Column Traumatology Procedure
Complex Regional Pain Syndrome Treatment
Treatment of Mckinzie Treatment For Spine
Rf Neurotomy Procedure
Treatment Of Lumbago
Treatment of Disc Prolapse
Arthritis And Pain Management Treatment
Transcutaneous Electrical Nerve Stimulation (Tens)
Back Pain Treatment
Treatment Of Disk Slip
Pain Management Counseling
Epidural And Spinal Anesthesia Techniques
Treatment of Spondylosis
Cancer Pain Management
Treatment of Neurological Problems
Treatment Of Herniated Disc
Treatment of Hip Disorders
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I found the answers provided by the Dr. T.Shiva Prasad Tummarakoti to be very helpful and helped me improve my health. Could have helped more if the reply would have come earlier though :)
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Dr. T.Shiva Prasad Tummarakoti provides answers that are very helpful and knowledgeable. Thank you so much sir
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A pain management specialist helps comprehensive treatment for neck, back pain and also chronic and cancer pains.
Movement of the head and neck is enabled by the various joints in this region, the main role being played by the cervical spine. This is a part of the vertebra or the spine and supports the head and neck in all movements. There are cervical vertebrae, ligaments, muscles, and nerves which ensure this movement happens smoothly. However, given the complexity of the whole structure, head and neck pain are also two of the most common joint pains.
The Neck Bone’s Connected to the Head Bone…
The vertebrae of your neck (cervical spine) support the weight of your head and all its motions, which may not seem like much – until you realize your head weighs as much as a bowling ball. When your neck bones are not positioned properly, the result is tightening of the muscles and irritation of the nerves that connect with your head. Your head and neck symptoms may include some or all of the following:
- Sharp or dull pain or discomfort in your neck
- Stiffness in your neck
- Inability to turn your head to one side
- Shoulder pain
- Jaw pain
Fortunately, you don’t have to live with head and neck pain – and you don’t have to take drugs to eliminate the pain.
The causes for head and neck pain can range from muscle strain to arthritis to pinched nerve to cancer.
- Posture problems: Not providing adequate support when being seated grows to be a menace. With the changing lifestyle where people end up staring at a monitor, there is tremendous stress on the neck muscles, leading to pain and stiffness. There is also loss of flexibility, leading to a stiff neck and headaches.
- Muscle strain: This can occur due to a sudden movement, either when doing something or as a result of accident (like a whiplash injury). The muscle can be torn or injured and this can result in pain, swelling, and inflammation of the affected area.
- Stress: One of the most common identifier of stress is the constant ache/nagging pain in the back of the neck.
- Disk herniation: When the disk is moved out of its space due to excessive movement and rotation, the disk gets herniated and the nerve gets ‘pinched.’ This can cause a sharp, shooting pain to the area where the nerve emerges out of that disk.
Spondylitis, arthritis, etc., are other chronic inflammatory conditions which can affect the neck and head areas.
When there is pain in the head and neck area, the whole body function is affected. The movement is limited and therefore vision, neck movements, and other functions are affected. This, in turn, affects the overall quality of life.
- Identify the problem with a thorough examination, X-ray, and if required soft tissue examination.
- Ice the area for relief of pain temporarily.
- Improve ergonomics in terms of height of the monitor, seat/chair, etc., so the strain is minimized.
- Develop an exercise regimen, which gives adequate exercise to the head and neck muscles.
- Manage stress. Be it physical, chemical, or emotional stress, it takes a toll on the head and neck area. Managing the stress (there is no escape from it!) will definitely see the pains and stiff neck go away.
- Engage in pain management, which is holistic (as above) and does not always resort to medications.
Sciatica pain arises from the sciatic nerve which is the single largest nerve in our body. It consists of individual nerve roots, which branching out from the lower back of the spine to the back of each leg and combining together forms the sciatic nerve. The origination of the sciatic pain lies in the lower back of the body and radiates down the buttock to the sciatic nerve.
Causes of the sciatica pain
- Arthritis: If an individual is diagnosed with arthritis, then he or she can expect a throbbing pain or numbness down till the leg.
- Herniated disc: Another cause could be a herniated disc in the lower back of the body.
- Spondylosis: Spondylosis in the lower back would also be a reason for the development of the sciatica pain.
- PIVD/DISC bulge
Other causes are a spinal injury, diseased degenerative disc, infection on and around the lower back. The pain would worsen, if an individual is in an occupation where he or she has to stand or sit for hours at length. The lifting of heavy things would strain the sciatic nerves as well.
How to identify sciatica pain?
