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Dr. Pooja Bhasin

MBBS, MD - Pathology

Pathologist, Delhi

18 Years Experience
Dr. Pooja Bhasin MBBS, MD - Pathology Pathologist, Delhi
18 Years Experience
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Pooja Bhasin
Dr. Pooja Bhasin is one of the best Pathologists in Shalimar Bagh, Delhi. She has been a successful Pathologist for the last 18 years. She has completed MBBS, MD - Pathology . You can consult Dr. Pooja Bhasin at Max Hospital-Shalimar Bagh in Shalimar Bagh, Delhi. Save your time and book an appointment online with Dr. Pooja Bhasin on Lybrate.com.

Lybrate.com has an excellent community of Pathologists in India. You will find Pathologists with more than 34 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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Education
MBBS - - 1999
MD - Pathology - - 2002
Languages spoken
English
Hindi

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#FC - 50, C & D Block, Shalimar Bagh. Landmark : Near Toyata & Nissan Showroom, DelhiDelhi Get Directions
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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

I am suffering with body pains I am not much take care on that in case it has full and completely solution I fallow that.

Bsc(Med.), DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Mohali
I am suffering with body pains I am not much take care on that in case it has full and completely solution I fallow t...
Take adequate calcium and protein in diet. Stay under the sun for about 10 min .daily. Go for thyroid function test if above does not help much. Avoid mental stress. Keep company of positive people.
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Hello , I am having periods and I suffer from very head pain, my body starts paining a lot, bleeding is not an issue but pain is the problem please suggest me some thing can not bear pain any more.

DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Delhi
Hello , I am having periods and I suffer from very head  pain, my body starts paining a lot, bleeding is not an issue...
Take mag phos 6x disolve 4 tab in luke warm water little bit water than drink it take 4 tab 1 hrly your pain will be subside.
1 person found this helpful
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I'm 20 years old and I get body pains, cramps very often. What should I do to get rid of these pains? I'm male and normal physique.

MBBS
General Physician, Mumbai
I'm 20 years old and I get body pains, cramps very often. What should I do to get rid of these pains? I'm male and no...
For pain take tablet paracetamol 650 mg and get your blood checked for CBC and revert back with reports
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Hi, I am 18 years old and i'm from Mexico. And Today I woke up with twinges in the right side of the stomach, every twinge lasts 2 seconds and it happens like 1 or 2 hours I feel it again .That's my only discomfort for now. Help please.

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
Hi, I am 18 years old and i'm from Mexico. And Today I woke up with twinges in the right side of the stomach, every t...
Dear Esmeralda..All these twinges might be simple gastric colic pain. Nothing to worry about. To be on safer side you can undergo abdominal ultrasound. All d best!!
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Which fruit drink controls body pains and improves blood count and its circulation to reduce fatigue.

MBBS
General Physician, Trivandrum
Which fruit drink controls body pains and improves blood count and its circulation to reduce fatigue.
Natural fruit juices are as healthy as fruits. But always avoid sweetened and artificial flavoured fruit juices available in the market as these can cause weight gain and even diabetes in the long run. Fruit as such is best because it also provides much needed fibre content in the diet which helps with digestion and proper evacuation of the bowel.
1 person found this helpful
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Mom has body pain,has taken so many medicines till date. It had started so many years ago,and still not alright. Can you suggest

Post Graduate DIploma in Acupuncture, Bachelor of Naturopathy & Yogic Sciences (BNYS)
Alternative Medicine Specialist, Coimbatore
Cardiospermum halicacabum herb along with cassia auriculata can be made us decoction and take twice daily. This will help to reduce chronic pain. ( botanical names are mentioned above. You can check with your local name).
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Common causes and treatment for Leg Pain

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
Common causes and treatment for Leg Pain
Our body is made such that a balance is necessary. Too much or too little exercises can cause pain in muscles especially leg and back. Tight hamstrings and calf muscles can cause pain at the back of the leg. Also it could be due to back issues like disc and joint problems etc, where pain is referred to legs because of low back. When nerve is irritated, it can cause sharp leg pain as in sciatica. Sometimes leg pain is due to vein problem.

