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Ashok Delhi Pain Clinic

Pain Management Specialist Clinic

Flat 5 Parivar Aptts I.P. Extn. Patparganj Delhi
1 Doctor
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Ashok Delhi Pain Clinic Pain Management Specialist Clinic Flat 5 Parivar Aptts I.P. Extn. Patparganj Delhi
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Ashok Delhi Pain Clinic
Ashok Delhi Pain Clinic is known for housing experienced Pain Management Specialists. Dr. Ashok Kumar Saxena, a well-reputed Pain Management Specialist, practices in Delhi. Visit this medical health centre for Pain Management Specialists recommended by 53 patients.

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Flat 5 Parivar Aptts I.P. Extn. Patparganj
Patparganj Delhi - 110092
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I am suffering from burning sensation and pain over the knees at the lower portion of my thighs. I am 70. I have no other issues. I am taking ayurvedic medicine like guggulu etc without any relief. I presume nerves and muscle tissues are weakened. What is the remedy?

Physiotherapist, Latur
I am suffering from burning sensation and pain over the knees at the lower portion of my thighs. I am 70. I have no o...
As mentioned u have arthritis pain in the knee is because of it -Do static quads ie keep the towel roll below your knee press it and hold the position for 5 sec repeat it -Heel slides 5 times -IFT for knee joint for 10 mins
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20 years before I had a major surgery for which a muscle on my left leg inside calf area was cut artificially and utilised and then completely stitched again. The stitch length was almost 5 inches. But even now the stitch marks are present with pain and itching frequently. Is this normal and kindly suggest any solution for this? Thanks in advance.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGD IN NATURO & YOGA SCIENCE
Ayurveda, Katni
20 years before I had a major surgery for which a muscle on my left leg inside calf area was cut artificially and uti...
Itching may be possible because according to ayurveda blood collects more where scar is there. Use sarso oil for external. Regards.
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I am 21 year old ,I have severe head ache on right side of my head above my right eye ,so I thought that its a problem of eye, and I went to vasan eye care they checked my eye twice and came to know that, it is not a problem of eye ,they give pain killer tablets and they said you better consult the doctor (ENT specialist ), so give me an answer please because I am really getting hard to control it.

MBBS, D.P.H
General Physician, Gurgaon
I am 21 year old ,I have severe head ache on right side of my head above my right eye ,so I thought that its a proble...
Mr. lybrate-user You have problem of Migraine migraine is a chronic problem so you can take following measure regularly. 1.Go for morning walk daily for 35 minutes daily do meditation and exercise which should include relaxation exercise, anulom vilom 2.Take plenty of water whole day 3.Keep well nourished all tim. 4.Avoid fast 5.Whenever you have pain go to quite cool and dim light area 6. Retire to bed 4 hour after dinner and take water 2 hour before sleep 7.Use Epsom salt (Sendha Namak) 8.Take high fibrous meal with green leafy vegetables and fresh fruits 9.Avoid oily spicy junk food and processed food 10. You can take ibuprofen tablet at the time of pain after meal.
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Hello Doctor, I have a pain in my feet for 3 days after running with wrong shoes. Please help to cure this issue.

MPT-SPORTS MEDICINE, BPTh/BPT
Physiotherapist, Delhi
Hello Doctor, I have a pain in my feet for 3 days after running with wrong shoes. Please help to cure this issue.
Please provide a sport shoes and if pain is still there on feet then daily feet hot water formentation (atleast thrice a day for 30 min soaking in water and after that cover with a soft towel atleast 15 to 20 min after striking on surface), after that you should walk.
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Knee Replacement Surgery - Pain and Recovery

MS - Orthopaedics, MBBS, fellowship in sports injury and arthroscopy surgery and hip and knee replacement
Orthopedist, Ahmedabad
Knee Replacement Surgery - Pain and Recovery

Most of us may not be aware, but the knee is the largest joint in the human body and contributes the maximum to a person’s physical movement from one place to another. The knees play a significant role in a variety of movements including squatting, supporting the weight, running, kneeling, sitting, etc.

Whether it is a severe accident, osteoarthritis that set in with age, or other reasons, the result could be stiff, painful knees. The first line of treatment would be exercise, physiotherapy, and medications. However, if these do not work, then surgical treatment is the choice. Though usually it is reserved for people over the age of 50, there could be exceptions.

