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Sachin Indore Pain Clinic

Pain Management Specialist Clinic

39 Sanchar Nagar Extension Indore
1 Doctor
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Sachin Indore Pain Clinic Pain Management Specialist Clinic 39 Sanchar Nagar Extension Indore
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Sachin Indore Pain Clinic
Sachin Indore Pain Clinic is known for housing experienced Pain Management Specialists. Dr. Sachin Kumbhare, a well-reputed Pain Management Specialist, practices in Indore. Visit this medical health centre for Pain Management Specialists recommended by 53 patients.

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How Homeopathy Can Treat Arthritis Effectively?

BHMS
Sexologist, Lucknow
How Homeopathy Can Treat Arthritis Effectively?

Arthritis is an inflammatory joint disorder of autoimmune starting point. In arthritis, the joints get to be painful, inflamed, swollen and warm with checked stiffness. Chiefly the little joints of wrist, fingers, ankles and toes are included. Over the long haul, other huge joints may likewise get influenced.

Homeopathy is a standout amongst the most prevalent all encompassing system of medicine. The determination of remedy is based upon the theory of individualization and symptoms comparability by utilizing comprehensive approach. To the extent therapeutic medication is concerned, a few very much demonstrated medicines are accessible for homeopathic treatment of arthritis that can be chosen on the premise of cause, sensation, location, modalities and augmentation of the protests. For individualized remedy determination and treatment, the patient ought to counsel a qualified homeopathic doctor face to face.

Causes of arthritis

  1. Injury: It can harm to ligament, bone, and cartilage that eventually prompts to extreme pain.
  2. Obesity and propelled age: Both are extremely regular cause of arthritis.
  3. Infection: Any sort of infection to the joint may come about arthritis.
  4. Sprain: Due to sudden unnatural developments causes pain and additionally limitation of development of the joint.
  5. Overuse: Overuse of knee joint can cause bursitis which eventually prompts to extraordinary pain.
  6. Dislocation: Also causes serious arthritis.
  7. Different causes: Include Sickle cell disease, Sarcoidosis, Kawasaki disease, Lupus, bone tumors, Crohn's disease, bleeding disorders and so forth.

Will Homeopathy treat joint inflammation?
Homeopathic method of treatment is extremely powerful in treating rheumatoid arthritis. Homeopathic medicines treat rheumatoid arthritis by directing the overactive immune system. They decrease joint inflammation and symptoms including swelling, pain and stiffness of joints. Homeopathy offers an extensive variety of medicines for rheumatoid arthritis. However, there is nobody cure for all ills connected with this condition. The most fitting Homeopathic medicine for rheumatoid arthritis is chosen in light of an inside and out analysis of individual symptoms. Exceedingly successful Homeopathic medicines for rheumatoid arthritis are ActaeaSpicata, RhusTox, Causticum, Bryonia, Kalmia, Caulophyllum, Ledum pal, Guaiacum, Benzoic acid, Calcaria Carb.

The homeopathic treatment for arthritis has the capability of forever reestablishing the health of your joints. It merits finding a decent homeopath that will regard you as the individual you seem to be, instead of essentially "obtaining" a remedy from another person's experience.

Cervical Smear - Understanding It In Detail!

MBBS, DGO, MRCOG
Gynaecologist, Mumbai
Cervical Smear - Understanding It In Detail!

A cervical smear test is often known as a Pap test and is done to establish the changes that might have occurred in cells of the cervix. A small sample of cells is taken from the surface of the cervix and is tested for any abnormalities. The sample is spread on a slide or in some cases mixed with a liquid fixative and studied under a microscope. It is one of the most popular methods to test the abnormalities in your cells and can pinpoint point cervical cancers.

About the test
A typical cervical smear or Pap test is done to identify the changes that have happened to the cells of the cervix. Diagnosing them early can be beneficial in many ways and can lower your chance of cervical cancer. PAP smear or a cervical smear is a screening test for cervical cancer. For other cases, once the results of the cell growth are identified it is safe to seek other tests and medical options for diagnosis.

The procedure of typical Pap smear
The test is mostly recommended when you do not have the periods as the blood can interfere with the results. Also, before taking the test discuss with your doctor about the medications you are taking and in case you are under any birth control pills. No other special preparations are needed for the Pap test. Feel free to discuss with your doctor about the impact the test will have on you or on the pain levels, etc.The test is done by inserting a speculum into the vagina, which spreads it further. Later, a cotton swab is inserted to get the samples of cells from your cervix. The cells from the vagina are also collected in some cases and tested accordingly.

The risks involved
There no chances of risks when you go for such tests. You might feel a bit of pressure in your vaginal region and may experience a small bleeding after the testing. However, this is extremely normal. Also, there is no pain involved. If you experience heavy period and blood loss, you might experience minor discomfort when the test is being done.

