Effective Chronic Pain Management In Delhi

Pain can be a distressing and disabling experience. It can lead to loss of function and the accompanying disruption of normal life. The impact is not just limited to the sufferings of an individual but also affects one’s loved ones and the society as a whole. It may be easier to adapt if it is for a small finite period, however sometimes it’s challenging to bring things back to the relative normal. Loss of function in one part and adversely affect other body parts such as knee injury leading to developing of back pain as your weight bearing / walking is altered placing extra stress on your back and leading to development of back pain or shoulder pain developing as a result of using crutches for a knee injury. What may start as a small localised issue may progress to involve other body parts, if not managed in time. Effective pain management can help to reduce this impact and help you progress on the path of normality.

Conditions leading to chronic pain range from simple age related body changes to much complex conditions such as spinal cord damage after an accident. Do not underestimate the impact of simple knee or back arthritis as they can easily turn simple activities of daily living into big challenges. While it may not always be possible to reverse these changes, there is a lot we can do to control further damage and reduce the impact on our life.

Keep the hope alive:

Pain Medicine as a specialty had turned around the life of many and has given new hope to many others. Advances in the field of regenerative medicine means that we have lot more to offer now. It’s important to stay positive and not loose hope as most comprehensive management options require active patient participation. Whether that be physiotherapy or life style changes or remaining positive / motivated, patients have a significant role to play.

Treatment options:

Pain specialists use a combination of a variety of treatments for the effective management of chronic pain conditions. These start with

• Educating you about your problem and the do’s and don’ts. Do not underestimate the importance of the lifestyle changes and the things you can do to ensure that the problem resolves/ does not aggravate further.
• Medical management may involve a combination of medications, injections, physiotherapy, psychology and alternative medicine options. Often interventions such as injections into the area of problem play an important role in cutting the pain cycle and enabling to engage actively in other therapies such as physiotherapy. Steroids are often used for injections and when given directly close to the site of problem can be very effective. A portion of this does get absorbed into blood stream and reaches other sites but the resultant side effects are much less when compared to taking these orally as tablets.
• Other injection options such as Platelet Rich Plasma (PRP) are considered more natural and create an artificial inflammation promoting the process of healing.
• Nerve blocks involve giving an anesthetic agent+/- steroid close to the nerve carrying the pain sensations to block the sensation from travelling to your brain.
• Options such as Spinal Cord Stimulators (SCS) involve the use of low voltage electrical currents which applied to the spinal cord and they interfere with the transmission of the pain signals to the brain.
• Other than these, there are a variety of alternative therapies options which some individuals find beneficial such as massages, meditation, yoga, acupuncture and chiropractic medicine.

Your treating physician can help you decide on the best treatment for you, by explaining your condition and the evidence base supporting different modalities of treatments.


If You want to read more blog the visit

Neuropathic Pain treatment in Delhi Back pain treatment in Delhi Pain Management in Delhi Pain management centre in Delhi Cancer Pain treatment in Delhi Best Back Pain Doctor in Delhi  Diabetic Neuropathy Treatment in Delhi Best knee pain treatment in Delhi Pain Treatment in Delhi Diabetic Pain Treatment in Delhi

Cervicogenic Headache Treatment In Delhi

What is Cervicogenic Headache?

Cervicogenic headache in simple terms means headache originating from the neck. Even though the pain you experience is in the head or part of the face, the actual problem in lies in the neck. The possible pain generators in the neck include the joints, discs, surrounding tissues such as the neck muscles, coverings of the spinal cord and blood vessels.

Headaches afflict people of all ages. The impact is variable from mild discomfort to severe incapacitation, depending on the severity and the frequency of headaches. Often the causative factors are numerous and difficult to pinpoint. Cervicogenic headaches represent one such condition that is easily overlooked and under diagnosed, due to limited awareness about the condition. This is a treatable cause of headaches with possibility of good relief if the diagnosis is correct.

