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Nalam Nature Cure &Yoga Clinic

Pain Management Specialist Clinic

1/97 keliyamman kovil street,kelambakkam Chennai
1 Doctor · ₹100
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Nalam Nature Cure &Yoga Clinic Pain Management Specialist Clinic 1/97 keliyamman kovil street,kelambakkam Chennai
1 Doctor · ₹100
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About

By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Nalam Nature Cure &Yoga Clinic
Nalam Nature Cure &Yoga Clinic is known for housing experienced Pain Management Specialists. Dr. Bharani, a well-reputed Pain Management Specialist, practices in Chennai. Visit this medical health centre for Pain Management Specialists recommended by 101 patients.

Timings

MON-SUN
07:00 AM - 09:00 AM

Location

1/97 keliyamman kovil street,kelambakkam
Kelambakkam Chennai, Tamil Nadu - 603103

Doctor in Nalam Nature Cure &Yoga Clinic

Dr. Bharani

Bachelor of Naturopathy & Yogic Sciences (BNYS), MSC psycology
Pain Management Specialist
10 Years experience
100 at clinic
₹200 online
Unavailable today
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Vertebroplasty - How It Can Help Manage Pain?

MBBS, MD, M.N.A.M.S(Anaesthesiology), FWACS
Pain Management Specialist, Delhi
Vertebroplasty - How It Can Help Manage Pain?

Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material.

Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.

Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.

Procedure:

In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision

  • Local anesthesia is given in the area that needs to be operated
  • A biopsy needle is inserted into the fractured space with the help of an X-ray
  • The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
  • The needle is removed and the incision is covered with a bandage
  • Usually the patient is sent home in an hour’s time unless the overall condition is really bad
  • There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
  • There is also improvement in mobility while doing daily chores
  • The pain relief can last up to 3 years after the procedure
  • Returning back to normal activities takes about 3 to 4 days after the procedure

When to use this procedure?

Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:

Benefits of using vertebroplasty for managing pain 

  1. Minimally invasive
  2. Effective way to get relief
  3. Improves mobility
  4. Cost-effective
  5. Reduces need for long-term use of painkillers
  6. Stabilizes the spine and prevents further collapse

In case you have a concern or query you can always consult an expert & get answers to your questions!

Early Signs of Strain

BPTh/BPT, MPT
Physiotherapist, Pune

Don't ignore the early signs of strain injury like weakness of the grip, numbness, and pain or discomfort in the arms, hands, wrists or shoulders.

How To Control Pain After Knee Replacement?

MBBS, MS - Orthopaedics, Fellowship Joint Replacement Surgery
Orthopedist, Delhi
How To Control Pain After Knee Replacement?

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!

How to increase bone strength I want to increase my cartilage because an as offering with knee pain severely.

MS Orthopaedic
Orthopedist, Vadodara
How to increase bone strength I want to increase my cartilage because an as offering with knee pain severely.
You should consult Orthopaedic doctor to rule out any ligaments injury of knee. If it's OA knee then you can take medication for cartilage Tab cartigen Duos twice day for one mth then after follow up you can continue it.
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I am suffering from chest tightness pain and bloat feeling. No heartburn. Even I have eye twitching for past 1 month.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
I am suffering from chest tightness pain and bloat feeling. No heartburn. Even I have eye twitching for past 1 month.
Don't worry, all minor issues. Reduce alcohol sugar jaggery and starchy foods in diet. Balanced diet is healthier than restricted diet, that should improve the bloating.
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I'm 46 years old women ,from past 3 months I'm suffering from pain in neck on the left side and also left shoulder n head. When I try rotate my head I hear cuttcutt sound. Can you please help me regarding this issue. Is it serious?

