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Sir,aged 38 working as a teacher. My height is 5'8 and weight is 62. I have no BP and Diabetes. This is my MRI report and prescriptions. I have been suffering from pain and radiation on thighs and buttocks, if sitting for more than 15 min, for the past 6 years. There is no numbness and no claudication. Though I consulted many neuro physicians, the problem remains the same (neither increased nor decreased. I have been doing some doctor suggested exercises and feeling some what better. But How long I have to suffer? Can't I get permanent solution to this problem? Pls suggest me the best way to get cure from this disease. I have earlier used medicines like 1. Gabapin SR 450mg 2. Mecozen plus 3. Neupent AF 450mg 4. Pregalin SR 150 5. Evion. Now I am using 1. Calsar K27 2. Mecgla 3. Neuraction P75 4. Flamoral Tc 5. Etogesic P.
My knee bone has a swelling since past 4 years and it's not gone till now. It pains and I eat pain killer tablets.. Suggest me something please.
Myth 1: pain is always caused by an underlying tissue damage
Fact 1: There need not be a tissue damage for pain to occur. In majority of the cases mere postural deviations, muscle tightness, inadequate joint range and reduced neural mobility, decreased soft tissue (fascia) flexibility can cause pain.
Myth 2: Degenerative changes in the joint (as seen in the x-ray and mri) is the primary cause of pain.
Fact 2: Movement dysfunctions like loss of the intrinsic joint play movements and adverse neural tension cause most of the pain, rather than degeneration.
Myth 3: Pain should not be treated based on radiological (x-ray, mri) reports.
Fact 3: Pain should be treated based on patient history and physical assessment. Radiological or laboratory investigations should be used only to rule out any potential red flag (harmful) pathologies. Ex; tuberculosisspine, inflammatory arthropathy, fracture, dislocation etc.
Myth 4: Treatment should be given exactly in the area of pain.
Fact 4: In most instances the cause of pain is present in an area distant to the site of actual pain and hence the treatment should focus on removing the cause of pain rather than alleviating the symptoms in the area of pain. Ex: most of the knee pain is caused by a dysfunction in low back (lumbar) and hip (pelvis) regions.
Myth 5: The painful joint should not be moved and weight should not be transferred through the joint.
Fact 5. Normal movement within the painless range is mandatory for the recovery and graded protective loading of the affected structures is vital for the re- modeling of the collagen in the soft tissues and functional recovery.
Myth 6: Pain is a disease and hence it should be treated.
Fact6: Pain is only a symptom of an underlying disease or a dysfunction and hence when the cause of pain is treated pain vanishes by itself.