Signs & Symptoms of Cervicogenic Headache:

Some of the pointers towards cervicogenic headache include:

• Increase in headache with neck movements such as nodding or rotation of neck
• Increase pain with pressure on certain sensitive points in the neck
• Stiffness and reduced range of neck movements
• Pain is generally one sided and does not change sides. Sometimes both sides are involved
• Generally described as a pressure sensation at the back, side or front of head or in the area around the eye. It may be episodic with varying duration or present constantly. During severe episodes nausea and vomiting and other features similar to migraine can be present making the diagnosis more challenging.

The headaches often start after trauma/ injuries such as whiplash. Conditions such as occipital neuralgia (a problem associated with the nerves at the back of head) are closely linked to cervicogenic headaches.

Causes of Cervicogenic Headache:

A number of neck conditions have been attributed to cause cervicogenic headaches including:

• Degenerative changes in the joints of the cervical spine such as osteoarthritis
• Discs of the cervical spine
• Whiplash injury to the cervical spine or other sports injuries
• Spasms of the neck muscles
• Bad posture of the neck for long periods of time, such as when working or sleeping

Diagnosing Cervicogenic Headaches:

Diagnosing a cervicogenic headache can be tricky, as a number of headaches can present with similar features. Your doctor will obtain a detailed history often taking you back to when it had first started. You will be asked in detail about your pain symptoms, stress levels, work, eating and sleep habits, medication usage etc. This is usually followed up by examination. Diagnostic investigations such as X-ray, MRI, CT scans cannot conform the diagnosis but do provide support to the diagnosis. An injection is often used for confirmation of the diagnosis.

Cervicogenic Headache Management Options:

There are a variety of treatment methods for helping with cervicogenic headaches. These include:

• Lifestyle changes such as regulation of sleep cycle, workplace ergonomics
• Medication may include mild or potent pain killers
• Interventions such as joint, nerve or muscle injections. These generally involve injection of local anaesthetics with or without steroids. Sometimes Botulinum toxin injections are used for muscles
• Radiofrequency treatment can help relieve/ reduce these headaches for a prolonged duration

Management Options continued:

• Physical therapy can help to stretch and relax the muscles in and around your neck. They can help deal with the muscular trigger points
• Psychology input may involve biofeedback, relaxation therapy and cognitive behavioral therapy
• Complimentary and alternative medicine including meditation, yoga, TENS, acupressure and acupuncture
• Surgery – this may be used in cases with severe joint changes or nerve compression causing severe headache remains unrelieved by other modalities, but this is rare

If You want to read more blog the visit

Neuropathic Pain treatment in Delhi Back pain treatment in Delhi Pain Management in Delhi Pain management centre in Delhi Cancer Pain treatment in Delhi Best Back Pain Doctor in Delhi  Diabetic Neuropathy Treatment in Delhi Best knee pain treatment in Delhi Pain Treatment in Delhi Diabetic Pain Treatment in Delhi

Carpal Tunnel Syndrome (CTS) Treatment In Delhi

What is carpal tunnel syndrome?

Carpal tunnel syndrome or ‘median nerve compression’ is a painful condition that develops as a result of excess pressure on a nerve (median nerve) as it travels into the wrist through the narrow passageway.

Median nerve of arm carries sensation from thumb, index finger, middle finger and a part of the ring finger to the brain and controls the movement of some important hand muscle.  This nerve arises from the brachial plexus which is formed by the joining of many nerve roots exiting the spine in the neck region.  Median nerve runs down the forearm and passes through a narrow tunnel like passageway (carpal tunnel) on the palm side of the wrist. Your pain specialist can further explain the anatomical details to help you understand the condition better.

What causes carpal tunnel syndrome?

