Yatharth hospital (Pain Clinic) in Sector-110, Noida - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Manish Raj

Yatharth hospital (Pain Clinic)

Interventional Pain Management, Spinal Pain Management, Spine Surgery
1 Recommendation
2 Doctor Recommendations
Practice Statement
Our medical care facility offers treatments from the best doctors in the field of Interventional Pain Management, Spinal Pain Management, Spine Surgery.It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.

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Yatharth hospital (Pain Clinic) is known for housing experienced s. Dr. Manish Raj, a well-reputed Spine Surgery, Spinal Pain Management, Interventional Pain Management , practices in Noida. Visit this medical health centre for s recommended by 68 patients.

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Clinic Address
Sector 110
Noida, Uttar Pradesh - 201301
Details for Dr. Manish Raj
DPU University
DA( Gold medal-Anaesthesiology & Pain Medicine)
DPU University, Pune
MD-Anaesthesiology & Pain Medicine
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Aesculap Academy - Germany
Fellow of Pain Management (FPM)
Fellow of Interventional spine & pain (FISP)
Fellow of Endoscopic spine surgery (FENDS)
Professional Memberships
North american spine society (NASS)
American society of Interventional pain physician (ASIPP)
Society of minimally invasive spine surgery (SMISS)
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International association for the study of pain(IASP)
Indian society for the study of pain(ISSP)
Past Experience
Interventional spine & Pain consultant at Jaypee Hospital
Interventional spine & pain consultant at Saket city hospital
Interventional Pain Management consultant at Yatharth Hospital, Noida
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Interventional spine & pain consultant at Bensups Cygnus superspeciality hospital
  • MBBS, DA( Gold medal-Anaesthesiology & Pain Medicine) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , Fellow of Interventional spine & pain (FISP) , Fellow of Endoscopic spine surgery (FENDS)
    Spine Surgery, Spinal Pain Management, Interventional Pain Management
    Consultation Charges: Rs 500
    1 Recommendation · 124 people helped
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  • Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
    Pain Management Specialist
     Contrary to what many people think (at least from what surgeons tell me), message boards aren’t just for people hopped up on pain meds or whining. At least on our board, positive thinking is rampant – exactly the kind of support that helps people with back pain deal better and heal better…

    Extracts from online discussion forum

    Get educated, then keep pushing and don’t give up

    Vikas: “…My advice is to learn as much as you can about what is going on with you. The challenge can be when you’re loaded up with drugs it is hard to know what you need! But keep pushing and don't give up. There are answers, they might not come right away, but they will come."

    When the pain is bad, focus on other things

    Betsy: "For the past year, I've been going to a rehab theraputic pool twice a week and having seen other people that have problems, many worse, helps you get by."
    Piyush: “I find that funny movies help, even though it hurts to laugh sometimes it is worth it.”
    Nikhil: "I'm with you on the silly movies and ice cream - sometimes when you want to just say screw the meds, screw the pain, forget the world - you just grab a pint of Ben & Jerry's ice cream, sit down in front of the TV, and lose yourself."

    Don’t go it alone: ask for help if you need it

    Priya: “It’s good for you to reach out here and talk about what you are feeling with others who have similar experiences and know that you are not alone in this... I know for me it helps to talk about it and feel my feelings with others who can hear me. I now see a therapist to help me with the emotional aspects of the physical pain as physical pain and emotional are very inter-related... all I can say is that after I have gone into some of my feelings the physical pain often subsides and I feel much better and much clearer.”
    Mahesh: "Just do the best you can do. That is all anyone can ask for… A good support system is a very helpful thing in this position. Don't be ashamed or too proud to ask for help when you need it.”
    Chetan: “Your family just doesn't know what to say to make you feel better. Hopefully you can find support from the people that you meet here who understand EXACTLY where you are and can go along for the ride.”

    Me: See, no whining? (Well, precious little). Seriously though, all doctors and clinicians treating chronic pain patients - please ask them if they're getting enough support, and if not give them some resources - online or off - that they can turn to for help. With support, they are likely to do much better.


  • Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
    Pain Management Specialist
    Aside from the obvious problem with chronic pain - there are many other downsides to chronic pain that are important to know about. For those living with and enduring chronic pain, pass this along to your loved ones to help them understand and be supportive.