Simple ways to control leg pain.

Get up and stretch the leg muscles.
Learn strengthening exercises to build muscle strength.
Do moderate exercise and walk daily for 30 minutes.
Keep good posture when sitting for prolong periods.
Join a community yoga or stretching class.

Check with doctor immediately to find root cause, If pain persists for more than few days or you notice any numbness or tingling.

6 people found this helpful

Suffering from muscularweakness and full body pAins and also head ache can I get a remedy for this. Suffering alot.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Suffering from muscularweakness and full body pAins and also head ache can I get a remedy for this.
Suffering alot.
You should take cal. Flour 12 x cal. Phos 12 x natrum mur 12 x four tablets morning lunch and evening.
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Im suffering from chronic body ache. Please give me some solution to prevent from this chronic body ache?

MBBS
General Physician, Chandigarh
Im suffering from chronic body ache. Please give me some solution to prevent from this chronic body ache?
Follow a healthy lifestyle with good eating habits, exercises, hobbies and 7 to 8 hrs sleep daily. If you don't improve then consult a doctor.
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My age is 49 and I got leg ankle pain. My body weight is 78 kg. Suggest solution for this.

PG Dip (Dietetics n Applied nutrition), Msc.in Nutrition n dietetics, Post graduate Certificate (Diabetes Education)
Dietitian/Nutritionist, Jamnagar
My age is 49 and I got leg ankle pain. My body weight is 78 kg. Suggest solution for this.
Hello! according to your height you are overweight. So might be for excess weight you have ankle pain. To control your weight take small n frequent healthy meal (5-6 meal a day). Stay away from preserved food, ready to eat foods, deep fried food, sugar n sweet items n do exercise for at least 30 min a day. You need to take care of is good quality protein. Try to take milk n products, egg whites, fish, lean chicken, dal n products etc. With complex carbohydrate n good quality fat (almond, walnut, peanut, flex seed, chia seed etc.) stay away from preserved food, ready to eat foods, deep fried food, excess sugar n sweet items.
1 person found this helpful
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I am a 30 year old male. I had a spots injury in the heel (back side of the heel - matches the symptoms of plantar fasciitis injury) . First few steps after long rest gets a severe pain on heel , pain calf muscle stretch.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS), MBBS, Fellow of Academy of General Education (FAGE)
Orthopedist, Hyderabad
I am a 30 year old male.
I had a spots injury in the heel (back side of the heel - matches the symptoms of plantar fa...
What you are describing is achilles tendonitis. You can start achilles stretching physio and use heel shoes with insoles to offload the pressure.
1 person found this helpful
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I am 25 years Male. my ankle is paining more in morning when I wake up. I have this in my both ankle. What should I do so that I can get relief from this.

MS - Orthopaedics, MBBS
Orthopedist, Delhi
I am 25 years Male.  my ankle is paining more in morning when I wake up. I have this in my both ankle.
What should I ...
Achilles tendonitis or heel pain or plantar fasciitis is a very common condition. During night our feet are in a downward position which causes their stiffness. When we try to straighten them in the morning, they are stretched and hence the pain. You can start by doing feet stretching exercises in the morning before getting down from the bed and do ice packs.
1 person found this helpful
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My weight is 81 and I feeless immunity so body ache and guidiness as well I can't run or walk fast and due to routine work I don't get time to workout. Since I need your suggestion as well diet plan too.

