Dr. R.B. Sharma - Book Appointment, Consult Online, View Fees, Contact Number, Feedbacks | Pathologist in New Delhi

Dr. R.B. Sharma

11 Years Experience
Personal Statement
I’m a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.

More about Dr. R.B. Sharma

Dr. R.B. Sharma is a renowned Pathologist in Sarita Vihar, Delhi. Doctor has been a practicing Pathologist for 11 years. Doctor has done MBBS. You can meet Dr. R.B. Sharma personally at Diagnostic Point in Sarita Vihar, Delhi. You can book an instant appointment online with Dr. R.B. Sharma on Lybrate.com.

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Meerut university
  • MD - Dermatology , Venereology & Leprosy, MBBS

    Mentioned throughout history as a curse, leprosy was considered as a punishment of sins by many cultures as it was widespread and common. However, modern science demystified it and de-stigmatized it to the point where the occurrence of leprosy within the population has gone down to very low levels, although it is still prevalent among certain populations.

    Prevention of leprosy: Leprosy is caused by the bacterial infection of Mycobacterium leprae and it is classified into multiple types. Leprosy is communicable through contact with common objects or a person by infected droplets within their nose. It primarily affects mucous membranes and the skin and the nerves on the hands, feet, and in extreme cases may cause disfigurement as well. There are no specific ways to prevent leprosy as no specific correlation between transmission and development has been found so far. Leprosy can happen through one time contact or through contact over extended period of time within the same household. Thus preventive measures will primarily include the following:

    1. Regular checkups by going to the doctor
    2. Ensuring that surfaces are kept clean if you share a household with a leprosy patient
    3. Skin biopsies at regular intervals just to check if you may have contracted the bacteria
    4. If a rash has developed, then it is urgent that you visit the doctor. Earlier the leprosy is detected, quickly it can treated and resolved

    Incidences of leprosy have reduced over the last few decades due to improvements in medicine and early detection. This has allowed people to nip the problem in the bud and does not allow it to spread within their bodies or to other people.

    Treatment of leprosy: The primary weapon that modern medicine has against leprosy is known as MDT or multidrug therapy. Multidrug therapy is the combination of multiple drugs, which attack the various aspects of leprosy, such as skin problems, nerve damage, loss of sensation, deterioration of skin conditions etc. This is the proven way to not only reduce symptoms, but also cure the problems in the long run.

    Some of the drugs in the MDT used are as follows:

    1. Rifampicin and dapsone
    2. Rifampicin and clofazimine and dapsone
    3. Rifampicin, minocycline and ofloxacin

    However, the combination will depend on the type of leprosy the person is affected with, such as paucibacillary leprosy or multibacillary leprosy and thus can only be prescribed by the doctor after thorough and detailed examination.

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  • International Arthroscopy , Shoulder Surgery Fellowship, M Ch. Ortho, Fellowship in Joint Replacement, Fellowship Tr.Sports surgery/arthroscopy, Fellowship in Orthopaedic Rehabilitation (FOR), MS - Orthopaedics, MBBS

    Here is a video tip that'll help you understand how to manage shoulder joint problems

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  • MD - Anaesthesiology

    Here are some tips to manage chronic pain

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  • D.P.T

    Treating leg pain at home

    You can usually treat leg pain at home if it's due to cramps or a minor injury. Try the following home treatments when your leg pain is from muscle cramps, fatigue, or overuse:

    • Rest your leg as much as possible, and elevate your leg with pillows.
    • Take an over-the-counter pain reliever, such as aspirin or ibuprofen, to help ease discomfort as your leg heals.
    • Wear compression socks or stockings with support.
    • Apply ice

    Apply ice to the affected area of your leg at least four times per day. You can do this even more frequently in the first few days after the pain appears. You can leave the ice on for as long as 15 minutes at a time.

    Take a warm bath and stretch

    Take a warm bath, and then gently stretch your muscles. If you have pain in the lower part of your leg, try pointing and straightening your toes when sitting or standing. If you have pain in the upper part of your leg, try to bend over and touch your toes. You can do this while sitting on the ground or standing up. Ease into each stretch, holding each position for five to 10 seconds. Stop stretching if your pain gets worse.