Given the number of functions it is involved in, when a serious procedure like knee replacement is being considered, the pain that the person would go through and the recovery time are two important parameters to address. It is best that the patient has a detailed discussion with the doctor and gets all doubts clarified. This will help both the patient and the doctor have realistic and practical expectations about what to expect after the surgery.

So, when pain and stiffness make knee replacement inevitable, prepare for it. The following sequence outlines what happens right from surgery to recovery.

  1. Under general anesthesia, the damaged portion of the knee is removed, and a prosthesis (metal or plastic) is used to replace the removed portion.

  2. Hospital stay can range from 3 to 5 days.

  3. In about a month, the patient will have remarkable recovery, with almost no pain.

  4. Though not advisable, most patients would be able to stand and do basic movement on the day of surgery.

  5. Begin walking with the support of parallel bars and continue using cane/walker/crutches for the first few days to avoid overload on the knees.

  6. With proper support, walking is possible in 3 to 5 days. Continue using a cane for the next few weeks to strengthen the knee.

  7. Schedule a postoperative visit in the 4th to 6th week after surgery.

  8. Draw up an exercise routine with your physiotherapist.

  9. Ice pack can be applied to control swelling.

  10. Driving should be possible, once you are off pain medications, as these can make you drowsy.

  11. Blood clot in the surgical site causing a bruise will disappear in a couple of weeks.

  12. Knee replacement is almost magical as in the long run (10 years postoperatively), there is a good 98% chances of success.

Having said this, it is important to remember each person responds differently to the procedure and therefore treatment/rehabilitation is completely personalized.

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Hello Doctor my age 26 3 month se Jab subah uthata hu to stand hone par mere pure flat foot (Talwe) me bahot pain hota hai mostly center of ankle (Aedi) me. Pls suggests me homeopathy medicine. Thank you.

MD - Homeopathy
Homeopath, Mangalore
Hello Doctor my age 26
3 month se Jab subah uthata hu to stand hone par mere pure flat foot (Talwe) me bahot pain hot...
Looks like Calcaneal Spur, Do take these Homeopathic medicines- Ruta 200, 5pills weekly one Hecla Lava 3X 1--1--1 daily for a month, Also immerse your foot everyday in Lukewarm water mixed with Crystal salt mixed for minimum 5 mins daily. Avoid getting down from bed as soon as you get up. Do mild massage to Ankle. You'll be fine soon.
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Types And Treatment of Arthritis

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
Types And Treatment of Arthritis

What are the Different Kinds of Arthritis and How to Treat Them? 

Arthritis is a very common medical condition that affects a lot of adults as they age. It occurs due to inflammation of the joints, which can be caused by a number of factors such as aging, injury or infection. There are over a hundred different kinds of arthritis that cause various sorts of problems to those affected. However, this condition can be broadly classified into two major types, which include the following: 

  1. Osteoarthritis- Also known as degenerative joint disease, osteoarthritis is the most common kind of chronic condition to affect the joints. This occurs when the cartilage that surrounds the joint wears away and allows the ends of bones to rub against each other causing immense pain and is often accompanied by inflammation and swelling. The primary cause of osteoarthritis is aging, obesity and occurs mainly due to pressure on the joints. 
  2. Rheumatoid Arthritis- This is the most common type of arthritis that occurs due to joint inflammation. It is an autoimmune condition, which means that it is caused by a dysfunction of the immune system that leads to inflammation of the joints. Chronic inflammation causes joint deformities and even the development of rheumatoid nodules on the skin around the joint. Two-thirds of patients affected by rheumatoid arthritis are women. 

Depending on the nature of the condition and the age and medical history of the patient, diagnosis, and treatment of arthritis varies. Although there is no permanent cure for arthritis, especially the type caused by aging, a number of remedies exist that provide relief from pain. 

Some of the common methods of treatment for arthritis are: 

  1. Medication- Some medicines provide relief from the pain of arthritis if it is not too severe. These include painkillers, anti-inflammatory pills, sprays, and ointments, etc. In case of high-intensity pain, codeine is often prescribed.    
  2. Stem Cell Therapy or PRP Therapy- This method involves drawing platelets from the patient's own blood and injecting it into the inflamed parts of the joint in order to repair damaged muscles and alleviate pain. This treatment stimulates natural healing process of body and is free from side effects.    
  3. Injections- A number of anti-inflammatory substances and lubricants can be injected into the affected joints to decrease pain. Ozone gas injections or hyaluronic acid injections are an example of this. 
  4. Intramuscular Stimulation- Targeted treatment of tender points in muscle help to relieve muscle spasm associated with arthritis and also improves joint mobility and decreases pain. 
  5. Surgery- In extreme cases, surgical procedures are resorted to for treating arthritis. However, successful surgery cannot always be guaranteed and it comes with its own set of risks.
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Osteoporosis - Can Yoga Help You Treat it?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGD IN NATURO & YOGA SCIENCE
Ayurveda, Katni
Osteoporosis - Can Yoga Help You Treat it?