CTS may affect one or both hands. Those, who are involved in jobs requiring repetitive movement of the wrist such as construction workers, manufacturers etc. are more likely to be diagnosed with CTS. Women are three times more likely to have CTS and the prevalence, severity increases with age. Some studies have observed a peak incidence between the age of 45 and 59 years and a second peak between 75 and 84 years. In most cases it is difficult to pinpoint the cause as to why this condition develops although many predisposing factors have been identified and these include:

• Fluid retention from pregnancy especially in 3rd trimester
• Diabetes
• Thyroid dysfunction
• Obesity
• Autoimmune disorders such as rheumatoid arthritis
• Fractures or trauma to the wrist
• Repeated over extension of the wrist or movement such as typing, working on computers for more than 20 hours/ week
• Hereditary factors and conditions such as polyneuropathy (where multiple nerves are affected)

What are the symptoms of carpal tunnel syndrome?

In the early stage the symptoms may be intermittent and only at night.  As the condition advances these may become constant with development of wasting and weakness of hand muscles. The common symptoms include

• Numbness, burning, tingling, shock like sensation, pain in the ring, middle, index fingers and the thumb.
• Affected individuals often have disturbed sleep with urge to shake out their hand to obtain relief from symptoms.
• Provocation of symptoms by sustained hand or arm positions especially those involving arm elevation and wrist flexion as while holding a phone.  Provocation may also be more noticeable after repetitive actions of the hand or wrist.
• Clumsiness and weakness of hand with difficulty performing simple tasks like buttoning clothes & opening jars.
• Losing grip over things/ difficulty to hold objects firmly in hand due to weakness.
• Burning sensation/ pain may involve forearm, upper arm.

How is carpal tunnel syndrome diagnosed?

Your doctor will take a careful history and perform examination of your hand, arm, shoulders and neck. The sensation and movements of the hand may also be evaluated. The doctor may also hold, bend your wrist in a flexed position to check if this increases/ brings on your symptoms as this position further narrows the space for the nerve temporarily.

He/she may request for investigations such as electrodiagnostic studies (nerve conduction studies and electromyography) and ultrasound. Electrodiagnostic studies can help determine severity and prognosis. Plain X-ray may be useful if bone or joint disease/ structural abnormalities are suspected. Magnetic Resonance Imaging is useful in picking up rare pathological causes of CTS such as ganglion or bony deformity and these can have bearing on the surgical plan.

How is carpal tunnel syndrome treated?

Management of CTS depends on the severity of symptoms. In mild to moderate cases your doctor may recommend the conservative approach which should result in improvement in a few weeks time. This includes

Non-surgical methods

Splinting or bracing – Wearing a splint or brace will keep you from moving or bending the wrist while you rest. One study has shown that using a neutral wrist splint is twice as likely to give symptom relief compared to a splint in extension position. This modality, in combination with other treatment modalities, can be especially useful in pregnancy. However not everyone is able to get accustomed to the splint.

Physical therapy – There is some evidence that physical therapy techniques are effective CTS treatments. Multiple sessions from specialist physiotherapists and treatment modalities include carpal bone mobilization, therapeutic ultrasound and nerve glide exercises.

Oral medications – Oral steroids have shown to improve symptoms for limited time but are less effective than local injections with more side effects. Anti-inflammatory medications (NSAIDS) and diuretics have questionable benefits. Similarly  research studies show that vitamin B-6 supplementation has a negligible therapeutic effect.

Ultrasound-guided local injections

This involves injecting local anaesthetics and a small dose of steroid close to the problem site under ultrasound guidance. Ultrasound helps to ensure accuracy and minimises the risk of complications. One study has estimated the risk of serious complication with these injections as less than 0.1%.  There is evidence suggesting that the local injection is effective for more than one month in patients with mild to moderate carpal tunnel syndrome and delays the need for surgery at one year. Some studies have demonstrated improvement lasting 10 weeks to more than one year. This option can help manage the symptoms, avoiding the need for surgery. Certain cases may require a repeat injection for more effective symptom control. Wrist injections may help to relieve inflammation of the affected nerves and the fibrous sheath and fasten the healing process.

