Flowcare Intervention and Pain Clinic

Flowcare Intervention and Pain Clinic

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9 services for Flowcare Intervention and Pain Clinic

Varicose Vein

Varicose Vein


Endovenous Laser Treatment (EVLT)

A laser is a highly concentrated beam of light, very commonly used in several non-invasive medical procedures and is a very safe, effective and successful mode of treatment.

Endovenous laser treatment is the most widely used technique to treat varicose veins as well as spider veins in the legs. An Expert Interventional Radiologist, under duplex ultrasound guidance, passes a laser fiber through a small pinhole into the swollen, bulging varicose/spider veins. The laser generates heat which kills the walls of the veins and the resultant dead tissue is then naturally absorbed by the body and the malformed veins are thus destroyed.

Laser treatment for varicose and spider veins is much less painful in comparison to traditional vein ligation and stripping procedures that are mostly done under general anesthesia/sedation. The main advantage is that laser treatment of varicose veins requires only local or light sedation/anesthesia and has a shorter recovery period and the patient needs not to be admitted and can go home after the procedure.

Deep Vein Thrombosis (DVT) and Pulmonary Embolism

Deep Vein Thrombosis (DVT) and Pulmonary Embolism


Deep vein thrombosis is a condition in which the blood thickens and clumps together forming a blood clot, in most cases, in the deep veins of the thigh or lower legs. Along with other complications, DVT can lead to a serious life-threatening medical condition such as Pulmonary Embolism in which a deep blood clot (thrombus) breaks free and travels with the blood and gets stuck in a vessel in the lung.

Placement of IVC filter or Inferior Vena Cava filter is the most common low-risk procedure for Pulmonary Embolism prevention.

Indications are high-risk pelvic surgery, Ileocaval thrombosis, recently operated cases in which thrombolytics cannot be given, failed anticoagulation.

Inferior Vena Cava is a major vein that carries blood from lower body parts back to the heart. IVC filter, a small wiry device, is placed in the Inferior Vena Cava so that the blood passes through it. This filter then catches and stops the blood clots from moving up further and thus helps in preventing Pulmonary Embolism.

Under imaging guidance and local anesthesia, the Interventional Radiologist inserts a catheter into the vein through a pinhole skin incision (cut) and gently moves it into the IVC. Upon proper placement, a collapsed IVC filter is sent through the catheter and the filter is then left in place and the catheter is removed. The filter expands and attaches itself to the walls of the vein (IVC). Once the IVC filter is in place, it filters the blood and catches any blood clots.

After a successful IVC filter placement, the patient can be discharged on the same day if everything remains normal. However, follow-ups/check-ups at regular intervals are recommended to ensure the proper dose of anticoagulation. Generally IVC Filter is removed after 3-6 months of placement.

Peripheral Arterial Disease (PAD) Treatment

Peripheral Arterial Disease (PAD) Treatment


What is Peripheral Artery Disease?

Peripheral artery disease also called peripheral vascular disease is a common circulatory problem in which tubes called arteriesthat supplies blood to limbs gets narrowed.

Usually, it can affect any organ but most commonly involves lower limbs. Arteries that supply blood to the legs can become narrow over time due to fatty plaque buildup that blocks or restricts blood flow, making it painful to walk.

Peripheral artery disease (PAD), extremities don’t receive enough blood to meet the demand and muscle get fatigued due to low oxygen supply and develops pain while walking, known as claudication.

How Flowcare Can Help You with Peripheral Artery Disease

Management of PAD needs multidisciplinary approach needs interventional Radiologist, vascular surgeon, endocrinologist, and dietitian. Flowcare has expertise and resources for the diagnosis, treatment, and management of the peripheral arterial disease. With our unique depth of knowledge, diagnostic expertise and state-of-the-art imaging, we customize treatment plans for each individual PAD patient to ensure the best possible outcome.

Flowcare is providing world-class treatment with a focus on optimal patient care. We offer several minimally invasive, outpatient procedures for the patients who have been diagnosed with the peripheral arterial disease (PAD).

In addition, Flowcare Intervention clinic provides a full range of medical capabilities and service excellence to every patient. We ensure an easy scheduling process with a team of medical experts who provides excellent outcomes and a quick recovery.

Uterine Fibroids Treatment

Uterine Fibroids Treatment


What are Uterine Fibroids?

Uterine fibroids are the abnormal tumour growth in or on the woman’s uterus. Many times, these tumour become large in size which results in critical abdominal pain and heavy periods. The other names of fibroids are:

  1. Fibromas
  2. Uterine myomas
  3. Leiomyomas
  4. Myomas

It is not necessary that a woman having fibroid shows detectable signs and symptoms at all. In fact, according to research, nearly 50 percent of the woman have fibroids in them by the age of 40 but don’t show any symptoms.

Uterine Fibroids Treatments:

There are many treatments available for the uterine fibroids which include some home remedies, many medications, and surgeries. But however, the ‘’Best treatment for Fibroid’’ is the minimally invasive procedures such as ‘’Uterine fibroid embolization’’. This treatment is currently gaining very popular as it doesn’t include the invasive traditional procedure.