MBBS
General Physician, Cuttack
My weight is 81 and I feeless immunity so body ache and guidiness as well I can't run or walk fast and due to routine...
1. Eat well – Take a balanced Diet comprising of 45% carbohydrate, 30% protein and 25% fat, plenty of green leafy vegetables, fruits. Don’t over eat. Avoid junk, spicy, oily, high calorie, cholesterol rich diet don’t skip your breakfast. Take warm, homemade food. Avoid food and drink from outside. Don’t skip or postpone your meal. Minimize consumption of refined grains like white rice, white bread, sugary or refined food. 2. Keep hydrated- Drink 2 liters /8-10 glasses of water daily 3. Do regular exercise for one hour daily like brisk walking/Jugging etc 4. Take adequate rest- 7-8 hours of sound sleep in the night is required to remain healthy 5. Avoid stress, anxiety, depression, agitation etc 6. Find time for relaxation and enjoyments with friends and family 7. Practice yoga, meditation and deep breathing exercise to calm your mind, control emotion, improve concentration and relieve stress.
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I have a problem of fever. And also my body is paining continuously. Also feel sickness during whole day.

BHMS
Homeopath, Faridabad
I have a problem of fever. And also my body is paining continuously. Also feel sickness during whole day.
Hello, Take Schwabe’s Alpha-CF and Biocombination-11, both after every 2 hourly for 4 days. Management: -Sponging or bathing with tepid water. The use of a fan or air conditioning may somewhat reduce the temperature and increase comfort. If the temperature reaches the extremely high level of hyperpyrexia, aggressive cooling is required. -Take rest and drink plenty of fluids. -Take light, bland, properly cooked home-made healthy food only.
1 person found this helpful
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I have pain in my body most of the time. I feel depressed very soon. Wat can be done?

MBBS, MBA (Healthcare)
General Physician, Delhi
I have pain in my body most of the time. I feel depressed very soon. Wat can be done?
Take healthy and balanced diet. Do yoga and meditation. Avoid stress and anxiety. Do haemogram test and consult with report.
1 person found this helpful
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I am 47 years of age,I have attained menopause. As of now past 3-4 months I am having pain in both my legs (full) please help.

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Can be hot flushes and low vit D level in body. Do some investigation like vitD3 and vitB12 level and than consult me again.
1 person found this helpful
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I am very lazy and fat. Whenever I am trying to wake up in morning, my body gets so much of pain. I am working these days. I want to become fit and want to get a healthy and easier life. Tell me possible remedies for it.

Pain Management Specialist, Chennai
I am very lazy and fat. Whenever I am trying to wake up in morning, my body gets so much of pain. I am working these ...
Obesity can itself be the cause of all ailments. Try loosing your body wt. Engage in activities like swimming or brisk morning walks.
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Mostly I used to feel tiered without doing any physical work. And having severe body pain.

MBBS
General Physician, Cuttack
Mostly I used to feel tiered without doing any physical work. And having severe body pain.
1. Check your hemoglobin, bp. 2. Avoid stress, anxiety, severe physical and mental exertion 3. Take adequate rest and sleep for 7-8 hours daily to remain healthy 4. Have good nourishing diet, plenty of green leafy vegetables, fruits etc 5. Drink plenty of water (8-10 glass daily) 6. Take one capsule of revital daily after breakfast.
1 person found this helpful
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I am feeling very sick from last 3 days .i have a pain in my neck and head and whole body is paining .Please tell.

BHMS
Homeopath, Delhi
I am feeling very sick from last 3 days .i have a pain in my neck and head and whole body is paining .Please tell.
Neck pain and headache may be due to muscle tension and strain due to poor posture, working at a desk for too long without changing position, sleeping with your neck in a bad position, jerking the neck during exercise. Headache and pain in neck may be related to each other like due to any mental tension and stress or poor posture during sleep and some time pain may be due to any infection. First you should try following treatment for get relief pain. Apply ice for the first few days. After that, apply heat with a heating pad, hot compress, or by taking a hot shower. Take a few days off from sports, activities that aggravate your symptoms, and heavy lifting. Resume normal activity slowly as your symptoms ease. Exercise your neck every day. Slowly stretch your head in side-to-side and up-and-down motions. Use good posture. Avoid cradling the phone between your neck and shoulder. Change your position often. Don’t stand or sit in one position for too long. Get a gentle neck massage. Use a special neck pillow for sleeping. If still pain will remain same then get a cbc with esr test, x-ray of neck done and share your all reports for further management.
2 people found this helpful
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