Surgical management

This option is suitable for patients with severe carpal tunnel syndrome or when symptoms have not improved after four to six months of conservative therapy. It is an effective option and can provide a lasting relief in 70 to 90 % of cases. The procedure involves release of pressure by placing a cut on the fibrous sheath, which will provide more space for the median nerve to pass through.

If You want to read more blog the visit

Neuropathic Pain treatment in Delhi Back pain treatment in Delhi Pain Management in Delhi Pain management centre in Delhi Cancer Pain treatment in Delhi Best Back Pain Doctor in Delhi  Diabetic Neuropathy Treatment in Delhi Best knee pain treatment in Delhi Pain Treatment in Delhi Diabetic Pain Treatment in Delhi

How To Communicate Regarding Your Joint Pain To Your Pain Specialist In Delhi

Joint pain can be a source of prolonged discomfort which one may have to endure in life. This can affect your daily activities and make you feel depressed. Joint pain specialists in Delhi NCR are daily visited by numerous patients complaining of severe pain and in search of treatments which can provide quick relief.

For you to get the most appropriate treatment, the way you explain your pain to the doctor is important. There are a plethora of options for joint pain treatment in Delhi NCR . But reaching out to the right centre with experienced and skillful professionals whom you can count upon is important.

Read below to understand the importance of accurately describing your joint pain concerns to your treating doctor:

• Joint pain is subjective, without your explaining it may be very difficult for the doctor to know what your pain feels like and how severe it is
• Joint pain can have numerous causes such as like age related wear and tear, injury, trauma, infections etc
• Involvement of multiple joint in the body may require different assessment/investigations than just one isolated joint problem. Treatment options may also differ depending on the actual pathology
• Treatments offered depend on the severity of symptoms, their impact on your life, your age, activity levels and your goals/expectations. There are many treatment alternatives –both non-surgical and surgical, depending on the assessment of the above factors
• These are some important points which may help your doctor to understand and treat your pain better:

• Explain where the pain is; how long you have had the pain and how it started. If possible point the exact place, is it in the knee, ankle or shoulder pain?
• The character of pain can help in narrowing down the possible causes. For example is it aching, burning, shouting or stabbing pain? Is it present all the time?
• Aggravating or reliving factors are equally important- Is it worse when you are walking or at night time when you are trying to sleep. is it when you sit, walk or stand?
• It is important to tell the doctor how the pain affects your daily life. This information is essential as it enables the doctor to have a clear overview of what you are feeling. While describing the impact of pain do not forget about your sleep and mood.

In case the pain is short-term, your doctor may recommend home care like –

• Applying ice or hot compression at the joint several times.
• Avoiding activity that may cause the pain.
• Using a brace to protect the joint.

Various other options are used for Joint pain treatment in Delhi NCR like steroid or hyaluronic acid injections, nerve blocks and radiofrequency treatment. They can all help to ease the suffering and improve your quality of living. Some options are specific to the joints involved. These are mostly combined with medications and physiotherapy to improve outcomes.


If You want to read more blog the visit

Neuropathic Pain treatment in Delhi Back pain treatment in Delhi Pain Management in Delhi Pain management centre in Delhi Cancer Pain treatment in Delhi Best Back Pain Doctor in Delhi  Diabetic Neuropathy Treatment in Delhi Best knee pain treatment in Delhi Pain Treatment in Delhi Diabetic Pain Treatment in Delhi