BHMS, PGDPC
Homeopath, Nashik
I'm 46 years old women ,from past 3 months I'm suffering from pain in neck on the left side and also left shoulder n ...
Don't worry Take homeopathic medicine for best results 1) Ruta 30.4 pills at morning 2) Hypericum 30.4 pills at night for 1 months.
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My left arm is in pain might be muscle pain while movement feel pain all the time I M 38 yes old.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
My left arm is in pain might be muscle pain while movement feel pain all the time I M 38 yes old.
Arm pain may be due to several causes like medications, trauma,bad posture, stress ,vitamin d deficiency, Magnesium deficiency, Chest and cardiac issues there is no quick fix or short cuts to cure any health issue. Detailed history taking is important to find the root cause there is no use of putting a band aid temporary fix For a permanent fix of your health issue you have tell your age, your job and it nature Smoker / alcohol /Tobacco ,/ soft drinks consumption Veg / Non veg Are you Drinking cows milk or not Skipping meals Home food / outside food Stress at work / home Sleep and exercise pattern Bowel movements regular Fluid intake daily Fiber intake daily Gas issues any tests you have done and their results what medicines have you taken without all these information no Dr. Can give any specific advice You will require certain supplements. Your Gut is your gateway to health. All the health issues begin in the gut and produce manifestations in different parts of the body which misguides the patient to a different specialist Dr. who is not aware that the gut issue is the problem for his symptoms. So take a consult and solve your issue naturally without medicines with diet and lifestyle changes Remember You cannot fix your health without fixing your diet.
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Hi, I'm getting pain on my arm while playing badminton. I'm not able to play more than two games. If I'm taking rest for couple of hours it will go. And if I'm playing next day the pain will come again.

Master of Physiotherapy, Bachelor in Physiotherapy
Physiotherapist, Guwahati
Hi, I'm getting pain on my arm while playing badminton. I'm not able to play more than two games. If I'm taking rest ...
Hi lybrate-user it's because of muscle strain. Start applying ice over that part. Take a week rest. In that week you need to start applying ice over that part for 5 mins. Can apply an additional supporter. Either a supporter or taping can be done. Can visit a physiotherapist if still it's not subsided. Regards.
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My husband is severe throbbing headache everyday. And this is going on since past one year. His eye check-up was normal. Now I am not understanding which doctor should I consult. Also he gets continue burbs feels as if acidity.

BHMS ,PGDPC , MS (psych.)
Homeopath, Nashik
My husband is severe throbbing headache everyday. And this is going on since  past one year. His eye check-up was nor...
Do not worry Take Homeopathic medicine for better results 1) Belladona 1M. 4 pills 3 times a day for 3 days.
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Renal Biopsy - When Should You Go For It?

MBBS, DM - Nephrology, MD-General Medicine
Nephrologist, Delhi
Renal Biopsy - When Should You Go For It?

Kidneys play an important metabolic role and are essential for balancing salt, minerals and water in the body. They also play a significant role in removing waste products from the body. They make urine, which contains all the waste materials that are eliminated from the body. They also play an important role in blood pressure regulation and in maintaining the balance of various minerals in the body. Any suspected kidney damage should be confirmed by a kidney biopsy, which will reveal the exact disease, thereby directing towards the appropriate treatment. 

Why and when is it done? 

A renal or kidney biopsy is done in the following situations: 

  1. When there is abnormal protein in the blood or urine, which is indicative of a kidney disease, and the exact cause needs to be found out
  2. When kidney failure is suggested by blood tests but cause is not clear 
  3. To find the cause of bleeding in the urine (haematuria) 
  4. To identify and/or confirm diagnosis after a CT scan or ultrasound 
  5. To check how well a transplanted kidney has been received 

Know about the procedure 

A renal biopsy is mostly done as an outpatient procedure and is a type of biopsy known as percutaneous biopsy (biopsy where a needle is inserted through the skin into the renal tissue). Very rarely, it may be combined with the CT scan or ultrasound and be done in the radiology department. This may be done on inpatients. The patient is made to lie on his/her back and a local anesthetic is used on the area of the injection. A thin, long needle is directed towards the area of the kidney from where some kidney tissue is removed for sampling.

In some cases, the direction of the needle may be decided by a CT scan or ultrasound. While this is a closed biopsy procedure, in some cases, as a part of the surgery, open biopsies may also be obtained, where a sample of tissue is extracted for analysis. 

Recovering from a biopsy 
The person would need some time to recover from the procedure, as there would be some discomfort at the site of a needle insertion. Vital signs would be monitored for the next couple of hours during which the person would also be monitored for internal bleeding. A pain reliever can be used if required. Haematuria or blood-tinged urine can be seen disappearing within the next 12 hours. Very rarely the bleeding can be severe and require angiography and further procedures. The person should also avoid strenuous activities for the next few days. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

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