    Preventing leg pain

    You should always take time to stretch your muscles before and after exercising to prevent leg pain due to physical activity. It's also helpful to eat foods that are high in potassium, such as bananas and chicken, to help prevent injuries of the leg muscles and tendons.

    You can help prevent medical conditions that may cause nerve damage in the legs by doing the following:

    • Exercise for 30 minutes per day, five days per week.
    • Maintain a healthy weight.
    • Avoid smoking.
    • Monitor your cholesterol and blood pressure, and take steps to keep them under control.
    • Limit your alcohol consumption to one drink per day if you're a woman or two drinks per day if you're a man.
    • Talk to your doctor about other ways to prevent the specific cause of your leg pain.
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  • Bachelor of Ayurveda, Medicine and Surgery (BAMS)

    Panchakarma is an ayurvedic technique which is used to detoxify the body, boost the immune system and restore the balance in the body. Due to lack of exercise and a poor diet, the waste material generated by the body is not effectively discharged. This causes accumulation of toxins in the body that can result in diseases.

    Panchakarma can be used to treat and heal the pain in the joints and the spine. There are specific treatments in panchakarma that targets these regions, they are:

    1. Abhyanga - Abhyanga is a technique where warm oil is used to cover the entire body. The oil is then gently massaged so that it can penetrate the underlying tissues. It is used to lubricate the joints, muscle toning and to increase blood supply around nerve endings.

     2. Pindasweda - In this technique hot cotton bags consisting of herbs, rice, and sand or medical powder are used to massage the body. This rejuvenating therapy induces perspiration in the body by which the herbs and the heat penetrates into the body. It is used to treat problems of the joints such as gout, arthritis, and sciatica.

     3. Upanaha - A combination of herbal medicine is applied to the affected part and then covered with medicinal leaves. The herbs help in easing the muscles and tendons of the affected part. It relieves pain, reduces swellings and improves mobility in the joint.

     4. Kati vista - In this treatment, medicated oil is pooled into a collar made from dough and then placed on the lower back for a specific amount of time. It strengthens the lower back, lubricates the spine and acts as a muscle pain reliever.

    Related Tip: Heal Your Lower Back Pain - 4 Exercises for You to Do It Right Now!


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  • MBBS, DNB (General Medicine)
    General Physician

    A very common complaint, a number of factors can cause wrist pain but arriving at the exact cause can be a tad bit difficult. Depending on the cause, wrist pain can vary in intensity.

    What causes pain in your wrist?

    Injury to any part of the wrist can lead to wrist pain and impinge on your ability to use the affected hand and wrist. The causes can be injuries like sudden impacts and repetitive stress; arthritis like osteoarthritis and rheumatoid arthritis; or diseases such as carpal tunnel syndrome that affect this part of the body.

    1. Sudden impacts - Falling forward onto your extended hand can give rise to instances of wrist pain. Injury occurring from this sudden impact can cause not only sprains and strains but also fractures.

    2. Repetitive stress - An activity that involves the movement of your wrist in repeating motions can cause the joint tissues to be inflamed or give rise to stress fractures, especially if the movement is performed without any break for a long period of time.

    3. Rheumatoid arthritis - In this disorder, both the wrists can get affected. In general, the disorder sees your body's immune system attacking tissues of your body.

    4. Osteoarthritis - Although the condition is very uncommon in the wrist, it occurs in individuals who have suffered a wrist injury in the past. Osteoarthritis typically happens when the cartilage that acts as the cushion at the end of your bones undergoes deterioration with time.

    5. Carpal tunnel syndrome - An increase in pressure on the median nerve (a nerve that affects the sensation or movement of your hand) that passes a passageway called the carpal tunnel can cause you to suffer from wrist pain.

    In addition to these causes, instances of Kienbock's disease and ganglion cysts can also lead to this problem.

    How to identify the signs of the problem?

