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Dr. Anjali Gera

MBBS, MD - Anaesthesiology

Anesthesiologist, New Delhi

22 Years Experience
Dr. Anjali Gera MBBS, MD - Anaesthesiology Anesthesiologist, New Delhi
22 Years Experience
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Anjali Gera
Dr. Anjali Gera is a trusted Anesthesiologist in Rajender Nagar, Delhi. She has over 22 years of experience as a Anesthesiologist. She is a qualified MBBS, MD - Anaesthesiology . You can visit her at Sir Ganga ram Hospital-Delhi in Rajender Nagar, Delhi. You can book an instant appointment online with Dr. Anjali Gera on Lybrate.com.

Lybrate.com has a nexus of the most experienced Anesthesiologists in India. You will find Anesthesiologists with more than 39 years of experience on Lybrate.com. You can find Anesthesiologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
MBBS - Goverment Medical College Nagpur - 1995
MD - Anaesthesiology - Army College of Medical Sciences, New Delhi - 2001
Languages spoken
English
Hindi

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#33, Sarhadi Gandhi Marg, Rajender Nagar, Landmark: Near Janakidevi Memorial CollegeNew Delhi Get Directions
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Hello doctor I hav severe pain in neck dorsal side I am getting tingling sensation in finger and burning sensation in shoulder please suggest me remedy which are easy to follow.

BHMS
Homeopath, Delhi
Hello doctor I hav severe pain in neck dorsal side I am getting tingling sensation in finger and burning sensation in...
Hello,you can take homoeopathic medicines 1.Calc Fluor 30 ( 4 drops in little amount of water) empty stomach every morning only one dose in a day for a week. 2.Rhus Tox 30 (4 drops in little amount of water) thrice a day for a week and update.
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Chronic pain is a Disease and not a symptom

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, Delhi
Chronic pain is a Disease and not a symptom

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.

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Sir o have mostly pain in femur and tibia bone. Whenever I ran whatever less or more. I feel bony weakness.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Sir o have mostly pain in femur and tibia bone. Whenever I ran whatever less or more. I feel bony weakness.
You should take Acupressure therapy and take Biochemic Kali phos 3x +Nat mur 3x .4 tab each thrice a day with warm water and take it 7 days than consult private online.
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I am getting a pain in my legs whenever I start walking and I am also playing volleyball I think it is due to that please give some suggestion about it.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am getting a pain in my legs whenever I start walking and I am also playing volleyball I think it is due to that pl...
Requires detailed investigation and examination Presently investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray of the affected part. Anyway you may try sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform.
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I am 30 years old. When I was using mobile I am getting severe neck pain upto shoulders. If I use my mobile less time there is no pain. How to overcome it because I will do most of work with mobile.

BPTh/BPT
Physiotherapist, Bangalore
* too much of stooping posture esp while texting on phone causes neck pain hence avoid that. * start isometric exercises for your neck and strengthening exercises for your legs - consult physiotherapist for this. * electrotherapy required - consult physiotherapist for this. * heat pad/ cold pack application helps a lot to redue spasm. * low impact aerobic exercise like swimming helps a lot to strengthen the weak muscles * physical stretching exercises such as yoga helps in relaxation too. * practice healthy sleep habits. * avoid caffeine, alcohol, and nicotine - it slows down the healing.
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I have back pain just above the hips just side of my spinal cord. Sometimes while sleeping or just throwing my body on bed the pain arises which become out of control and when I sit then within seconds pain vanishes. So what is the reason behind it?

