Understanding Diagnostic vs Therapeutic MIPSI in Pain Medicine: Why Identifying the Pain Generator Matters Introduction Pain Medicine has evolved tremendously over the past few decades. Modern image-guided interventions are no longer simply "pain injections" or "nerve blocks." They are precise, evidence-based procedures performed to diagnose and treat the underlying source of pain using advanced [...]
Chronic low back pain is one of the most common causes of disability worldwide. While many people associate back pain with slipped discs, a significant number of patients actually suffer from pain originating from the facet joints, the small joints that connect the vertebrae of the spine. When medications, physiotherapy, and lifestyle modifications fail [...]
Sciatica can be debilitating. The sharp, shooting pain that travels from the lower back into the leg can interfere with walking, sitting, sleeping, and daily activities. While many patients improve with medications and physiotherapy, some continue to experience persistent pain that significantly affects their quality of life. For such patients, a specialized image-guided procedure [...]
What is MIPSI? Chronic pain remains one of the most significant healthcare challenges worldwide, affecting physical function, emotional well-being, productivity, and overall quality of life. While medications, rehabilitation, and surgery continue to play important roles in chronic pain treatment, many patients fall into a therapeutic gap—where conservative treatment provides inadequate relief, yet major surgery [...]
As pain physicians, we spend years mastering diagnosis, interventions, rehabilitation strategies, and patient-centered care. Conferences, CMEs, and webinars consistently help us sharpen our clinical expertise. But amidst this relentless pursuit of medical excellence, one equally important aspect of life often remains neglected—financial management. The Indian Society for Study of Pain (ISSP) is proud to [...]
Pain in the lower back and buttock is common — but in many people it actually comes from the sacroiliac joint (SIJ), the joint connecting your spine to your pelvis. SIJ pain is a real, diagnosable source of chronic back discomfort that often goes unnoticed. (IASP) What Is SIJ Pain? SIJ pain typically presents as: [...]
Chronic low back pain is one of the most common health concerns affecting adults worldwide. For many people, discomfort in the lower back becomes persistent — lasting more than three months — and interferes with daily life, work, sleep, and hobbies. (Google Sites) Many patients initially try painkillers, rest, or physiotherapy, but in a significant [...]
Trigeminal Neuralgia — Understanding the Pain & How Pain Physicians Help Trigeminal Neuralgia (TN) is a chronic condition that causes sudden, severe facial pain, often described as electric shock-like or stabbing. This pain affects one side of the face and can be triggered by simple actions such as chewing, talking, brushing teeth, or even a [...]
Editorial Chronic pain is now considered as the fifth vital sign.[1] The International Association for the Study of Pain defines pain as “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.”[2]Click here.
Sacroiliac joint (SIJ) pain is one of the common but underdiagnosed source of mechanical low back pain. The incidence is estimated to be in the range of 15%–30% in patients with nonradicular low back pain. The signs and symptoms of SIJ pain mimic pain arising from other causes of low back pain. There is no [...]