    1. Pain is rarely 'all in your head'
    People in pain are often treated as if their pain is actually made up or greatly exaggerated. While it is true that pain is subjective (people simply perceive pain differently) and some people may report pain because they have other agendas - for the vast majority, the pain is real and present. It is not made up. The problem is that chronic pain is often caused by types of anatomical problems that are difficult or impossible to diagnose using standard medical tests, and pain cannot be diagnosed like other medical problems (such as a broken bone that can be seen on an X-ray).

    Fortunately, most in the medical community are now trying to understand and appreciate that chronic pain is real and needs to be treated and managed differently.

    2. Pain is not the only problem - it breeds other health problems
    Thoughts and emotions related to the pain also can come into play and aggravate or alleviate the pain. For example,depression, which is a serious disease, can worsen the pain. Sleep problems again caused by the pain, can also make the pain worse. And increased pain usually leads to increased sleep problems.

    Often all conditions related to the pain need to be treated concurrently in order for the patient to get any relief.

    3. Pain is deeply personal
    Everyone experiences and expresses pain differently. Any two people with the exact same health condition are likely to feel and express their pain in unique ways depending on a number of factors. Newer chronic pain theories now have physiological explanations for how and why people experience pain differently.

    When it comes to back pain, this is especially true. Two people can have the same type of herniated disc, but one feels only slight discomfort and the other feels intense, burning pain that is unresponsive to conventional treatment. It is also not uncommon that no anatomical cause of the pain can be detected.

    Why is this point important? It means that chronic pain often needs to be treated as the primary problem, which is different than the conventional medical approach of identifying and treating the underlying problem causing the pain.

    4. Chronic pain is its own beast
    Unlike acute pain, which functions as a warning signal (e.g. I just stepped on a nail - better move my foot!), chronic pain does not have any useful function. It just is.

    Often, chronic pain is caused by nerves that continue to send pain signals to the brain. When dealing with chronic pain, often one of the most frustrating things is that there is nothing to 'fix'. It just exists in your body.

    5. Chronic pain is LONELY
    After awhile, many people with chronic pain - especially pain that is caused by a condition that cannot be seen - begin to feel isolated. Here the Internet has done a world of good helping people in pain connect with others in similar situations and find a supportive peer group through online communities of people in similar situations.

    Having a clearer understanding of how chronic pain works, as well as the central role that the mind plays in the experience of chronic pain, is becoming more mainstream in the medical community. Patients who start to gain more understanding of their own chronic pain may also benefit in terms of gaining increased emotional support, more effective and sustainable pain management, and even possibly harnessing the power of their minds to assist in coping with the pain.
  • Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
    Pain Management Specialist
    People who suffer from severe, chronic back pain know how it can utterly disrupt and damage one's life. Chronic back pain can be cruel-making it hard to enjoy even the simplest daily activities, and certainly making it a challenge to carry out an exercise routine and other healthy activities. Moreover, chronic pain was not previously all that well understood. The medical profession used to believe that pain is always a manifestation of an underlying injury or disease. As such, doctors focused on treating the underlying cause of the pain, with the belief that once the injury or disease was cured the chronic pain would then disappear.

    If no underlying cause could be found for the pain, then the patient was told that very few treatments are available, or worse, 'the pain must be in your head'. Unfortunately, some doctors still practice in this manner, having no appreciation for the unique problem of chronic pain, newer theories about chronic pain, and the many factors that influence a chronic pain problem.

    The medical community is starting to understand that if pain is no longer a function of a healthy nervous system (signaling that there is a disease or underlying injury), then the chronic pain itself becomes the problem and needs to be treated as the primary pathology.

    The Experience of Chronic Pain

    Contrary to popular belief, all pain is real. This may seem like an obvious statement, but people with chronic pain are sometimes treated as if their chronic pain is either imaginary or exaggerated. In some cases, they feel like they have to prove their chronic pain to their friends, family, and doctors. Some patients are told by their doctor that there is no reason for the chronic pain and therefore 'it cannot be that bad'.

    Chronic pain is a personal experience and cannot be measured like other problems in medicine, such as a broken leg or an infection. For instance, a broken leg can be confirmed by an X-ray and an infection by a blood test measuring white blood cell count. Unfortunately, there is no medical test to measure chronic pain levels.