    The pain can vary depending on the cause. So, wrist pain arising out of osteoarthritis will exhibit a dull pain while that from carpal tunnel syndrome will give a pins and needles sensation. Many times, the location of the pain can help the doctor to determine the cause behind the symptoms you may experience.


    Tip: Viral Fever in New Born Babies

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  • 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

    Aside from the obvious problem with chronic pain - there are many other downsides to chronic pain that are important to know about. For those living with and enduring chronic pain, pass this along to your loved ones to help them understand and be supportive.

    1. Pain is rarely 'all in your head'
    People in pain are often treated as if their pain is actually made up or greatly exaggerated. While it is true that pain is subjective (people simply perceive pain differently) and some people may report pain because they have other agendas - for the vast majority, the pain is real and present. It is not made up. The problem is that chronic pain is often caused by types of anatomical problems that are difficult or impossible to diagnose using standard medical tests, and pain cannot be diagnosed like other medical problems (such as a broken bone that can be seen on an X-ray).

    Fortunately, most in the medical community are now trying to understand and appreciate that chronic pain is real and needs to be treated and managed differently.

    2. Pain is not the only problem - it breeds other health problems
    Thoughts and emotions related to the pain also can come into play and aggravate or alleviate the pain. For example,depression, which is a serious disease, can worsen the pain. Sleep problems again caused by the pain, can also make the pain worse. And increased pain usually leads to increased sleep problems.

    Often all conditions related to the pain need to be treated concurrently in order for the patient to get any relief.

    3. Pain is deeply personal
    Everyone experiences and expresses pain differently. Any two people with the exact same health condition are likely to feel and express their pain in unique ways depending on a number of factors. Newer chronic pain theories now have physiological explanations for how and why people experience pain differently.

    When it comes to back pain, this is especially true. Two people can have the same type of herniated disc, but one feels only slight discomfort and the other feels intense, burning pain that is unresponsive to conventional treatment. It is also not uncommon that no anatomical cause of the pain can be detected.

    Why is this point important? It means that chronic pain often needs to be treated as the primary problem, which is different than the conventional medical approach of identifying and treating the underlying problem causing the pain.

    4. Chronic pain is its own beast
    Unlike acute pain, which functions as a warning signal (e.g. I just stepped on a nail - better move my foot!), chronic pain does not have any useful function. It just is.

    Often, chronic pain is caused by nerves that continue to send pain signals to the brain. When dealing with chronic pain, often one of the most frustrating things is that there is nothing to 'fix'. It just exists in your body.

    5. Chronic pain is LONELY
    After awhile, many people with chronic pain - especially pain that is caused by a condition that cannot be seen - begin to feel isolated. Here the Internet has done a world of good helping people in pain connect with others in similar situations and find a supportive peer group through online communities of people in similar situations.

    Having a clearer understanding of how chronic pain works, as well as the central role that the mind plays in the experience of chronic pain, is becoming more mainstream in the medical community. Patients who start to gain more understanding of their own chronic pain may also benefit in terms of gaining increased emotional support, more effective and sustainable pain management, and even possibly harnessing the power of their minds to assist in coping with the pain.

  • MSPT (Master of Physical Therapy), BPT

    Physiotherapy is an effective way to reduce various kinds of body pains. Physiotherapy includes massages, exercises, and heat treatments to relieve pain. This treatment is often recommended as the first option to treat back and neck pain. Physiotherapy is also used to rehabilitate patients after surgery. Different kinds of exercises included in this treatment are also useful to treat sports injuries. Here are some steps that you can take to relieve your body pain incorporating physiotherapy.

