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I am suffering from muscle weakness in my left leg to walk, from last 4 years. I consulted a neuro physician but the disease is not under control. So, also suggest me a perfect treatment sir. I am 35 years old.
I am 60 years old I am getting leg pains from a week I used homeopath but didn't cure so what can I use for best treat ment.
I am a 17 year old girl I hav a hairline fracture on my lower back. It is not my spine but on the wing like thing on it and I have been on bed rest for the past 2 days and now my nerves on my left foot is achin. Is it because it got injured when I fell? And what should I do about it?
I am mintu dhibar. My age is 20. I accident some days before. Now my leg is too much pain. I can't walk straight. How I can do for my leg? Please help me.
I am 53 yrs old. I have foot drop problem on left side numbness, tingling. My MRI Report shows that there is depression on L-5, S1, pain is there on Lower Back.
Pain in right left knee feeling like both bones of knee is in contact with other and pain is more when there movement in knee part.
I am 54 years old woman. In the morning when I get up from bed I get terrible pain at a point on my left heel which gets slightly better later in the day. What is the problem and what medication should I take.
I am suffering from right shoulder pain from 3 months. Please help me and suggest for better health ?
I am feeling pain into my knees, my age is 28. I can walk easily, sit easily with no pain during these gestures but normally feeling pain in left knee. What is this pain all about? Since past couple of days same kind of pain is happening into other joints as well like joints into feet and other knee joint also. What should I do?
Dear Doctor usually the pain in my knee and other joints of body my age is 19 please ask how I do for this.
I am 33 years old. I am suffering from thyroid. I have taken thyronorm 50 daily empty stomach. Now I have pain in my ankles to foot daily. What should I do?
Feeling a pain in the heel of right foot for the past couple of days. Is it serious or routine pain. Please note that I have started morning walk since last 15 days n walk around 20 to 30 minutes daily and sometimes in the evening too.
I have leg pain for more then 2 months I consulted 2 doctors but don't have any progress.what should I do?
My mother whose age is 70 years and suffering paralysis attacked right side. She is total unable to move, totally confined to bed. My younger brother whose age is 47 years is also paralysis of right side but is able to move. His right hand and leg are not in working condition. Please tell me whether they are curable. If, yes, please prescribe any medicine for both.
My wife is suffering from left hand pain above the elbow up to the shoulder and back pain for the past 2 months please advise.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.