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Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
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Myth 1: pain is always caused by an underlying tissue damage
Fact 1: There need not be a tissue damage for pain to occur. In majority of the cases mere postural deviations, muscle tightness, inadequate joint range and reduced neural mobility, decreased soft tissue (fascia) flexibility can cause pain.
Fact 2: Movement dysfunctions like loss of the intrinsic joint play movements and adverse neural tension cause most of the pain, rather than degeneration.
Myth 3: Pain should not be treated based on radiological (x-ray, mri) reports.
Fact 3: Pain should be treated based on patient history and physical assessment. Radiological or laboratory investigations should be used only to rule out any potential red flag (harmful) pathologies. Ex; tuberculosisspine, inflammatory arthropathy, fracture, dislocation etc.
Myth 4: Treatment should be given exactly in the area of pain.
Fact 4: In most instances the cause of pain is present in an area distant to the site of actual pain and hence the treatment should focus on removing the cause of pain rather than alleviating the symptoms in the area of pain. Ex: most of the knee pain is caused by a dysfunction in low back (lumbar) and hip (pelvis) regions.
Myth 5: The painful joint should not be moved and weight should not be transferred through the joint.
Fact 5. Normal movement within the painless range is mandatory for the recovery and graded protective loading of the affected structures is vital for the re- modeling of the collagen in the soft tissues and functional recovery.
Myth 6: Pain is a disease and hence it should be treated.
Fact6: Pain is only a symptom of an underlying disease or a dysfunction and hence when the cause of pain is treated pain vanishes by itself.
My whole body is paining and pelvic also and dizziness. I do not understand why is this happening to me. Please revert me back.
Pain in the tip of the finger after one day when we cut the nails sometimes its normal but sometimes very bad pain.
Hi I am having back pain since last 9 years and I am 26 years old men. Please help me. I request you to help me to get rid from this.
Hi, I am a 22 year old male, I have been having some pain in my left leg (behind the knee and around the ankle) since the past 9 months, I walk and run a lot, even then the pain has not reduced. What might this be? Can it be cancer?
I am suffering from neck pain which is due to the sitting straight for long duration. Using mobile phone for long periods also is the cause for the neck pain. S o kindly suggest me the cure or any exercise for the same.
What is Compartment Syndrome?
Compartment syndrome is a type of condition that occurs when pressure builds up inside a muscle tissue in the body. Compartment syndrome usually occurs due to swelling or internal bleeding after an injury. The swelling should go away once the wound heals. However in some cases, if the swelling doesn't improve quickly, it leads to the accumulation of pressure. Let us have a look at the symptoms and the causes in depth.
Understanding Compartment Syndrome:
Compartment syndrome is not exactly a disease, but it hampers the flow of blood to and from the affected tissues. Groups of organs/muscles are organized into zones called compartments. During an injury, blood may start accumulating in these compartments, as a result of which the pressure inside the chamber rises restricting smooth blood flows. Severe tissue damage can result, with a loss of body function as well. Compartment syndrome can be fatal in some cases if not treated immediately. The common areas where this occurs are the legs, arms, and abdomen.
Compartment Syndrome Causes:
Compartment syndrome can occur immediately after an injury or they can happen when the treatment plan for the injury is under way. The biggest risk is that while some compartment syndrome takes days to form, few cases occur within hours. The acute form of the condition occurs when there is damage to the bone like a fracture to the hand and limbs. Other causes can include crush injuries, over-tight bandaging, burns and prolonged compression of an arm or leg. Blood clots also cause this condition in some cases, and so does strenuous physical exercises. A simple physical exam is used to diagnose compartment syndrome along with an X-Ray.
Compartment Syndrome Treatment:
Treatment for compartment syndrome works on the fundamental principle of reducing the pressure to the affected region. Dressings and casts that hamper the blood flow have to be removed immediately. Movement and bodily functions of the affected area have to be monitored vigorously. Surgery is one of the foolproof ways to ease the pressure. It is done by making long incisions into the skin underneath the affected area and releasing the pressure. The surgeries are done as minimally invasive procedures and can be clubbed together with the treatment plan the person is undergoing. In some cases, if the pressure is weak and not restricting the flow, then physical therapies can be undertaken. Medications can also help to an extent along with strength exercises.
With the advances made in medical science, doctors can identify potential compartment syndrome symptoms more quickly. Since these mostly occur when undergoing the treatment, the condition has a better chance of getting identified at its root. They can be avoided mostly with the experience of the physician. If you wish to discuss about any specific problem, you can consult a pain management specialist.