Dr Puppala is successfully practising pain medicine for more than 10 years. He has an expertise in treating different kinds of chronic pains. He has specialization in anesthesiology and interventional pain medicine.
Vinaya Puppala, MD talks about treatment options
VK Puppala, MD said that the treatment of chronic pain is complicated. Talking in general terms, there are oral and topical therapies. General oral medications that can be taken by mouth include nonsteroidal opioids, anti-inflammatory drugs, and acetaminophen.
Sometimes cream, ointment or patches are applied over the skin of the pain area. The treatment methods that don’t require medication are exercises performed under the direction of a physical therapist, acupuncture, Transcutaneous Electro-Nerve Stimulator and interventional techniques.
Interventional techniques involve various types of injections and more invasive procedures. These include trigger point injections, epidural injections, facet injections, etc.
Dr Puppala adopts a multi-disciplinary approach to treat chronic pain. He carefully analyses all the factors responsible for pain and gives personalized solutions for his patients’ pains.
Vinaya Puppala, MD reveals typical medications
VK Puppala, MD talks about the commonly used medications that should not be taken without the prescription of your physician or pain management specialist.
- Nonsteroidal Anti-inflammatory Drugs and Acetaminophen (NSAIDs) are highly effective in treating acute muscular and bone pain, and certain types of chronic pain syndromes. This medication should not be taken for a long time or in large quantities as it leads to negative effects on the gastrointestinal system, kidneys, and clotting of blood.
- Physicians prescribe antidepressants to control pain. However, they are not given to patients with certain types of glaucoma. Side effects include dry mouth and sedation. They should be taken only as directed by the physician.
- Anticonvulsants Medications are useful for some kinds of nerve type pains like burning and shooting pain. People having kidney stones or glaucoma are not prescribed these medications. They might have the side effect of drowsiness.
- Muscle Relaxants are prescribed for acute muscle spasm. Their most common side effect is drowsiness.
Opioids are used to control certain kinds of chronic pain. Their side effects include constipation, drowsiness, excessive drowsiness, and nausea.
Vinaya Puppala, MD discusses common nerve block procedures
VK Puppala, MD specializes in these procedures. The more common nerve block procedures are:
- Epidural Steroid injection: This injection is used to treat pain involving the back and leg, or the neck and hand. Its side effects include soreness and temporary numbness.
- Facet Joint Injection: This injection is given into the facet joints that assist with movement of the spine in the neck and back. It provides relief from neck and back pain. Its side effects include soreness in the neck or back when the needle gets inserted.
- Lumbar Sympathetic Nerve Block: It is used for leg pain caused due to complex regional pain syndrome type I. It is often performed under fluoroscopic guidance. Its side effect is back soreness.
- Celiac Plexus Block: It is used to relieve pain in patients with cancer of the pancreas or other chronic abdominal pains. It is initially performed as a diagnostic injection to check if a more permanent injection may help.
- Stellate Ganglion Block: It is performed for the diagnosis of complex regional pain syndrome of the arm. It is also used treatment of pain in the arm. Its side effects may include soreness in the neck, drooping of the eyelid, temporarily stuffy nose and sometimes temporary difficulty in swallowing.
Vinaya Puppala MD is considered to be the best pain medicine specialist in Villa Rica, Georgia. He is known for his progressive research and contributions to the pain medicine field. Dr Puppala seeks to develop pain-free procedures.