    To make matters more challenging for the patient, for many chronic pain problems, there is no objective evidence or physical findings to explain the pain. Thus, many chronic pain sufferers go from one doctor to the next searching for explanations. This process can lead to unnecessary evaluations and treatments, in addition to putting the patient at risk for actually being harmed or made worse by the healthcare profession.

    Everyone experiences and expresses pain differently. Two people with the exact same injury will feel and show their pain in unique ways depending on a number of things such as:

    The situation in which the pain occurs
    Thoughts about the chronic pain, such as 'this is nothing serious' versus 'this pain could kill me'
    Emotions associated with the chronic pain, such as depression and anxiety versus hopefulness and optimism
    Cultural influences determining whether a person is to be more stoic or more dramatic in showing pain to others
    The newest theories of chronic pain can now explain, on a physiological level, how and why people experience pain differently.

    Types of Back Pain: Acute Pain, Chronic Pain, and Neuropathic Pain

    Understanding how pain is defined is important in order to learn how to better control it. For the purposes of research and medical practice, pain can be separated into three categories:

    -Acute Pain
    -Chronic Pain
    -Neuropathic Pain

    Acute Pain

    One common type of pain is acute pain, currently defined as pain lasting less than 3 to 6 months, or pain that is directly related to tissue damage. This is the kind of pain that is experienced from a paper cut or needle prick. Other examples of acute pain include:

    Touching a hot stove or iron. This pain will cause a fast, immediate, intense pain with an almost simultaneous withdrawal of the body part that is being burned. More of an aching pain might be experiencing a few seconds after the initial pain and withdrawal.
    Smashing one's finger with a hammer. This pain is similar to that of touching a hot stove in that there is an immediate pain, withdrawal and then 'slower' aching pain.
    Labor pains. The pain during childbirth is acute and the cause is certainly identifiable.

    The longer pain goes on the more susceptible it is to other influences and developing into a chronic pain problem. These influences include such things as the ongoing pain signal input to the nervous system even without tissue damage, lack of exercise (physical deconditioning), a person's thoughts about the pain, as well as emotional states such as depression and anxiety.

    Chronic Pain

    There are at least two different types of chronic pain problems - chronic pain due to an identifiable pain generator (e.g. an injury), and chronic pain with no identifiable pain generator (e.g. the injury has healed).

    Chronic pain due to an identifiable pain generator

    This type of chronic pain is due to a clearly identifiable cause. Certain structural spine conditions (for example, degenerative disc disease,spinal stenosis and spondylolisthesis can cause ongoing pain until successfully treated. These conditions are due to a diagnosable anatomical problem.

    If the pain caused by these types of conditions has not subsided after a few weeks or months of conservative (nonoperative) treatments, then spine surgery may usually be considered as a treatment option.

    Chronic pain with no identifiable pain generator
    This type of pain continues beyond the point of tissue healing and there is no clearly identifiable pain generator that explains the pain. It is often termed 'chronic benign pain'.

    It appears that pain can set up a pathway in the nervous system and, in some cases, this becomes the problem in and of itself. In chronic pain, the nervous system may be sending a pain signal even though there is no ongoing tissue damage. The nervous system itself misfires and creates the pain. In such cases, the pain is the disease rather than a symptom of an injury.

    The term 'chronic pain' is generally used to describe the pain that lasts more than three to six months, or beyond the point of tissue healing. Chronic pain is usually less directly related to identifiable tissue damage and structural problems. Examples of chronic pain are: chronic back pain without a clearly determined cause, failed back surgery syndrome (continued pain after the surgery has completed healed), and fibromyalgia.

    Chronic pain is influenced by many factors, such as ongoing pain signal input to the nervous system even without tissue damage, physical deconditioning due to lack of exercise, a person's thoughts about the pain, as well as emotional states such as depression and anxiety. Chronic pain is much less well understood than acute pain.

    Neuropathic Pain

    Neuropathic pain has only been investigated relatively recently. In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage.

    Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category but it has a different feel then the chronic pain of a musculoskeletal nature.

    The neuropathic pain feels different than musculoskeletal pain and is often described with the following terms: severe, sharp, lancinating, lightning-like, stabbing, burning, cold, and/or ongoing numbness, tingling or weakness. It may be felt traveling along the nerve path from the spine down to the arms/hands or legs/feet. It's important to understand neuropathic pain because it has very different treatment options from other types of back pain. For example, opioids (such as morphine) and NSAID (such as ibuprofen, COX-2 inhibitors) are usually not effective in relieving neuropathic pain. Treatments for neuropathic pain include certain medications, nerve 'block' injections, and a variety of interventions generally used for chronic pain.