Sciatica pain varies from infrequent to a constant throbbing down the lower back. So initially it is difficult to detect whether it is sciatic pain or not. But when the constant pain in the lower back leads right down till the toes and foot, it is really time for an individual to get in touch with a doctor. The pain can give a burning sensation almost searing making it difficult for the person to stand up or walk properly. Along with the pain, one can feel fatigued. An involvement of the spinal cord is rare in the sciatic pain but is possible.
Treatment for sciatica pain
Sciatica can be treated in both surgical and non-surgical way. Surgical treatment is rare as sciatica tends to respond well with non-surgical treatments. If the pain continues for over a month despite treatment, surgical treatment will be considered. The non-surgical pain treatment would include physical exercises and oral medications along with natural treatment.
- Medications: Painkiller medications prescribed by the doctor can be used to reduce sciatica. Medicines like aspirin, non-steroidal or oral steroids can help reduce the pain.
- Steroid injection: Epidural steroid injection acts faster as it is injected in the affected area, thus providing relief from the pain quickly.
- Exercise: Early morning exercises can be quite helpful.
- Percutaneous Endoscopic Discectomy: The surgical treatment of Percutaneous endoscopic disc dissectomy constitutes a large part of interventional pain physicians and it has evolved considerably in terms of surgical technique and instrumentation. Percutaneous endoscopic discectomy is a relatively new technique for removing lumbar disc herniation. It involves using an endoscope to visualize the disc removal. The discectomy is performed through a posterolateral approach using specially developed instruments. The advantage of percutaneous endoscopic discectomy is that the disc is approached posterolaterally through the triangle of Kambin without the need for bone or facet resection thus preserving spinal stability. The procedure is day care and is done under local anaesthesia. If you wish to discuss about any specific problem, you can consult a pain management specialist.
Knee pain is characterized by a feeling of pain in the knee joint caused by injury or overuse. The knee joint consists of small bone structures, the kneecap, supporting ligaments and cartilage of the knee. This joint bears the full weight of the body, which makes it very vulnerable to injury.
Causes of knee pain
Knee pain is usually caused by injuries to the knee such as exposure to a direct force on the knee, abnormal twisting of the knee or falling on your knees. Some causes of knee pain are -
- Knee strains and sprains - Overworking the knee joints can damage the tissues of the knee joint resulting in knee sprains and strains
- Osteoarthritis - it is condition where the protective cartilage around the kneecap is damaged, resulting in knee pain
- Bursitis - Excessive movement of the knee or kneeling down for extended periods can irritate the bursa (a fluid sac below the skin above the knee joint) that causes swelling and pain, thereby giving rise to this condition
- Gout - This condition is characterized by the accumulation of uric acid in crystal form around the knee joint, causing inflammation and pain
- Tendon disorders - Tendons connect the muscles to the bones, and overworking the knee can cause the tendons around the knee to become sore and painful
- Kneecap dislocation - Injuries may cause the kneecap to shift out of its position, this causes swelling and pain in the knee joint
Symptoms of knee pain
Severe knee pain can restrict movements such as walking or standing. The symptoms vary according to the extent of the damage suffered by the knee. Most common symptoms of knee pain are problems in climbing stairs, inability to extend the knees, limping and swelling of the knee joint. In some cases, knee pain may also cause fever.
There are advanced and scientific treatments available now for severe knee pains. They include intra-articular injection of ozone, PRP, steroid, local anesthetic medication in isolation or in combination. These are cost-effective and easily accepted by patients.
Physiotherapy helps in restoration of movements of knee in a pain-free manner. Pain management specialist deals with knee comprehensively.
One should note continuous smart phone usage more than 15 min at a time increases strain on neck muscles and spinal cord.
More muscle spasm becomes irreversible and turns into chronic pain in the neck which can be debilitating.
Do yoga and exercise daily and be healthy
Back pain nagging again?
Anti-inflammatory drugs may help a little, here's what you can do instead
Back pain can really get disabling. The nagging pain can not only put you on stress but also meddles with your daily routine. According to a recent study published in'annals of the rheumatic diseases, non-steroidal anti-inflammatory drugs (nsaids) may help a little in getting rid of back pain. On the other hand, excessive usage of such drugs may cause bleeding and ulcers in stomach among other gastro-intestinal problems.
Experts from the george institute for global health, australia conducted experiments to test the effectiveness of existing medicines that used commonly used for treating back pain. The team examined more than 6000 people from 35 trials.
It was found that only one in every 6 patients received any considerable benefit from consuming such medications.
The team also brought to light the fact that, in most cases, the effects of nsaids are short-lived and often harm people's health. Taking these facts into account, the experts urged to focus more of preventive measures over treatment.
