospitals NHS Gopal R MD Foundation Trust, Bradford, UK Senior Consultant Medical Oncologist SL Raheja Hospital, Mahim Lokeshwar N MD DM Consultant Medical Oncologist Mumbai, Maharashtra, India SL Raheja Hospital Guru Ma—Nita Khare Mahim Guru Ma, EMP 10/70 Mumbai, Maharashtra, India Thakur Villege, Kandivali (E) Mumbai, Maharashtra, India M Doshi MD 1st Year DM Resident Harsh Merchant Department of Clinical Pharmacology Consultant Radiologist Seth GS Medical College Lilavati Hospital and KEM Hospital Bandra Mumbai, Maharashtra, India Mumbai, Maharashtra, India Madhuri Lokapur MD DA (UK) FICS JD Hoppenfeld MD Consultant: Pain Management and Southeast Pain Care at Morehead Palliative Care Medical Plaza Lokapur Pain Clinic, Pune Ruby Hall 025 Morehead Medical Drive Clinic, Jehangir Hospital Suite 225, Charlotte Pune, Maharashtra, India N.C. 28204, USA Mahesh Goti Jitendra Jain MD DNB Resident , Department of Radiology Pain Fellowship (Canada) Lilavati Hospital, Bandra (West) Lilavati Hospital, Bandra Reclamation Mumbai, Maharashtra, India Mumbai, Maharashtra, India Makrand Kulkarni MD John Hughes Consultant Radiologist (MRI) Consultants in Pain Management Lilavati Hospital and Research Centre James Cook University Hospital Mumbai, Maharashtra, India Middlesbrough, UK Manjushree Ray K Ravishankar MD Professor The Headache and Migraine Clinic Department of Anesthesiology Jaslok Hospital and Research Centre Institute of Postgraduate Medical Lilavati Hospital and Research Centre Education and Research Mumbai, Maharashtra, India Kolkata, West Bengal, India Kailash Kothari MD Manohar Lal Sharma Director, Pain Clinic of India Pvt. Ltd Consultant in Pain Medicine and Fortis Hospitals The Walton Centre for Neurology 2005/A, Cosmic Heights and Neurosurgery Bhakti Park, Wadala NHS Foundation Trust Mumbai, Maharashtra, India Liverpool, L9 7LJ, UK Contributors ix Manoj Deshmukh Renuka Pai Consultant Radiologist Fellow in Pain Management Lilavati Hospital, Bandra (West) Ashirwad Pain Clinic Mumbai, Maharashtra, India Mumbai, Maharashtra, India Mansukhani Khusnuma MBBS RP Gehdoo MD DA Incharge Department of Clinical Professor Neurophysiology (EMG & EP) Department of Anesthesia Bombay Hospital and Tata Memorial Hospital Medical Research Center Parel, Mumbai, Maharashtra, India 12 New Marine lines Mumbai, Maharashtra, India Salil Mehta MD Consultant Ophthalmologist MM Ray Lilavati Hospital and Medical Center Professor and Head Bandra (West) Department of Orthopedic Mumbai, Maharashtra, India Medical College Samyadeva Datta Kolkata, West Bengal, India Director, Center for Pain Management Naber Rob PT OCS AT C Hackensack Physical Therapy of Los Gatos New Jersey, USA California, USA Sanjay Bakshi Nankar YL MD Interventional Pain Management Pain Physician Director Manhattan Spine Meenakshi Pain Center and Pain Medicine 74/27J Pradhikaran Nigdi Attending Pain Physician Pune, Maharashtra, India Lenox Hill Hospital, Beth Israel Hospital New York, USA Neel Mehta MD New York Presbyterian Hospital Sanjay Sharma MS FICS Weill Cornell Medical Center Professor, Department Surgical Oncology Pain Medicine Center, USA Bombay Hospital and Lilavati Hospital and Medical Research Neeraj D Baheti Centre, Mumbai, Maharashtra, India PT MS OCS CSCS Physical Therapy of Los Gatos Sanjeeva Gupta California, USA Consultant in Pain Medicine and Anesthesia, Bradford Teaching Peter Staats Hospitals NHS Foundation Trust MD MBA FIPP DABPM ABIPP Adjuct Associate Professor Bradford, UK John Hopkins University Saroj Sanghavi PT Premier Pain Centers Mahavir Clinic Shrewsbury NJ, 07702, USA A1, Matru-Ashish, 39 Nepean Sea PN Jain MD MNAMS Road, Mumbai, Maharashtra, India Professor, Anesthesiology, Critical Satish Khadilkar Care and Pain, Tata Memorial Hospital Professor and Head Mumbai, Maharashtra, India Department of Neurology Preeti Doshi Grant Medical College and Sir JJ MD FRCA II (UK) FIPP (USA) Group of Hospitals Consultant Pain Specialist 110 New Wing, First Floor Jaslok Hospital and Research Centre Bombay Hospital, 12 New Marine Lines Mumbai, Maharashtra, India Mumbai, Maharashtra, India