The final result
Once the test is done, the results would be available usually within a week. The results can be categorized into normal and abnormal. If your cells are normal and no abnormality is found then the condition is termed as a normal result. In the case of abnormality in the cell structure, then it requires further evaluation and diagnosis to rule out cancer.

Back Pain - Identifying The Underlying Factors!

MCh - Neurosurgery , MS - Orthopaedics
Neurosurgeon, Bangalore
Back Pain - Identifying The Underlying Factors!

Gone are the days when back pain affected a person only in their old age. Nowadays, almost every second person suffers from some kind of a backache. From sedentary lifestyle to certain diseases and ailments, the back pain can result from the amalgamation of various factors, making the condition painful (mild to chronic) and uncomfortable to the hilt. In this article, we will mainly stress upon the factors responsible for a back pain.

Underlying factors that often triggers a back pain

More than often, prolonged and chronic back pain interferes with the daily activities of a person, thereby jeopardizing their lives. For a proper treatment and management, one should first identify the factors responsible for the back pain. Some of the common and critical triggers include

Medical conditions:

  • SciaticaSciatica is a neurological disorder whereby an inflammation or injury of the sciatic nerve (considered the largest nerve in the body) triggers numbness and a shooting pain that moves downwards, often from the lower back (the lumbar region) through the buttocks and hips into the back of one leg. Sometimes, a person may experience a pain down both the legs.
  • Osteoarthritis of the spine: This is a painful degenerative disorder of the spine that mainly affects the neck and the lower back. Here, the cartilage of the discs and joints (lower back and neck) are damaged causing pain and weakness. In some people, the pain is so severe that it limits their motion to a great extent.
  • Lumbar spinal stenosis: Stenosis of the lumbar spine results in severe back pain, especially in the lower half (lumbar area), triggered by narrowing down of the spinal canal.
  • Osteoporosis of the spine: This is a bone disorder where the bones become so porous, thin and weak that they start to crack and break (including those of the spine), a condition known as vertebral compression fractures. These fractures are a common cause of weakness and back pain.
  • Shingles: This is a viral infection (varicella-zoster virus) characterized by the appearance of a rash which is often painful. Shingles can occur in any part of the body including the spine. The viral infection in the spine is what triggers the back pain.
  • Spinal Cancer, muscle spasm or ligament tear and strain on the back can give rise to back pain.
  • Back pain can also be an outcome of rupture or disorder of the discs that act as a defensive shield between the spinal vertebrae.

Lifestyle practices:

  1. Leading a sedentary life can be dangerous, often causing back pain.
  2. People who are overweight or obese (especially the lower half) are known to suffer from a back pain.
  3. In many people, rigorous exercise and physical activities can be a major contributing factor, triggering a back pain.
  4. Women who wear high heels are more susceptible to developing a back pain.
  5. In addition to these, bad posture, stress, a poor quality mattress can equally contribute to back pain.
  6. Do not neglect the condition if the pain persists for more than a week. Get medical assistance to avoid further deterioration and complication.

Lower Back Pain - Exercises For It!

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS, MS - Orthopaedics
Orthopedist, Kolkata
Lower Back Pain - Exercises For It!

The lower back or the lumbar area is the region that lies right below the rib cage. Pain in the lower back is usually a result of persistent muscle spasms that make it a chronic pain. While many people suffer from this kind of pain at some point at the other, there are few who actually take up exercise as a long-term solution to deal with the pain. A proper exercise schedule and regular yoga can actually strengthen your lower back and help it support the spinal cord in a better manner. Also, most orthopedic specialists recommend constant movement to alleviate the painful symptoms of lower back pain. Do go through this list of exercises to find one that suits you.

  • Partial Crunches: This one requires you to lie down, prop your knees up with your feet firmly on the ground and your hands behind your head. Now bring your body partially up and stop shy of doing a full on sit up. This will help in relaxing the muscles in the lower back, to a great extent.
  • Hamstring Stretches: Get on your back and prop up one knee. Take a towel and loop it under the ball of your other foot. Now lift and hold as you press your foot into the towel, to gradually relieve some of that stress as it plays on your lower back.
  • Ankle and heels: The classic ankle pump involves lying flat on your back and stretching your feet before you begin to move your ankles in an up and down motion. Repeat it ten times for each set. You can combine this exercise with the heel slide where you have bend and straighten your knee ten times each, in the same position as you lie flat on your back.
  • Wall Squats: While actual squats can be painful if you are suffering from lower back pain, you can take the support of a nearby wall for squats that will work the muscles in a more soothing manner and give you a good workout at the same time.


Touching your toes, running on the treadmill, sit-ups and other forms of intense exercise that make the back work too hard should be avoided if you are suffering from lower back pain.

How Ayurveda Helps Manage Leg Pain?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Sindhudurg
How Ayurveda Helps Manage Leg Pain?