Back pain can be caused by a host of different reasons. From an old injury resurfacing, to excessive sitting, sedentary lifestyle and incorrect posture - the culprit can be any or a cocktail of all. Prevention would certainly involve taking short breaks at work, investing in physical exercise, practicing flexibility enhancing techniques like yoga, assuming a correct sitting posture and eating a balanced diet. A series of backward bending yoga postures can help relieve back pain. Some of these would include
Bhujangasana (cobra pose)
Balasana (child's pose)
Disc prolapse can be easily treated by nerve root injection or removal of disc fragment by endoscopic discectomy under local anesthesia
Lumbar disc prolapse is common
The mri images and symptoms of the patient need not necessarily match.
Here comes the role of pain management specialist
He examines the patient thoroughly and offers treatment options like root injections or endoscopic discectomy under local anesthesia
These are simple safe and scientific
Sir/madam. Sometimes I will be suffering from Severe headache that to only left side. What does that mean. How to cure. Please give suggestion.
Lower back pain is characterized by a feeling of pain around the lumbar region (curve of the back connecting the upper back and glutes- muscles in the buttock that are responsible for thigh movement) caused by muscle or ligament injury. The spinal area is most likely to be affected by lower pain as it may impair routine activities like walking and standing. Any lower back pain that lasts for more than ninety days can be considered as chronic.
Causes of lower back pain
There are plenty of causes for lower back pain. Anything that exposes the lumbar area of the spine to a level of stress beyond its capacity can cause lower back pain. These causes are-
1. Disorders of the discs - The spinal area in the lower back comprises of small bones called the vertebra, which are connected to each other by pieces of cartilage known as discs. These discs act as shock absorbers, and when exposed to excessive shock can cause the disc to bulge, resulting in herniated discs. Wear and tear of the discs can also occur.
2. Spinal stenosis - Spinal stenosis occurs when the area around the spine becomes narrow. It may affect the nerves surrounding the lower back, resulting in pain.
3. Wear and tear of the joints and ligaments - Normal wear and tear of the joints and ligaments cause difficulties in holding the spine in its proper position and this progresses with age. This may cause a vertebra to slide over another and affect the nerve endings, giving rise to pain.
Symptoms of lower back pain
The symptoms of lower back pain are usually a dull or excruciating pain in the lower back. It can also affect other parts of the body such as the hips and the legs. In case of severe pain, simple activities like walking, bending and sitting will be impaired.
The treatment options are based on source of pain - ranges from physiotherapy to medication to nerve root injections or keyhole endoscopic discectomy under local anesthesia, as a day care procedure. Open surgery is the last resort.
Slipped disc L4-L5 Dr. Suggest me epidural treatment, can you tell me best alternative way to heal my disc as like before. I had took PT but It works only for some days but after some days pain comes back
I am having an issue of lower back pain & many times it get stretched till the toe. Already consulted doctor few times (spondylitis he says) but the pain has not decreased. At the end of the day, I am unable to stand as the whole day passes by sitting in the lecture and walking. Is there any home treatment that can help to reduce the pain?
I have knee pain. Gone thru n x-ray X ray report shows tibial spiking in my left knee. Please recommend me what shd I do. I feel pain in my knee side. I my also a uric acid patient.
Dr. Saab, Good Evening, My mother is suffering with a sewer headache from yesterday night. And can't sleep well, she was undergone treatment with Dr. Ish Anand, neurologist, Ganga Ram Hospital but we are worried about her problem also she can not remember things and forget easily. Kindly help what could I do. Pls. Advice me. Regards kulwinder singh.
I work in software company as Admin and IT head. My work involves sitting in front of computer for at least 4-5 hrs everyday. I walk 30 minutes everyday. I drink at least 3 litres water everyday. From last 2 years I started feel fatigue and dizzy everyday. I lost nearly 10 kgs during suffering from severe acid reflux. I did endoscopy and colonoscopy after a Gastroenterologist advice. I took Ganaton tablets for 3 months. Now I don't have acid reflux but dizziness is there. Sometimes I feel burning sensation inside my palms and inside foot. Some times I feel like prickling in left leg calve area. My health checkup shows. If I touch very cold water, nerves in my palm bulge twice size and protruding. I have severe constipation and more gas formation. Fasting sugar: 90 Post sugar: 102 BP: 120/70 Total Cholesterol: 170 Vitamin B12: 26 I suspect it is because of Vitamin B12 deficiency. Can you please suggest me any B12 supplement and other food habits to follow to rectify the problem.
Neck pains can be due to muscle spasms, bone related like facet joint pains, disc related pains or nerve pain called neuralgia
A pain management specialist examines the patient thoroughly and puts on a combination of medicines like nsaid, neuropathic drugs and some exercises.
If severe pain is felt, injections are given at appropriate places.
Occipital nerve block for neuralgia
Facet block for facet pain
Epidural for disc prolapse
Trigger point injection for muscle pains
Patients usually get significant pain relief and are back to work.