Along with curing anger and stress, yoga is also beneficial in treating osteoporosis, either by itself or in combination with different medicines. Osteoporosis is an illness described by weak and diminishing bones that can result in cracks and fractures in the bones. Some of the postures that can be helpful in treating osteoporosis are as follows:

  1. Utthita trikonasana: Uttihita trikonasana is an expanded triangle posture which is helpful in curing many diseases. Along with diminishing the side effects of osteoporosis, it additionally avoids soreness, increases strength and gets rid of spinal pain. Begin this posture by standing straight with your legs separated by four feet. Then, extend the arms to the ground with the palm facing downwards. Slide the left leg across the right side of your body. You need to slide it behind the left leg. Now extend your right leg towards the left side of your body. This will leave you in a sitting position. Where your right leg is placed on top of your left leg, make sure both your knees are on top of each other. Now straighten your body to an upright position.
  2. Ardha chandrasana: This asana is also called as the half-moon posture. This posture comes under hatha yoga and is beneficial for various medical issues, for example, osteoporosis, menstrual issues, exhaustion, sciatica and stomach-related cramps. You can practice this pose to get rid of osteoporosis and appreciate a sound body.
  3. Padangusthasana: This stance delicately stretches and strengthens persistently tight hamstrings.
  4. Adho mukha svanasana: It is one of yoga's most commonly practiced postures. Adho mukha svanasana offers a definitive wholesome, reviving stretch.
  5. Utthita hasta padangustasana: In this pose, keeping up the balance while standing on one foot strengthens your endurance capabilities.
  6. Utthita parsvakonasana: Discover the flexibility in your sides of the body from your heel to your fingertips with an extended side angle pose.
  7. Utthita trikonasana: It is a broadened triangle posture and is important as a standing posture in many styles of yoga.
  8. Ardha chandrasana: Make proper balance with your leg and the lower part of your leg as you look for strength and flexibility into this adjusting posture.
  9. Parivrtta parsvakonasana: This revolved side angle pose, a variation of utthita parsvakonasana requires a considerable measure of adaptability to bend flexibly and balance on the back heel.
  10. Uttanasana: Uttanasana will awaken your hamstrings and will help you to calm your brain.
  11. Urdhva dhanurasana: Urdhva dhanurasana can help in strengthening your arms, legs, abdomen and spine all at once.
  12. Virabhadrasana: Named after a wild warrior, an incarnation of Shiva, this adaptation of a warrior pose increases the stamina.

Yoga is one of the most secure measures and medicines for osteoporosis. It is something that anyone of any age can do at any place. The advantages are numerous and dangers are few if done properly.
 

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Bunions And its Treatment

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Bunions And its Treatment

Sometimes, the joint that connects the big toe to the feet may develop an unnatural hump. This condition is known as bunions. Sometimes, it may so happen that the big toe move towards the other toes, pushing the base of the toe outward, leading to the development of bunions. There are ways, by which you treat bunions. Some of them are-

  1. Medication: Visiting a doctor is the most prudent step to take in case you are suffering from bunions. The inflammation and the swelling that accompany bunions can be initially treated by medicines and pain relievers.
  2. Heating pad: Heating pad generally treats and manages pain by applying heat on the affected areas. In the case of bunions, heating pad has emerged as an effective way to deal with bunions.
  3. Ice pack: Working on a principle, which is the very reverse of heating pad, ice packs uses refrigerant gel or cold water to treat injuries. 
  4. Wearing the shoe of the right size: Bunions are generally the result of wearing ill-fitting shoes. Therefore, one of the easiest way to deal with it would probably be wearing the right size.
  5. Bunion pads: At the initial stages, a bunion can be treated by wearing a bunion pad. This will help to realign the toe that had deviated as well as reduce the ensuing pain.
  6. Foot exercises: Exercises have always proved to be an efficient way in dealing with various physical deformities, and a bunion is no different. Few foot exercises can work wonders in treating bunions.
  7. Surgery: This is used in the case of extreme situations. When the condition persists, then the intervention of a surgery becomes important to realign the affected toe.
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Suffering from back pain from a few days, drives motor bike 70 km daily and also goes to gym daily. What may be the cause, shall I stop going gym? Remedies please.