    • Get appropriate help - It is important to properly diagnose your condition before going for physical therapy. Seek help from a professional and if he/she recommends physiotherapy then only opt for the treatment.
    • Reduce your severe pain before exercising - If you are in immense pain, work to alleviate the pain before engaging in exercises. Cold/ hot therapy, massage, manual manipulation are some of the methods that can slowly reduce the pain. These are all part of physical therapy.
    • Exercise - Exercising has numerous health benefits including relieving back pain. As you age, your back tends to get weaker; it is important to workout to prevent future backaches. Stretching, strengthening and low- impact aerobics are ideal for this issue.
    • You can also try water therapy as water has a therapeutic effect on pain and makes your movements much easier than on land.
    • Observe your body's reaction to physical therapy - When you have just had a back or neck pain episode and try physical therapy you will feel some initial discomfort, it is expected. After you acclimatize yourself with the routine all kinds of pain will gradually diminish. The initial pain due to physiotherapy is caused because your muscles are stiff and they are being stretched the way they are not used to. However if the pain gradually increases you are probably not right for that particular kind of physical therapy.


    Related Tip: How Physiotherapy Can Help with Neurological Disorders

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  • 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

    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.

  • 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

    Much like Myths about Back Pain, there are many misconceptions about neck pain and the spine in general. Seeking credible information is essential to having the best chances for recovery. In that spirit, we at Spine-health wish to clarify a few of the common myths about neck pain.

    Myth: Rest Is the Best Way to Help My Neck Pain

    Reality: A short period of bed rest may help reduce acute pain of the neck or back, but doctors generally advise against more than one or two days of bed rest. In fact, resting and general inactivity can actually cause more pain, as lack of activity leads to muscle wasting and other harmful effects, which in turn can create more back pain or neck pain and lead to an unhealthy cycle of pain/inactivity/more pain/more inactivity. For most conditions, physicians will recommend a long-term rehabilitation program of active physical therapy and exercise. For more information, see the following article:

    Myth: With Its Sensitive Nerves, the Spine Is Easily Injured

    Reality: The spine is a uniquely well-designed structure -- the surrounding muscles, tendons and ligaments provide a great deal of strength, flexibility and support for the spine. While there are some exceptions (such as an unstable spinal fracture), in general keeping your spine healthy requires proper conditioning, including stretching, strengthening and aerobic exercise. Activities that can harm the spine include poor posture and body mechanics (e.g. improper lifting technique), and other generally unhealthy factors, such as smoking, lack of nutrition or sleep

    Myth: The Doctor Didn't Find Anything Wrong, so the Pain Must Be All in My Head

    Reality: Pain is always real. The physician may not be able to find the anatomical cause of the pain, but the pain still exists. And for chronic pain (e.g. pain that lasts more than 2 or 3 months), it's important to proactively treat the pain. While psychological factors (such as depression and sleeplessness) will often need to be included as part of a comprehensive treatment program, it is also important to search out nonsurgical care treatment options that can help alleviate the pain.

    Myth: My Pain Is So Bad, There Must Be Ongoing Spine Damage

    Reality: With chronic pain, the level and extent of pain is not related to the level and extent of damage or injury in your neck or back. For example, severely degenerated discs may not produce much pain at all, and discs with little degeneration can produce severe pain.

    Unlike chronic (long-term) pain, acute (short-lived) pain does correlate to the level of the injury. For example, a deep cut in your skin is more painful and more damaging than a bruise, and the pain will subside as it heals. In this manner, acute pain provides us with a protective reflex -- so that we avoid things that cause tissue damage (e.g. we remove our hand from a hot burner). However, with chronic pain, the pain does not have the same meaning -- it is not protective and does not mean there is any ongoing tissue damage or injury.

    Dealing with ongoing back pain or neck pain is a long-term avocation. The last thing you need is incorrect or misleading information to confuse the situation. At Spinomaxx, we strive to provide you with reliable, in-depth information to help you better understand, prevent and seek appropriate treatment for your pain.

  • MPT - Orthopedic Physiotherapy, BPTh/BPT

    Generally occur in two major cause of heel pain -
    Planter fasciitis and Achilles tendonitis.

    If the pain is under heel bone its planter fasciitis due to inflammation of thick tissue, repetitive stresses and strain and microtear of planter fascia.

    If the pain found at the back side of heel that's Achilles tendonitis its attached your calf muscle or heel bone. It happens due to continuous running, sports injury physical activity and may also contribute to risk of RA

    Common causes are -

    Repetitive injury,
    Tight calf muscle,
    Limited range of movement,
    Improper footwear,

    Five helpful tips for heel Pain.

