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Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
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Sir I am suffering from severe pain for the past 4 months in the right mid-thoracic area and in right calf area and right shin above the ankle and pain above to the right wrist.
Lower back pain is characterized by a feeling of pain around the lumbar region (curve of the back connecting the upper back and glutes- muscles in the buttock that are responsible for thigh movement) caused by muscle or ligament injury. The spinal area is most likely to be affected by lower pain as it may impair routine activities like walking and standing. Any lower back pain that lasts for more than ninety days can be considered as chronic.
Symptoms of lower back pain
The symptoms of lower back pain are usually a dull or excruciating pain in the lower back. It can also affect other parts of the body such as the hips and the legs. In case of severe pain, simple activities like walking, bending and sitting will be impaired.
Common causes of low back pain are:
- Lumbo sacral radicular pain(sciatica)
- Pain due to wear and tear of small joints (Facet Joints)of Lower spine
- Pain due to disc ( Discogenic)
- Pain Due to wear and tear of Joint between spine and Hip (SI) joint
- Pain due to unstable spine ( Listhesis)
- Pain due to fracture vertebrae (in Osteoporosis, trauma and cancer etc)
- Pain due to Muscle, Ligaments and Fascia of back
For proper treatment, we have to find the pain generator first with patient's history, clinical examination, investigation and most importantly with diagnostic Interventions. After confirming the pain generator, we have to go for therapeutic pain management interventions according to the diagnosis. These diagnostic interventions are newer and important tool because in more than half patients, imaging like X-ray and MRI are not helpful in finding the exact pain generator.
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