Physiotherapist, Latur
Suffering from back pain from a few days, drives motor bike 70 km daily and also goes to gym daily. What may be the c...
Hello , Driving such a huge distance daily is the noted cause for your back pain..do some stretching whenever u stop at road while riding this will help you to avoid cramps n stiffness of muscles, -drink lot of water during the journey, - adjust your seat position in such a way that you are in most comfortable postion. -use hot pack to relive pain
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My mom has pain in left shoulder and the doctor has suggested her physiotherapist can any doctor tell me what more precaution can I take as she get quick relief.

Physiotherapist, Latur
My mom has pain in left shoulder and the doctor has suggested her physiotherapist can any doctor tell me what more pr...
-Do wall exercise lik pendullam exercise,finger ladder,shoulder wheel, shoulder flexion extension with minimal resistance. -apply ice pack to the area for 15 mins.
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Feel pain in middle part of spine. And when I stand a lot for example go for shopping I get frequent lower back pain. Please suggest.

M.Ch - Orthopaedics, Fellowship in Arthroscopy & Sports Medicine, MS - Orthopaedics, MBBS
Orthopedist, Delhi
Feel pain in middle part of spine. And when I stand a lot for example go for shopping I get frequent lower back pain....
Such pain could be either because of poor posture and or vitamin D deficiency. Check your vitamin D levels to begin with.
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I have pain in my lower an upper back area since 5-6 years. If I do exercise or run the pain disappears and come back again after resting for some time or seating for 10-15 min. Whenever I wakeup in morning I feel more pain in my back.

MPTh/MPT, M.B.A.
Physiotherapist, Hyderabad
I have pain in my lower an upper back area since 5-6 years. If I do exercise or run the pain disappears and come back...
Hi continue exercises as well as your work Your compliant is purely occupation related consult near qualified Physiotherapist he will take perfect assessment and treatment and home exercises and precautions.
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I have pain in my foot ankle. This pain happens whenever I am riding the bike, during the gear change, it pains a lot. Also while using the stairs, pain comes.

Physiotherapist, Latur
I have pain in my foot ankle. This pain happens whenever I am riding the bike, during the gear change, it pains a lot...
you can take parrafin wax bath. Do ankle exercises with exerciser. Use proper footwear to avoid intensional pain coz it is also one of the reason for pain in foot and ankle.
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I am 35 years old male, I don't smoke, I used to take alcohol often moderate, I don't have sugar, bp, cholesterol, my bmi is normal, I have sometimes chest pain doctors said its costochondritis, my echo shows grade 1 MVP, my thread mill test are normal, then what is the reason for my chest pain, do I actually have heart problem.

MBBS, DGO, MRSH, DGO,
Gynaecologist, Gurgaon
I am 35 years old male, I don't smoke, I used to take alcohol often moderate, I don't have sugar, bp, cholesterol, my...
Acidity or gas could be one reason, eating late night and not excercising could be another, sometimes its bcz of muscle pain or chest congestion too, suggest take some antacid and do regular excercises, and eat atleast 2 to 3 hours before sleep and take light meals in dinner.
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Hello doc, I've a severe pain on my left wrist. It started 2-3 days before. I've a 4 month old baby. I find it difficult to lift the baby. Please revert.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chennai
Hello doc, I've a severe pain on my left wrist. It started 2-3 days before. I've a 4 month old baby. I find it diffic...
Hi, There is no mention of the nature or cause of your pain. As it is just 2-3 days old, I assume it may be because of any small injury. Maybe because you hold your baby for a long time. The first step in treatment for any injury is to give rest. You can give support to the joint by a bandage. Pain oils like Murivenna or Karpuradi thaila can be used for applying over the wrist. Mix camphor in hot cocunut oil, apply the warm oil on wrist twice a day. It would give relief to your pain. Do consult a doctor if the pain persists. Take care, be happy.
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I am 30 year old. I had alcohol day before yesterday and threw up stool, food I ate and thick blood like substance yesterday in the evening. However I d not have stomach pain. Please advice me what to do? Thank you.