Pain Management In Delhi provides Fibromyalgia Pain Treatment In Delhi

Symptoms you should know 

Fibromyalgia is a chronic condition characterized by widespread body pain.  Other common symptoms in fibromyalgia include unrefreshing sleep, tiredness/fatigue, low mood and memory problems.  It is more common in women and is commonly known as ‘fibro’ or "fibrofog". No clear pathophysiological mechanism for fibromyalgia has been established, but there is evidence that patients have abnormality pain processing with increased sensitivity to various stimuli such as pressure.
As the symptoms tend to be non-specific, and there are no specific tests which can be carried out to diagnose, fibromyalgia can be challenging to diagnose. It is important that you explain your symptoms correctly and in detail to your doctor as it can aid in establishing the diagnosis.  Fibromyalgia often occurs in patients with other conditions, such as inflammatory arthritis and osteoarthritis and is not a diagnosis of exclusion.
So, if you are experiencing longstanding constant widespread body pain, with varying distribution and the cause for the pain cannot be explained by any other abnormality detected, then it might be possible that you are suffering from fibromyalgia. The symptoms are generally managed using a range of drug and non drug mechanisms. Some of the common symptoms in fibromyalgia include:

Widespread body pain and tenderness

This is the most common reason for which patients seek medical opinion/ vsit a pain specialist doctor in delhi. This differs from other conditions such as arthritis as the pain in not localised to one area or the joints only. Muscle and joint pain is commonly seen in majority of patients. The pain may vary in severity and nature (dull ache/ heaviness/ throbbing /burning) . Most often the pain is continuous although in some it may be intermittent; some others feel like the pain keeps travelling from one area of their body to another. Patients may have areas which are tender to touch with increased sensitive to pain. Long term persisting pain can lead to inactivity which can further promote deconditioning of muscles and worsening pain. It can also lead to physically inactive maladaptive posture & gait, bursitis and tendinopathies.

Fatigue

A constant feeling of tiredness is another common symptom present in majority of fibromyalgia patients. Even after adequate periods of rest fibromyalgia patients may feel like you don’t have the energy to get through the day. Intense workouts may be a thing of the past with basic daily chores becoming an uphill task. Slowly it may start to affect other dimentions of life such as relationships, social life, work etc.

Sleep disturbances

No restorative sleep, inability to sleep and fatigue are common in fibromyalgia patients. Patients generally feel tired in the mornings. Sometimes, because of the easy fatigability, even though you fall asleep quickly the sleep may be interrupted and non refreshing. Pain and emotional disturbances may contribute to the sleep disturbances.

Mood variations

More than half the patients diagnosed with fibromyalgia, suffer from mood disturbances such as depression or anxiety disorders. And it is no surprise that people tend to feel low and worried all the time when they are experiencing pain all over their body for a long period of time. When you are having a hard time managing your day to day life, when basic functionality is like a challenge to, it’s only natural that you are going to feel a little hopeless and anxious about it. Staying active and staying connected is something that you have to make a huge effort for.

Memory problems and impaired concentration

The name fibrofog comes from the memory issues seen in fibromyalgia. Fog represent the lack of clarity or haziness. It’s a very common symptom amongst patients, where they complain of forgetting basic things like where they have left their keys, and not remembering plans they have made.

Tingling sensation in extremities

Some experience tingling sensation in their extremities especially on their toes and fingers, while some others complain of numbness. The term paresthesia is sometimes used to address these symptoms. These symptoms tend to flare up from time to time, although in some cases they can be a constant feature.

Other associated problems

Headache
It is a common problem which tends to interfere with the individuals daily life, and can be debilitating. They often develop a migraine or tension headaches from time to time. Sometimes a headache can also be due to the stiffness of the muscles in and around your neck region and upper back.
Irritable Bowel Syndrome:
There are occasions when people suffering from fibromyalgia complain of abdominal pain, have a bloated sensation in the abdomen and experience episodes of constipation or diarrhea. All of this is because of a condition known as irritable bowel syndrome. Individuals can also experience a feeling of regurgitation following meals, which is due to gastro-esophageal reflux disease, which is also associated with fibromyalgia.
Restless legs & leg cramps
Since patients having fibromyalgia, complain of a variety of symptoms as mentioned above, it is not difficult to miss the diagnosis. Therefore it is very important that you discuss your symptoms at length with an experienced doctor.

View My Website Pain Treatment In Delhi
See my press release on
The Pain Specialist Doctor in Delhi – Removing Pain and Restoring Fulfilled Life