Lybrate.com has top trusted Pathologists from across India. You will find Pathologists with more than 38 years of experience on Lybrate.com. You can find Pathologists online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Submit a review for Dr. Ashwani TandonYour feedback matters!
I was a drugs (40painkillers caps + 1×100 ml codeine-phosphate cough syrup) addicted approx 10-years. Let Explain My addiction period was 2004 to 2010, (recovery period-3-years) & then 2013 to 2016, & now I leave all of these drugs 2016 to till now (9-months). I am suffering a lots of major disease at present is :--- 1. High Pain in all parts of body even headache. 2. Weakness, tiredness & I didn't walk 2 to 3 minutes in road. 3. My sexual is almost damaged, my inter-course (sex) time is just 10 to 15 seconds, I have 4 times nightfall in week. At past I do twice times of masturbating. 4.I never sleep at right time, & whenever I sleep then my sleeping time is almost 12 to 14 hours. 5. Gas, constipation & the time of digestion is long, that's why I didn't eat properly. 6. Doctors please save my life & my age is 32-years.
My age is 23, male, I have body pains from 4 months, I have consulted a general physician regarding this, he told that muscle strength is not good and given some medicine. But no use. Please help me.
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:
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.
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 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.
İ have a pain in my left under arms. Hairs are become brown rough & falls from last some month. & thora sa full bhi gaya h sir.
I suffered from full body nerve pain. .I am nt able to do work for lobg time. .what is the reason and treatment for this.
I am 20 years old boy and I am having pain on right side of my face over the cheeks beside the nose and also feeling a type of headache over right eye on forehead section. Please tell me what is happening and what are its home remedies?
My wife is feeling pain in stomach, chest and in all body parts. She also loosing weight. And feel very low energy level. please suggest.
I get tired. Do not feel hungry. Constipation. Fever (its like up and down of the body temperature). vomiting every morning. Body ache. Sometimes muscle strain.
I always Feel Lazy. Even I can not able to study because of My Body Pain. Tell me the suggestions how body pain will be remove.
I am suffering for full body pain long time. I visit many doctors but no relif get. When I eat some oily food then pain grow up automatically. I can not understand what can I do.
What are the symptoms of flu and how to avoid one? I have body pain and temperature with reasonable headache with sneezing.
My father's age is 50. He has pain in his heel. How could he reduce his heel pain. Give some domestic tips and suggest any medicine or gel or tablet.
I am a 20 year old bachelor. I feel full pain in my body when I get up in the morning. I thought it will get cured, but it didn't, what should I do now?
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.
Hello sir, I am feeling body pain and I eat some pain killer but I'm not feeling relax. What should i do?
I have body pain in full body of mine since 2 days . I took combiflam and nise but they are just temporary relief. What should I do now.
Hello sir meri problem hai ki kuch din se mere kamar me aur peeth me pain ho raha hai chair per bathne me pareshani ho rahi hai please help me.
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. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.