Interventional Rehabilitation at Mar Sleeva Medicity Palai, Kottayam, offers image and nerve guided injections and minimally invasive procedures for persistent knee, shoulder, back, heel and other musculoskeletal pain that has not improved with medication and therapy.
A Physical Medicine and Rehabilitation specialist first identifies the likely source of pain before selecting the appropriate procedure. Ultrasound or nerve stimulation guidance helps accurately target the affected joint, tendon, nerve or trigger point. Procedures are combined with rehabilitation, including exercises and activity modification, to address the underlying weakness, stiffness or mechanical stress and support longer lasting improvement.
Procedures are performed by the physiatry team using ultrasound and nerve stimulator guidance, alongside a therapy programme so pain relief is used to restore movement.
Injections placed under direct ultrasound vision into the shoulder, knee, hip and small joints, which improves accuracy and reduces the discomfort of a blind injection.
Treatment of the tight painful bands in muscle that cause persistent neck, shoulder and back pain, combined with stretching to stop them returning.
Injection of concentrated platelets prepared from the patient's own blood, used in tendon and early joint degeneration where healing has stalled.
Blocks of specific nerves to interrupt persistent pain signals, used both to confirm the source of pain and to provide a window for therapy.
Targeted spinal injections for pain arising from discs, facet joints and nerve roots, offered after assessment rather than as a first response to back pain.
Injections to reduce pain and improve function in knee arthritis, used to keep patients active and to delay surgery where replacement is not yet appropriate.
Assessment and injection for carpal tunnel syndrome and similar compression problems, with splinting and activity modification alongside.
A structured exercise and activity plan started while pain is controlled, since injection alone rarely produces lasting improvement in chronic pain.
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