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
I have back pain just above the hips just side of my spinal cord. Sometimes while sleeping or just throwing my body o...
Dear friend in such type situation if it's chronic one. Better get done a mri screening of dorsolumber spine region. So exact reason can be established. Asking from unauthorized source can badly affect your life. Because you are younger one.
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My mom is 60 years old and she is suffering from joint pain since 5 years.What can i do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My mom is 60 years old and she is suffering from joint pain since 5 years.What can i do?
Do consult neuro physiotherapist and take ift and laser therapy for 12 days of 15 minutes duration each best wishes
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I am 43 years old weight 70 kg. Height 5.6 ft male. I am suffering from right knee pain from last six months. The x-ray report says" there is increased concavity at lateral tibial condyle with end plate sclerosis" Please suggest next step.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am 43 years old weight 70 kg. Height 5.6 ft male. I am suffering from right knee pain from last six months. The x-r...
Hi I have read this and it means that there must be some subchondral sclerosis over the lateral tibial condyle region, which means that there could be some early degeneration there, but I want to ask whether this x ray taken was a weight bearing one or not, and also can you kindly send me the films so that I can see and let you know what needs to be done. Do not hesitate to contact me if you need any further assistance.
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My grandfather suffering from bones problemVery pain feel and not standup, leg is very week and also handRegular taken pain killer twice a day. His age approx 60yrs.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
My grandfather suffering from bones problemVery pain feel and not standup, leg is very week and also handRegular take...
Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. Start natural calcium supplement. Do regular stretching exercise In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR. This will give you relief in mild to moderate cases. If you’re not satisfied please do consult u need medicines to achieve complete relief. go with Ayurveda & panchkarma therapy
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Hello sir i'm suffering from back pain severely my back was inflation due to pain please give me a remedy sir. Thank.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hello sir  i'm suffering from back pain severely my back was inflation due to pain please give me a remedy sir. Thank.
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am 25 years old and I have a headache from last five days and I have also pain in my legs from two days. What can I do.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 25 years old and I have a headache from last five days and I have also pain in my legs from two days. What can I...
If you have leg pain then you have to rule out the causes for having leg pain. First of all check your weight and your haemoglobin levels as this may not be due to your knee joint or back pain. If not, the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. Anaemia always leads to the symptoms of being tired and also having pain in the joints. You can do hot water steaming to reduce the headache which might be due to sinusitis.
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Hello doctor my age is 9 years from last three days my legs is too much paining so please suggest me some thing thank you.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hello doctor my  age  is 9 years from last three days my legs is too much paining so please suggest me some thing tha...
Leg pain- for leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day.
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Body parts to touch that will make girl be in my control. So she can cooperate .love me back.

MBBS
General Physician, Mumbai
Body parts to touch that will make girl be in my control. So she can cooperate .love me back.
First kiss her smoothly and in between touch her hips and breast and remember you should never hurt her.
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I have pain in body last week and I am looking not sleep well so iam not manage porpet our body.

MBBS
General Physician, Cuttack
I have pain in body last week and I am looking not sleep well so iam not manage porpet our body.
1.Take paracetamol 500mg, one tablet sos upto a maximum of three tablets daily after food 2.Drink plenty of water 3.Take rest 4. Avoid stress and anxiety
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Sir I'm suffering from back pain from since last two months is their any solution in ayurvedic pls tell me.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Sir I'm suffering from back pain from since last two months is their any solution in ayurvedic pls tell me.
Take Arnica 6C one dose daily for 2 weeks. It will be alright. Still if you have any queries, please let me know. Take care. :)
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I am 21 year old and have backache for 1 month. What should I do?

BPTh/BPT
Physiotherapist,
I am 21 year old and have backache for 1 month. What should I do?
Hi I can understand your problem. 1 relax & stay positive. 2 take hot and cold fomentation. 3 change sleeping position. 4 use lumber support. There are various non surgical treatment options for back pain according to your health and severity of symptoms. Kindly reply in private consultation to discuss detailed treatment plan. Wishing you a good health.
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Hello Sir/Madam, 10 years back I have a problem of IGA Nephropathy, I take medicines omega 3 etc. From the nephrologist.Please tell.

MBBS
General Physician, Mumbai
Hello Sir/Madam,
10 years back I have a problem of IGA Nephropathy, I take medicines omega 3 etc. From the nephrologi...
IgA antibody gets lodged in the glomerulus of the kidney and Studies have shown that treatment with omega fatty acids results in reduction of progression to kidney failure And I will suggest you to get your urine checked for hematuria frequently and have a low protein diet and control your BP
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My legs are paining a lot and I cannot walk for a long time as my legs pain a lot so what should I do?

MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
My legs are paining a lot and I cannot walk for a long time as my legs pain a lot so what should I do?
Good morning lybrate user basic cause of pain in legs is deficiency in vitamin d and b improper shoes please try to take calcium vitamin d3 and vitamin b12 for a month via good comfortable sports shoes while doing sports or wapking if pain continues then please contact us thank you.
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My legs are paining from 3 hours? what can I do?

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist,
My legs are paining from 3 hours? what can I do?
Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Consult after 10 days.
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I am suffering from cronic pain in the left limb for one year. so, please tell me some remedies.?

BPTh/BPT
Physiotherapist, Mumbai
I am suffering from cronic pain in the left limb for one year. so, please tell me some remedies.?
Hi I can understand your problem. 1 take rest 2 increase fluid intake 3 gently stretch or massage your leg muscle. 4 apply heat to tight muscles or cold to tender muscles. There are various treatment options in physiotherapy which depends on your health and severity of your symptoms. Kindly reply for private consultation to discuss detailed treatment plan. Wishing you good health.
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