    When Acute Pain Becomes Chronic Pain

    It is critical for a doctor and a patient to have an understanding of the difference between acute pain and chronic pain. With acute pain, the pain is a symptom of injured or diseased tissue. When the injury has finished healing, the correlating pain will subside. For example, with a herniated disc, once the pressure on the nerve is alleviated the acute pain stops. For this reason, medical treatment for acute pain focuses on healing the underlying cause of the pain.

    Additionally, with acute pain, the severity of pain directly correlates to the level of tissue damage. This provides us with a protective reflex, such as to stop an activity when it causes pain. However, chronic pain does not serve a protective or other biological function. Treatments will be different depending on the underlying cause of the pain.

    Chronic Pain Development

    Not all pain that persists will turn into chronic pain. Different people experience chronic pain very differently. Likewise, the effectiveness of a particular treatment for chronic pain will often differ from person to person. For example, a particular medication or injection for a herniated disc may provide effective pain relief for some people but not for others.

    One problem is that not all patients with similar conditions develop chronic pain, and it is not understood why some people will develop chronic pain. Also, a condition that appears relatively minor can lead to severe chronic pain, and a serious condition can be barely painful at all.

    As pain moves from the acute phase to the chronic stage, influences of factors other than tissue damage and injury come more into play and influences other than tissue input become more important as the pain becomes more chronic.

    Pain medicine and pain management as a medical specialty is relatively new. However, now that chronic pain is becoming recognized as a primary problem, rather than always being a symptom of a disease, the specialty of pain management is starting to grow.
  • Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
    Pain Management Specialist
    Much like Myths about Back Pain, there are many misconceptions about neck pain and the spine in general. Seeking credible information is essential to having the best chances for recovery. In that spirit, we at Spine-health wish to clarify a few of the common myths about neck pain.

    Myth: Rest Is the Best Way to Help My Neck Pain

    Reality: A short period of bed rest may help reduce acute pain of the neck or back, but doctors generally advise against more than one or two days of bed rest. In fact, resting and general inactivity can actually cause more pain, as lack of activity leads to muscle wasting and other harmful effects, which in turn can create more back pain or neck pain and lead to an unhealthy cycle of pain/inactivity/more pain/more inactivity. For most conditions, physicians will recommend a long-term rehabilitation program of active physical therapy and exercise. For more information, see the following article:

    Myth: With Its Sensitive Nerves, the Spine Is Easily Injured

    Reality: The spine is a uniquely well-designed structure -- the surrounding muscles, tendons and ligaments provide a great deal of strength, flexibility and support for the spine. While there are some exceptions (such as an unstable spinal fracture), in general keeping your spine healthy requires proper conditioning, including stretching, strengthening and aerobic exercise. Activities that can harm the spine include poor posture and body mechanics (e.g. improper lifting technique), and other generally unhealthy factors, such as smoking, lack of nutrition or sleep

    Myth: The Doctor Didn't Find Anything Wrong, so the Pain Must Be All in My Head

    Reality: Pain is always real. The physician may not be able to find the anatomical cause of the pain, but the pain still exists. And for chronic pain (e.g. pain that lasts more than 2 or 3 months), it's important to proactively treat the pain. While psychological factors (such as depression and sleeplessness) will often need to be included as part of a comprehensive treatment program, it is also important to search out nonsurgical care treatment options that can help alleviate the pain.

    Myth: My Pain Is So Bad, There Must Be Ongoing Spine Damage

    Reality: With chronic pain, the level and extent of pain is not related to the level and extent of damage or injury in your neck or back. For example, severely degenerated discs may not produce much pain at all, and discs with little degeneration can produce severe pain.

    Unlike chronic (long-term) pain, acute (short-lived) pain does correlate to the level of the injury. For example, a deep cut in your skin is more painful and more damaging than a bruise, and the pain will subside as it heals. In this manner, acute pain provides us with a protective reflex -- so that we avoid things that cause tissue damage (e.g. we remove our hand from a hot burner). However, with chronic pain, the pain does not have the same meaning -- it is not protective and does not mean there is any ongoing tissue damage or injury.