    Do stretching exercise of calf muscle,
    Ice pack therapy,
    Avoid prolonged standing,
    Proper footwear,

  • TA
    Unani Specialist

    Hijama is the Arabic traditional medicine for wet cupping, where blood is drawn by vacuum from a small skin incision for therapeutic purposes. Hijama can be performed almost anywhere on the body, often at the site of an ache or pain in order to ease or alleviate it.

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    Pain Management Specialist

    Are you prone to slipped disc problem? + the ideal way to treat it

    A slipped disc, also known as a prolapsed disc or herniated disc, is the term given to the phenomenon that occurs when a cartilaginous disc found between the vertebrae in the spine becomes slightly displaced or protrudes, thereby pressing on the nerves in the adjacent areas and causing back pain.
    This happens when the soft inner part of the disc, known as nucleus pulposus, bulges out through a weakness in the exterior part of the disc. A prolapsed disc usually occurs in the lower region of the spine and can be of varying sizes. There might even be the development of inflammation around the disc in some cases.

    Who is likely to get affected?
    Most cases of herniated disc occur in patients between the ages of 30 and 50. The number of men affected is twice as many as the number of women.
    Although the root cause of this problem is not yet known, there are a number of factors that may trigger it. These factors include working at a job that requires a lot of lifting, an occupation that involves remaining in a seated position for a long time, weight-bearing sports, obesity, smoking habits and increasing age.

    Effective ways of treating the problem
    The different methods that are commonly used to treat the problem are:

    • Medications - There are many different kinds of medicines that are effective in providing relief. These include painkillers, muscles relaxants, anti-inflammatory pills, etc.
    • Spinal injections - A number of spinal injections are used to treat slipped discs. The injection is done at the opening where the inflamed nerve roots are found and reduces pain, swelling and irritation in the area.
    • Radiofrequency ablation - This procedure makes use of an electrical current produced by radio waves to reduced pain and sensitivity in the affected area.
    • Ozone discectomy - As opposed to the surgical removal of the prolapsed disc, this new process makes use of an ozone-oxygen mixture that is injected into the spine to treat the problem. Many international studies have proved its superiority to traditional methods and surgeries.

    Those affected by this problem are advised to keep exercising and continuing with their everyday activities as best as possible.


    Tip: What kind of treatment does your knee pain require?

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  • BPTh/BPT

    Shoulder pain and injuries

    The shoulder is a ball-and-socket joint that has three main bones: the humerus (long arm bone), the clavicle (collarbone), and the scapula (also known as the shoulder blade). These bones are cushioned by a layer of cartilage

    The shoulder joint is a very mobile joint which makes it very susceptible to injury. It moves the shoulder forward and backward. It also allows the arm to move in a circular motion, and to move up and away from the body.

    Shoulders get their range of motion from the rotator cuff. The rotator cuff is made up of four tendons. Tendons are the tissues that connect muscles to bone. It may be painful or difficult to lift your arm over your head if the tendons or bones around the rotator cuff are damaged or swollen.
    You can injure your shoulder by performing manual labor, playing sports, or even by repetitive movement. Certain diseases can bring about pain that travels to the shoulder. These include diseases of the cervical spine of the neck, as well as liver, heart, or gallbladder disease.
    You're more likely to have problems with your shoulder as you grow older. It is especially common after age 60. This is because the soft tissues surrounding the shoulder tend to degenerate with age.
    Most shoulder pain problems are:

