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Dr. Jayant Balani

Pathologist, Delhi

Dr. Jayant Balani Pathologist, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Jayant Balani
Dr. Jayant Balani is an experienced Pathologist in Vasundhara Enclave, Delhi. You can visit him at Dharamshila Hospital and Research Centre in Vasundhara Enclave, Delhi. Book an appointment online with Dr. Jayant Balani and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pathologists in India. You will find Pathologists with more than 30 years of experience on Lybrate.com. You can find Pathologists 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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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.

1 person found this helpful

Hey doctor I am remaining unfit nd I have very much body pain so what should I do for being fit and keep my health good.

BHMS
Homeopath, Thane
Hey doctor I am remaining unfit nd I have very much body pain so what should I do for being fit and keep my health good.
Hi, Take Tab Phytolacca berry(Dr Wilmar Shawbe.German) 2tabs to be chewed twice a day for 1mth Eat Oats daily as it contains high fiber and helps in reducing fats effectively. Avoid bakery products and too much of fermented food Revert back
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I have arm pain from last 3 months I will take lot of medicine but no relief in my arm pain please give suggestion and medicine for pain?

MBBS
General Physician, Mumbai
I have arm pain from last 3 months I will take lot of medicine but no relief in my arm pain please give suggestion an...
You need to be checked by a qualified doctor..physical examination is a must. Normally simple muscle strain or joint sprains will respond to pain killers ...its not so in your case. The GP will decide if you need any test and specialist consultation. Three month is s long time to wait any more...don't wonder in the dark just taking pain killers.
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Hi, I am 21 years old female. I am having sever body pain since last 2 days. I have tried pain killers, but it didn't work, what to do. Please help me.

MBBS
General Physician,
Hi, I am  21 years old female. I am having sever body pain since last 2 days. I have tried pain killers, but it didn'...
You are having viral infection or viral fever take a tablet of paracetamol or calpol. Do warm saline gargle regularly and have homemade freshly prepared lemon juice which is rich in vitamin c thereby increasing your body autoimmune system which prevents infection. It will be alright.
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Hello, i am 23 years old and i am an house wife, I am unable run even for 5 minutes, some times I have body pains too.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hello, i am 23 years old and i am an house wife, I am unable run even for 5 minutes, some times I have body pains too.
Please get your blood tested for hb and vitamin -d levels so that I could reach to a proper diagnosiss.
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In body there is very much pains my eyes are paining so much my head is not working properly so please sir give me a sagetion.

MBBS
General Physician,
In body there is very much pains my eyes are paining so much my head is not working properly so please sir give me a ...
Most likely you are having viral fever and cold, and cough. Take a tab of paracetamol or calpol. Take lots of water by mouth. Do saline gargle twice a day have homemade freshly prepared lemon juice which is rich in vitamin c thereby increasing your body autoimmune system which prevent infection. You should be alright.
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I am suffering from high fever and body pain and also feeling cold. Some said that these are the symptoms of DENGUE, but I don't have any kind of rashes on my skin as they are one of the symptoms of Dengue. So please guide me what should be my diet and precautions to prevent any serious illness.

BHMS
Homeopath, Faridabad
I am suffering from high fever and body pain and also feeling cold. Some said that these are the symptoms of DENGUE, ...
Hi, first of all for initial stages of mild fever - take Schwabe's Biocombination - 11 immediately. But in later stages of fever with some other cause (apart from cough & cold) and symptoms, need to know more details. May be, some blood tests will have to be advised..for proper diagnosis and treatment.
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My brother gets acute pain around his left ankle and some pain around his right ankle when he walks for about 15 minutes. The pain subsides on resting for 5-10 minutes. There is no pain when resting. Our doctor advised a blood circulation test to check if it's a case of peripheral artery disease. The test was carried out in his right leg only and blood circulation was found to be normal. Does this mean that blood circulation in his left leg would also be OK given that the test was carried only on his right leg?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My brother gets acute pain around his left ankle and some pain around his right ankle when he walks for about 15 minu...
It doesn't mean to be like that, do check both limbs for the same is advisable for pain do take ust and laser therapy for 12 days followed by strengthening exercise from neuro physiotherapist do apply hot and cold water fomentation for thrice a day for 7 days regularly best wishes.
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Sir I am feeling week from last 3 days and my all body are paining. Am feeling fever also. Sometime I get cold and some time hot. What should I do.