    Dealing with ongoing back pain or neck pain is a long-term avocation. The last thing you need is incorrect or misleading information to confuse the situation. At Spinomaxx, we strive to provide you with reliable, in-depth information to help you better understand, prevent and seek appropriate treatment for your pain.
  • Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
    Pain Management Specialist
    Understanding different types of back pain

    As you probably already know through personal experience, back pain can be very complex and difficult to accurately diagnosis and treat. There are myriad causes and contributing factors, and a wide range of possible back pain treatments that may or may not work for the same condition. This blog will outline some of the basic tenets of back pain to help you on your journey to finding and participating in a treatment approach that works for you.

    Back pain is a complicated, personal experience. The level, degree, and manageability of pain is very different for every person. Some people can literally have a large herniated disc and experience no pain at all, and for others, a simple muscle strain can cause excruciating back pain that can limit one's ability to walk or even stand. Also, with some conditions, the pain can flare up from time to time and then reside, but may get worse over time. Because only you know your level of pain, your treatment will most likely be more successful if you proactively participate in making decisions about your medical care.

    Many structures in your back can cause pain.
    While the anatomical structure of the spine is truly a marvel in terms of its form and function, many different structures in the spine are capable of producing back pain. Moreover, the spine is a part of the body that is highly prone to injury because it is subject to many strong forces-torque and twisting, sudden jolts and daily stresses (e. G. From poor posture). Common anatomical causes of back pain include:

    Slip disc

    The large nerve roots that go to the legs and arms may be irritated
    The smaller nerves that innervate the spine may be irritated
    The large paired back muscles (erector spine) may be strained
    The bones, ligaments or joints themselves may be injured
    The disc space itself can be a major cause of back pain

    The source of the back pain can be complex
    There is a lot of overlap of nerve supply to most of the anatomical structures in the spine (discs, muscles, ligaments, etc.) which often makes it impossible for the brain to distinguish between injury to one structure versus another. For example, a torn or herniated disc can feel identical to a bruised muscle or ligament injury. For this reason, your physician will first take a thorough medical history and physical exam, discuss your symptoms and may conduct diagnostic tests (such as an x-ray or MRI scan, if indicated) in order to try to distinguish the underlying condition causing your pain.

    Description of your pain is important
    The type of back pain (the way you describe the pain) and the area of distribution of the pain and related symptoms is an important part in determining a back pain diagnosis, and the treatments can be very different depending on the type of pain. Three common classifications of back pain include:

    Axial pain
    Axial pain. Also called mechanical pain, axial pain is the most common cause of back pain and may present in a number of different ways (sharp or dull, constant, comes and goes, etc.). A muscle strain is a common cause of axial pain.
    Referred pain. Often characterized as dull and achy, referred pain tends to move around and vary in intensity. It may radiate from the lower back into the groin, pelvis, buttock and upper thigh. Injury to any of the interconnecting sensory nerves of the lower back can cause this type of pain. As an example, degenerative disc disease may cause referred pain to the hips and posterior thighs.
    Facet joints (spine joints pain site)
    Facet joints (spine joints referred pain site) -
    Radicular pain. Often described as deep and radiating through the extremity (arm or leg), radicular pain can be accompanied by numbness and tingling or weakness. This type of pain is caused by compression, inflammation and/or injury to a spinal nerve root. Another term for radicular pain is sciatica and can be caused by such conditions as a herniated disc or spinal stenosis.
    Radiating pain
    Radiating pain

    If no anatomical reason is found, your pain is still real
    Frequently, even after many tests and visits to different doctors, there may be no apparent anatomical cause for back pain. However, the pain is still real. While psychological factors, such as depression and sleeplessness, will often need to be included as part of a comprehensive treatment program, it is also important to treat the pain, and there are a variety of nonsurgical care options that can help alleviate the pain.

    Additionally, you should always make sure to see a qualified spine specialist for persistent back pain symptoms to check for serious medical conditions that could be causing the pain (such as tumor or infection).

    Ultimately, participating in the decision-making process about your medical care should definitely help you have a better outcome, and understanding your pain is an important element of this process.
Dr. Prakash R Deshmukh
Dr. Gaurav Sachdeva
/ Yatharth hospital (Pain Clinic)
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