    •   tendonitis/bursitis, injury or instability of the joint, or arthritic disease.
    •   rotator cuff syndrome is a strain or sprain or tear of the tendons that make up the rotator cuff.
    •   rarely, tumors, infections, and nerve damage cause shoulder pain.
    •   much neck pain is caused by soft tissue damage due to injuries such as whiplash or wear and tear due to overuse.
    •   damage to spine joints and bones, such as cervical disk degeneration, arthritis, or traumatic injury can cause severe pain and disability.
    •   fibromyalgia (whole body pain syndrome) can contribute to neck and upper back pain. Poor posture while performing everyday activities can also cause significant neck pain. Rarely, infections or tumors will cause neck pain.
    •   pinching a nerve in the neck or shoulder, or breaking a shoulder or arm bone, are also causes of pain.
    •   a frozen shoulder is when tendons, ligaments, and muscles stiffen and become difficult or impossible to move.
    •   a dislocated shoulder is when the ball of the humerus pulls out of the shoulder socket. An injury due to overuse or repetitive use can cause injury

    A work environment that's good for the body is very important. Most of us spend hours each day sitting in front of our computer.
    The first step to creating an ergonomic workstation is to consider how you spend most of your time at the workstation.

    Pain Management Specialist

    What you must know about body ache

    Affecting your entire body, body ache is usually an indicator of a condition that requires your attention for the pain to stop or a reaction of your body's immune system to an infection. Understanding the symptoms and the cause of the pain is the first step towards getting the right treatment for your problem.

    The causes of body ache can be any one of these:

    •   an increase in your body's lactic acid as a result of overused muscles (that you normally experience when you perform strenuous exercises) leads to body aches that are not severe but temporary in nature.
    •   temporary body aches can also occur if you suffer from flu caused by the influenza virus and other medical conditions like fever and viral infections, among others.
    •   a cause of body aches can be the presence of a serious condition such as Lyme disease or pneumonia that brings about major infection affecting your entire body.
    •   inflammation of body cells or damage to your body's nervous system in the form of chronic ailments like autoimmune diseases and psychiatric problems can also cause pains and aches to develop all over the body.

    What can you do to manage it?

    There are simple ways that you can employ to relieve your body aches based on the root cause and these are:

    •   if the cause of your body ache is the flu, the best way to alleviate your condition is to take a hot bath. The hot water works by eliminating the body pains you may be suffering from. Even a gentle massage can soothe the ache affecting your entire body.
    •   for body aches that are caused due to overused muscle, you need to apply ice packs for 2-3 weeks on the affected area to bring down the inflammation. Even the application of a heating pad can help in relieving body aches brought on by muscle soreness.
    •   shoulder and neck pains can be easily prevented by performing simple exercises from time to time such as shoulder shrugs or head turns. Also, the practice of using wrist and forearm rests can reduce your chances of getting shoulder and neck aches.
    •   reducing your stress levels can also help in effectively lowering the instances of body ache. From sleeping on time to meditating for about 20 minutes a day can help in lowering stress.

    In case, you do not get relief from any of the suggested ways, you need to consult a qualified doctor who will guide you on the right treatment course.


    Related Tip: Why does PAIN occur? Understand the Mechanism of Pain

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  • MD - Anaesthesiology

    When is your pain chronic?

    Your pain is chronic if it last for more than a period of six months. Chronic pain is a long-term pain whose nature can vary from mild to excruciating, and it may trouble you either continuously or at short and regular intervals. Chronic pain is so dangerous that it does not only cause discomfort and inconvenience but also robs you entirely of your capacity to work for a long time.

    Chronic pain can occur in a number of organs of the human body like head, joints, back, shoulders, neck etc. In fact, pain in any part of your body can turn into chronic pain. Here are a few symptoms that can help you identify if what you are going through is, in fact, chronic pain:

    - persistent and severe body pain

    - burning sensation accompanied by the body pain

    - fatigue and sleeplessness

    - weak immune system

    - stiff and sore joints

    The 4 types of chronic pain disorders that you should be aware of are:

    1. Nociceptive pain

    The pain that affects the soft tissues of the body such as the skin and the muscles or the organs that have sensory nerves present in them is called nociceptive pain. The sensory nerves, known as nociceptors can detect the stimuli of pain and send information to the brain and the spinal cord for interpretation. The pain could be either somatic (originating in the outer body) or visceral (originating in the internal organs).