MD - Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
I am 30 year old. I had alcohol day before yesterday and threw up stool, food I ate and thick blood like substance ye...
Blood in vomiting is alarming. Immediately consult Gastroentrologist and get your upper GI endoscopy done. Most probably you may have tear in food pipe due to violent efforts while vomiting. However chance of liver disease as a cause of blood in vomiting is to be rule out.
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Burns and Wounds: 4 Surgical Alternatives

Mch - Plastic Surgeon , MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
Burns and Wounds: 4 Surgical Alternatives

4 Plastic surgery alternatives for burns and wounds

The branch of plastic surgery that is generally used for the treatment of burns and other wounds is known as reconstructive plastic surgery. There are numerous surgical methods that fall under this category, which is effectively used to treat these injuries and the related issues that they cause.

What are medical issues caused by burns and wounds?

Some of the most frequently occurring issues that stem from burns and similar wounds are as follows:


- Restriction of mobility

- Aesthetic disfigurement and scarring

- Loss of sensation in the affected area

The different issues are caused by varying kinds of burns and injuries and, hence, each case must be approached in a different manner for remedy.

Different kinds of plastic surgeries that are used for treatment

Depending on the nature of the injury, your plastic surgeon may opt for any of the following surgical methods for treating the problem.

1. Skin grafting

In this procedure, skin is removed from one part of the body and transplanted to the affected area. This method is used for the treatment of burns. There are two types of this surgical procedure - one removes a few layers from the dermis of the donor area (split-thickness graft) while the other removes the entire dermis (full-thickness graft). Recovery time depends on the kind of procedure used. Skin grafting is occasionally used for breast and nose reconstruction as well.

2. Microsurgery

This type of surgery makes the use of a microscope in reconstructive procedures for working on minuscule veins, arteries, and nerves for repairing damaged areas. Microsurgery is often used alongside other surgical procedures for re-attaching body parts, relieving paralysis of the face and in the reconstruction of breasts.

3. Tissue expansion

This method is used to induce the growth of extra skin on the body that can be used for reconstructive purposes. This is done by inserting a balloon expander underneath the skin that slowly gets filled with saline solution and makes the skin swell. This excess skin is then used for correction or reconstruction of the affected area.

4. Free flap procedure

This procedure involves the transfer of skin, bone, muscle and blood supply from the donor area to the damaged area for repairing purposes. Microsurgery is often performed alongside this treatment method, which is used most frequently for breast reconstruction or after the removal of cancer from the neck or head. Free flap is also used in defects which can't be covered by simple skin grafts especially in areas where vital structures are exposed.

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Runner's Knee - 4 Most Important Exercises for it

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Runner's Knee - 4 Most Important Exercises for it

Runner’s knee is a very common problem with athletes. It is definitely not something one needs to worry about. In fact, with certain exercises, it can be prevented and if you do develop a runner’s knee, it can be treated with some exercises as well.

There are special sports medical practitioners who prescribe not only regular physiotherapy, but also specific exercises to deal with specific sports injuries. To fight with runner’s knee pain, there are a few exercises.

But the four most important ones are described in detail below.

  1. Quads: For performing proper quads, all you need is a back wall for additional support. You need to hold yourself against the wall and keep your legs apart from each other. The legs should be folded in the knees. In this position, you have to move up till the knee position with a minimum of one minute hold time in the knee position. You can repeat this exercise 10 times at a stretch before moving on to the next exercise.
  2. Hamstring: This is a fairly easier exercise than the previous one. You have to stand straight with your legs apart. Bend downwards from your hips. Relax your neck and back. Ease your head downwards as well. Keep your hands behind. Join both your hands and give it a stretch. If you think that this position is straining your neck or back a little too much, then you can simply stretch your hands without joining them.
  3. Calves: Calves is a standard exercise that is prescribed by medical practitioners and physiotherapists for easing out the pain caused by runner’s knee. You have to stand with your hand against the wall. Put your left leg forward and bend it at the knees. Stand on your right heel. Hold yourself in this position for 20 to 30 seconds before changing the legs and doing the same.
  4. Lateral: Lateral is also one of the easiest and common forms of exercises. You have to stand with your legs directly below your hips. Then stretch your right leg apart. Without bending your knees, try to touch the toes of your right leg with the fingers of your left hand. Hold this position for 20 to 30 seconds before changing the position and performing the lateral with your left leg.

Thus, these are some of the very fundamental exercises that one should follow in order to get quick relief from the pains of a runner’s knee. These exercises are very easy and help in reducing pain.

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