BHMS
Homeopath, Raebareli
Sir I am feeling week from last 3 days and my all body are paining. Am feeling fever also. Sometime I get cold and so...
Please take rhus tox 200 - thrice daily for next 3-4 days. Drink plenty of warm fluids to overcome cold.
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I have full body pain, headache and back pain. Since last one week so please give me free advise to treat my body pain.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have full body pain, headache and back pain. Since last one week so please give me free advise to treat my body pain.
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. You can do hot water steaming for headache and for body pain you can take bath in hot water.
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I am having very much headache and body pain for over 5 days I can not do my work to this pains what I should do?

MBBS
General Physician, Mumbai
I am having very much headache and body pain for over 5 days I can not do my work to this pains what I should do?
Its a sign of fever and can take tablet paracetamol and Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports
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Hello I'm 21 years old. I have all body pain from two days. I have note my body temperature and that was 99.5, 99.3,98.9, 97.3, 99.1 But my head and hands very warm and hot. I feel very weakness also. Hot breath. So what I do. I have reaction from paracetamol. Thanks.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Hello I'm 21 years old.
I have all body pain from two days. I have note my body temperature and that was 99.5, 99.3,9...
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
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I have migraine last 2 yrs. N taking betacap plus 5 n xet last 3 months. Now I feel tired n body pain every time. What should I do.

MD - Internal Medicine
General Physician, Noida
I have migraine last 2 yrs. N taking betacap plus 5 n xet last 3 months. Now I feel tired n body pain every time. Wha...
Dear lybrate user, there is a capsule by the name of cap. Nain, take it twice daily for few weeks and see the difference. And avoid any such factor that triggers your migraine.
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I am suffering from body ache Headache, Fever Cold Throat pain. So what should I do ?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am suffering from body ache
Headache, Fever
Cold
Throat pain. So what should I do ?
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
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Hello doctor. I am a student . I have to walk about 3 km daily. Sometime I get foot pain and sometimes in right hip. What should I do please suggest me. And I am getting tanned, my skin is becoming black. And my college is in rural area (like in village. Thank you.

MBBS
General Physician, Hyderabad
Hello doctor. I am a student . I have to walk about 3 km daily. Sometime I get foot pain and sometimes in right hip. ...
Hai use soft footwear, when pain take mobizox tab not regularly, drink water, eat fruits, cover full body to protect from sunlight, eat salads in free time.
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I am suffering from Weakness and some time body pain in my body. what should i do?

BHMS
Homeopath, Sindhudurg
I am  suffering from Weakness and some time body pain in my body. what should i do?
Homoeopathy kali p 6x 4pills 3 times mag p 6x 4pills 3 times for 8 days and revert back for further treatment.
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I am 21 years old I have met with an accident and I have damage on my back bone and that part have a blood clot. please tell me what should I do?

BHMS
Homeopath, Sindhudurg
I am 21 years old I have met with an accident and I have damage on my back bone and that part have a blood clot. plea...
Arnica montana q - 15 drops 3 times per day in small quantity of water for 4 days. Clot will dissolve immediately, dont worry, god bless.
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I have got fractured in my right hand and its really paining. What should I do to remove my pain?

PDDM, MHA, MBBS
General Physician, Nashik
I have got fractured in my right hand and its really paining. What should I do to remove my pain?
Rest. Take a break from your normal activities. Ice. Place an ice pack or bag of frozen peas on the sore area for 15 to 20 minutes three times a day.
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Hi, I have problem of my body pain I have to much pain on my back I used medicine and tube but no benefit please consult what I do?

BHMS
Homeopath, Raebareli
Hi, I have problem of my body pain I have to much pain on my back I used medicine and tube but no benefit please cons...
I suggest you follow the below for your condition: take mag phos 6x - thrice daily for next 2 weeks and update. Also do x-ray of the affected area. Heat and ice packs. Heat and/or cold therapy helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately.
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