    2. Neuropathic pain

    This pain is caused when the nerves stop functioning normally. It is caused due to nerve disturbances that result in pain stimuli being spontaneously transmitted to the brain and spinal cord. If you are suffering from this type of chronic pain disorder, you will feel a sharp, shooting and stabbing pain. Neuropathic pain can also be caused due to the formation of neuroma (abnormal growth of the nerve tissue).

    3. Psychogenic pain

    The pain that is caused by psychological disorders like depression and anxiety is known as psychogenic pain. Sometimes this pain can be accompanied by physical complications like fatigue, body pain and muscle weakness.

    4. Idiopathic pain

    The pain that exists even though there is no physical or psychological cause for it is known as idiopathic pain. This pain is more common in people who have suffered from a pre-existing painful disorder. Some common examples of idiopathic pain are fibromyalgia (intense pain all over the body) and tmj disorders (pain in the jaw area).


    Related Tip: Why does PAIN occur? Understand the Mechanism of Pain

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    Pain Management Specialist

    Why does pain occur? The mechanism of pain explained

    Pain is an unpleasant and distressing physical sensation caused by disease or injury, which induces hurt and anxiety in those suffering from it.
    There are many different manifestations of pain, ranging from short term (acute pain) to long term (chronic pain). Other classifications include pain in the internal organs (visceral pain), injured tissue (inflammatory pain), nerves (neuropathic pain), etc.

    The reason for the occurrence of pain depends on the cause and kind of pain being experienced. In most cases, pain acts as a warning sign that the body has been afflicted by a disorder of some sort, which may have arisen due to internal sickness or external wounding. Acute pains are generally cured on their own through rest or simple medication. Chronic pains, on the other hand, are more complicated in nature and the treatment requires more elaborate diagnosis.

    The mechanism of pain

    Pain is an extremely personal and subjective experience and affects each individual to varying degrees. The pain signals, which can arise in any part of the body, travel through the spinal cord to the brain along thousands of specialized nerves and nerve fibres. In the brain, it is processed in the centres associated with anxiety, emotions, memory, appetite, etc. Signals and pain inputs are then returned from the brain to the spinal cord, which may heighten or diminish pain.

    In some cases, pain may also be induced by damage to the brain and spinal cord, which happens after a stroke.
    A constant barrage of pain signals may cause the cells at the end of nerve fibres to become over-sensitized. This is known as ‘wind-up’ and is one of the most common causes of chronic pain that occurs even though the root of the problem has been identified and treated.

    The causes and effects of pain differ from case to case depending on the signals received by the brain and its interpretation. It affects the individual’s day to day activities and if persistent, can also have a harmful impact on mental health and psychosis. Pain is always handled, diagnosed and treated differently in all patients by drawing out the best possible solution to the problem.



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    Pain Management Specialist

    Our pain is the second-most-common problem which makes people seek medical advice. Injuries and illnesses are typical triggers of pain.

    Another reason is age-related degeneration, and most cases seen by pain specialists fall in this category. Everyone experiences some degree of pain in day to day life.

    And it is a human tendency to ignore the pain, till it takes some serious dimension and begins to interfere with one's daily routine like work or socializing with family and friends or when it doesn't let you sleep peacefully.

    Experts say, this tendency of ignoring pain should be avoided as negligence at initial levels can make the pain chronic and more harmful. In fact, in many cases, the damage due to pain becomes irrevocable if it is ignored for too long.

    Currently, millions of people worldwide suffer from chronic pain of varying degrees. Increasing aging population worldwide, growing number of surgical procedures being performed, changing lifestyles, increasing the incidence of cancer are some of the factors causes increasing number of patients.

  • Diploma In Orthopaedics (D. Ortho), MBBS
    3 things to avoid when you have knee pain due to osteoarthritis of knee joint.

    1) avoid sitting on floor.
    2) avoid too much of climbing and going down the stair case
    3) avoid using indian toilet style.
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  • Master of Physical Therapy MPT CARDIO, BPTh/BPT

    Electric pads, hot water bottles, and gel packs or moist such as damp clay packs are the common hot agents used for hot therapy.

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