Varicocele

Varicocele


What is a Varicocele?

Varicocele, an enlargement of the veins within the scrotum due to leakage in valves, similar to varicose veins in legs. It occurs in about one in six males, more common in younger males, ages 15-30. It can be associated with infertility problems by contributing to low sperm production and decreased sperm quality.

Varicocele Causes

Varicoceles are believed to be caused by defective valves in the veins within the scrotum, just above the testicles. Normally, these valves regulate the flow of blood to and from the testicles. When normal flow doesn’t occur, the blood backs up, causing the veins to dilate (enlarge). This most commonly takes place during puberty, when the testicles are experiencing rapid growth and need the most blood. In about 85 percent of cases, it occurs in the left testicle area. The poor circulation caused by the varicocele results in a higher blood temperature, raising the temperature of the testes, which can serve as a barrier to sperm production and damage or destroy sperm that is created.

Varicocele Symptoms

In approx. 50% cases its asymptomatic or remain silent for longer period in initial stage. As disease progresses symptoms do occur, they tend to be felt as a dull ache or feeling of heaviness in the testicle, which gets worse during the day, particularly in hot weather or after physical exertion. The dilated veins in the scrotum can often be felt or seen, and the testicle is smaller on the varicocele side.

Ablation

Ablation


Radiofrequency Ablation for Trigeminal Neuralgia

A very safe and effective treatment method for Trigeminal Neuralgia (TN) is Radiofrequency Ablation (RFA). Due to its extremely low risk, RFA for TN is very favorable for elderly and frail patients as well as patients with other comorbidities for whom the open neurosurgical

therapy is not considered feasible. This minimally invasive treatment for Trigeminal Neuralgia is best suited for patients having pain in a localized area of the face.

This specialized procedure is performed under local anaesthesia as the patient needs to be fully awake to confirm exact site of pain during the procedure. The expert Interventional Radiologist inserts the RFA needle by the corner of the mouth and guides it to the Trigeminal Nerve that is situated at the base of the skull. After X-ray confirmation, the patient is woken up and the nerve is incited. Once confirmed by the patient that they are feeling the stimulation in the same area that they experience pain, the needle is verified to be in the correct position. After putting the patient under minimal sedation, radiofrequency heat is used to slightly damage (injure) the nerve just so enough to cause facial numbness and tingling and take the pain away.

The procedure carries a very high success rate of 90-95% and can be repeated if significant pain returns.

Embolization Treatment & Procedures

Embolization Treatment & Procedures


Varicocele Glue Embolization

Similar to varicose veins in legs, varicocele is the medical condition comprising a group of veins within the scrotum becoming unusually enlarged. Varicocele Glue Embolization is the latest specialized pin-hole technique used to treat varicocele by way of injecting a liquid substance in the diseased blood vessel to divert the blood flow to healthier vessels.

This is performed under image guidance (usually X-ray) generally using local anesthetics. A catheter is inserted through the upper thigh region and positioned into the diseased Gonadal vein. After confirmation of the correct positioning, the glue is released in the vein which closes the vein diverting the blood flow to the healthy veins. This relieves the pressure off the varicocele and re-establishes the proper blood flow.

The main advantage of this technique is that no cut or suture is required as the catheter is passed into the vein through a pin-hole. Also, very little to no pain is experienced throughout the procedure. The recovery time for this procedure is very short as the patient can be sent home on the same day and can resume his normal routine from same day itself.

Angioplasty

Angioplasty


Carotid Angioplasty

Sometimes the blood flow to the brain can be reduced due to build-up of plaque in the carotid arteries, the blood vessels that supply blood to the brain, which can lead to serious complications such as brain strokes.

Carotid angioplasty is a pinhole minimally-invasive non-surgical procedure that can help to effectively reopen these arteries and normalize the blood flow to brain.

This procedure is usually performed under light sedation or local anaesthesia by an expert Interventional Radiologist, who navigates to the blockage site under real-time imaging. Once the appropriate position is confirmed, the balloon is inflated which presses against the inside wall of the artery, thereby opening it and restoring the normal blood flow to the brain.

Many times stents (small flexible metal tube) are also placed in the artery to support the artery wall and keep it open.

The recovery period for this procedure is very short and the patient is usually discharged on the next day of the procedure after a period of observation.

Biopsy and Drainage

Biopsy and Drainage


Ultrasound/CT-Guided Fine Needle Aspiration (FNA), Biopsy

Ultrasound/CT-Guided Fine Needle Aspiration (FNA), Biopsy has almost replaced the more invasive surgical biopsy. Under local anaesthesia, an expert Interventional Radiologist using Ultrasound/CT Imaging guidance inserts a very fine and hollow needle through the skin into the mass from which the sample needs to be taken.

Tissue sample can be taken from any visceral organs like liver, renal, pancreas, abdominal mass, lung mass or prostate to make a diagnosis and plan further management/treatment. This procedure is very reliable and carries a very low risk profile.

The sample thus collected is sent for evaluation. The recovery period is very short and the patient is able to resume the normal activities soon.

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