Dr. Shilpa Dugani Burji

Pain can be musculoskeletal like back pain, shoulder pain or knee pain. Watch out to identify yours.

I am Dr. Siddharth VermaI deal with patients suffering from chronic pain. Chronic pain is any pain which is more than 12 weeks or three months in duration and if a patient is suffering from chronic pain they require special treatment and they require physician specially trained to treat the people who have chronic pain. So this pain can be musculoskeletal, then it may be back pain or the pain of the knee. There are various structures in the back which can give rise to the pain.

I'll tell you more about it if you see our skeleton, this is a model showing the back of a human and as we can see these are the vertebral bodies or the small bones which make up the human back, and these the yellow things, these are the nerves which are coming out of the small holes which are known as the foramen.And what you see here between these two bones is a disc and this is a portion of these two bones because when a person moves he actually bends, rolls place then all this moment like this. It occurs on this joint as you can see and this disc this help us to maintain this mobility.So now what happens is with growing age this can become bulging like you can see this red buzzing portion this compresses on this root which is coming out of here. This is what may lead to the pain there may be other mechanisms also and it is very essential that qualified pain physician actually evaluates you. If you have any back pain and then physician treats you accordingly.

So there are various equipment options which are available and ranging from drugs. So you can start with drugs and go to injections in the nerve roots and then we can further do pinhole surgery. It is like we can go through the needle to that and then gradually release the patient of his or her pain.Similarly, like back pain is the treatment for those suffering from knee pain. As we can see it's also 2 bonus and then instead of the disc we have this cartilage which is present here. Muscles slide this cartilage and this thing over here is your muscle which is coming over this knee joint. If this muscle is not strong enough or if the cartilage is damaged then you may have problems with your knee.

So what do we do is that if a person comes to us with the pain of the knee then we need to access a lot of ligaments. If you see it's a very complex and complicated joint if you see there are a lot of small ligaments and it is meniscal. There is cartilage so we have to analyze where the pain is coming from, once we analyze that then we prepare accordingly. We can start with drugs, we can use substances which help to form the cartilage, we can use Prolotherapy which is a new form of regeneration therapy which helps to regenerate cartilage, or we can numb those nerves which are actually carrying this pain.So you do not worry this will not lead to any weakness.

So musculoskeletal pain after revaluation can be treated and can be managed and to get rid of your pain or to know more you can simply visit my lybrate website.