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Treatment of Migraine Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Treatment of H.I.V
Treatment of Joint And Muscle Problems
Liver Problems Treatment
Hiv Prophylaxis Post Exposure
Irritable Bowel Syndrome (Ibs) Treatment
Viral Fever Treatment
Management of Surrogacy
Treatment for Constipation Treatment
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I have some problem, when I use mobile phone for sometime. I feel so tired I feel weakness in my hands. What is the problem and what is the solution. Thanks you.
What i am eating it doesn't affect to my body. What I say is. After sleep at night and wake up its lightly pain in ribs and back bone. And my skin touches the bone.
Sir I had checked my urine and albumin is find in the urine and doctor said protein is going with urine kindly suggest I am in deep stress. I just want to get rid of this at any cost any how pls suggest.
Suffering from throat pain. I have smoking habit. But I don't think it's bcoz of it. Please confirm it.
I am 30 years old, and I have migraine, a terrible headache, mostly it happen when my stomach goes bad like acidity, gastric, sometimes I have pain in stomach also, Please advise.
Good morning sir. My age is 48 and I am suffering from fast sugar since last 1 year. In first checkup it was 110 in second it was 120 and even after eating no sweets nothing sugar related things at present sugar is 130 (fast) No one ever had sugar in my parental family only my maternal uncle had sugar so my queries from you are. 1. If there is any specific age limit in which diabetes can occur or it can occur at any age? 2.Dr has not prescribed me any medicine so I want to ask beside jogging and exercise and diet control what else precaution should be taken?
I have a problem of hair loss. Day by day my hairs are getting thin and less in volume. And in this season the rate is much high. What should I do?
Dear sir, M Inder shukla. M asking to in some question I want to loss my weight. Min 2kg. How can I do this.
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.