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.


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Managing Chronic Back Pain Treatment In Delhi

We have all endured finite episodes of severe pain whether that is a fractured bone or severe migraine or throes of labour pains. While we may be fortunate enough to remember them as distant memories, those with constant pain are often denied this luxury of forgetfulness. Their lives often encompassed around managing pain. Leaving aside the distress/agony it causes, it can cause other harmful effects on most body systems whether it is your mental/ emotional well being or your heart or your quality of life. Hence it is import to control it sooner rather than later.

Pain, although distressing, has the benefit of bringing medical problems to our attention. It usually abates as healing occurs. Chronic pain is pain that persists beyond the period of healing. Traditionally pain is thought to represent ongoing damage in body. This is now considered incorrect especially in context of longstanding/ chronic pain. To simplify- CHRONIC PAIN DOES NOT ALWAYS SIGNIFY ONGOING DAMAGE.

The newer understanding of chronic pain

In the past patients who usually complained of long standing pain, were often dismissed by healthcare professionals and most patients accepted pain as a part of ageing. In many cases it was not easy to figure out the underlying cause of pain, as chronic pain was not well understood. Over the years, with the amount of research that has gone into the study of chronic pain, doctors now understand more about different facets of pain management – physiological, psychological, pharmacological, interventional etc. There is enhanced understanding of mechanisms which can cause amplification of perceived pain symptoms. These advances and technological developments have enabled pain specialists to offer more to their patients. This stands true for back pain as well. While a significant number of people in a population suffer from back pain, fortunately for most this will resolve with time. However a small proportion does go on to develop chronic pain. The severity can vary from mild discomfort to debilitating illness interfering with activities of daily living and limiting functionality. Pain management specialists use a combination of modalities and specialties known as multimodal multidisciplinary approach to effectively manage the back pain.

What do you understand by pain management?

The complexities of pain and the fact that surgery or pills cannot resolve all pain has been long recognised. Understanding and treating chronic pain is challenging as we all experience and process pain differently. Hence one therapy does not work for all. This has lead to the development of Pain Medicine as a separate speciality. In this speciality the doctors are trained specially to deal chronic pain conditions and develop a better understanding of pain, underlying mechanisms and ways of reducing its impact on life.  A good pain physician focuses on holistic management of patient rather than just treating the disease.

Pain medicine is branch of medicine concerned with evaluation, treatment, and rehabilitation of persons in pain.  It utilises a Multi –disciplinary approach with specialists from different fields working together help in managing your pain, restore functioning and improving quality of life. The team mostly comprises of Pain Specialists, Specialist Nurses, Physiotherapists, Occupational therapists, Acupuncturists, Psychologists and Dieticians.

Role of pain management for chronic back pain

When it comes to chronic back pain, there are a variety of ways in which pain clinic can help.  Most pain clinic interventions have the advantage of being low risk, minimally invasive, non-surgical options without any need for prolonged hospitalisation. The treatment plan is individualised and may include a combination of the following

• Patient Education 
• Medication Management
• Physiotherapy and rehabilitation
• Psychology input including relaxation therapy, coping and self-management skills, cognitive behavioral therapy
• Complementary and alternative therapies including Acupuncture, TENS, acupressure, meditation
• Dietary advice
• Interventions such as injections. These can be especially useful for people where the source of pain is not known despite extensive investigations. Diagnostic injections can help in reliably identifying sources of pain when investigations have been inconclusive. Some of the treatment options are not commonly available elsewhere and these include 

• X-ray/ ultrasound  guided injections like nerve blocks, epidurals, facet joint injections
• CT guided interventions in areas which require precision for accuracy and minimising risks
• Advanced techniques such as Radiofrequency treatment which can provide prolonged pain relief for common conditions arthritis of the joints in the spine

Research and technological developments have opened new avenues in pain management such as 

• Newer technologies – cooled radiofrequency and spinal cord stimulators
• Regenerative medicine options including stem cells and platelet rich plasma(PRP)

Asa vast majority of patients with back pain do not require surgery, a combination of above mentioned modalities can help in effective pain relief.  Pain clinic is also an option for patients who have had inadequate results from previous surgery or those who are not keen on surgery or not fit to have surgery.

Consult Best Pain Specialist In Delhi, Dr. Amod Manocha.

Tags >> Managing Chronic Back Pain In Delhi, Pain clinic In Delhi, pain management in delhi, Pain Specialist In Delhi