Joint pains or muscles cramps are the usual suspects when it comes to leg pain. Joint pains are usually a symptom of arthritis, a common occurrence during old age. Leg muscles are mostly affected by muscle cramps. From an Ayurvedic point of view, all pains are caused by the vata dosha.

What are doshas?
The doshas define the natural inclination of the body and they comprise the three main energies that affect your health and well-being. The three doshas are Pitta, Vata and Kapha. Thus in Ayurveda, pain is caused when the doshas are vitiated. In Ayurveda, ama is the name given to the toxic materials in the body that are caused by improper indigestion. Therefore, pain occurs when there is too much ama build-up in your body.

Useful herbs for treating leg pain:

  1. Clove: It provides instant relief from pain, especially if they are due to muscle cramps. Apply clove oil in a poultice over the affected area.
  2. Ginger: Since ginger has great painkiller properties, it can be added to a regular diet to deal with chronic leg pain.
  3. Liquorice: Muscle aches can be treated with liquorice roots infused in water overnight.
  4. Madhuca: Applying madhuca oil over leg pains, especially if they are due to rheumatism, then it can give great results.
  5. Pepper: Pepper aids in proper blood circulation by helping dilating the superficial blood vessels.

Dietary regulations for leg pain: To help with chronic leg pain, leafy vegetables, green vegetables, Vitamin C-rich foods, plantains that are rich in potassium, magnesium and calcium must be consumed. Coffee and chocolate must be avoided at all costs. The consumption of water cannot be stressed enough as one of the leading causes of leg pain is dehydration of insufficient fluids in the body. Water helps flush out the toxins in the body, thus getting rid of the vitiated doshas.

Ayurvedic treatment for leg pain: For external use, Mahanarayana Tailam is extremely effective. Warming the oil before application will give best results. For internal use, Simhanada Guggulu, a mild laxative, Laxmi Vilas rasa and Pratapa Lankeshwara Rasa are prescribed.

I have back pain. Mri reports shows gade1 anterior lysthesis of l4 over l5 with probable spondylolysis interarticularis of l4 vertebra.

BHMS
Homeopath, Jaipur
I have back pain. Mri reports shows gade1 anterior lysthesis of l4 over l5 with probable spondylolysis interarticular...
Dear User As per your details and reports, your condition can be well managed by conservative measures. Most important point is to correct life style measures. By getting control over lifestyle or habits itself, you can manage or prevent the condition from worsening. You can supplement it with Therapeutic exercises specific for lumbar radiculopathy. For example - SLR, etc. You should consult physiotherapist to get a "tailored" exercise schedule. You should also ensure proper dietary intake of calcium, vitamin D [Most importantly] and proteins. Certain lifestlye measure you can follow - 1) Not lifting heavyweight like flower pots, etc. Take a correct posture while bending. Always squat then flex the torso forward carefully to pick anything from down/floor which will prevent excess pressure over lumbar spine. 2) Use western toilets instead of Indian style. 3) Don't give sudden jerk while starting bike/scooter [if you drive] as it may worsen the condition 4) Sit straight on chair, improve posture while walking/standing. 5) Avoid sitting for long hours, take little breaks [you may take 2 glasses of water prior to sitting, which will urge you to go for urination] 6) You may also wear waist belts which support the back when sitting for long hours is inevitable or pain is slightly more The above measures will surely improve the condition and prevent further deterioration of condition. I hope this will help you out. Happy to help!
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My mom is 61 years old. She is not able to sit on floor cross leg. Again she has pain in hand and leg. If some one touch her leg for massage she said it will broke if we touch. What it is?

MBBS, Diploma in Child Health (DCH), MD Internal Medicine
General Physician, Visakhapatnam
My mom is 61 years old. She is not able to sit on floor cross leg. Again she has pain in hand and leg. If some one to...
She is having osteoarthritis knee both sides. Few things she should avoid are 1.sitting cross legs (squatting) 2.Standing for long time 3. Climbing stairs. Do simple physio designed for knee Weight reduction with dieting up to 2-3 kg also will give some relief. Contact for further help. Take care.
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I am 28 years male having stiffness in my neck for the last 10 days and having pain due to which I cannot move my shoulder I have hot fermentation to my shoulder but not much relief please advise Thanks RK Agarwal 9810013586.

Ayurveda, Faridabad
I am 28 years male having stiffness in my neck for the last 10 days and having pain due to which I cannot move my sho...
Pain aggregates when there is degenerative changes in the cervical vertebrae. This, when coupled with trauma or incorrect posture while sitting or sleeping There will be Headache, Stiffness in the neck, Tingling & Numbness in arms Pains on back of neck & shoulders. Diet & Lifestyle Advice Increase intake of oily foods that are easily digested, sweet things, purified butter, vegetable soups, milk and almonds. Avoid rice, refined flour, kidney beans, and other foods that cause flatulence. Avoid physical and mental exertion. Get a good night’s sleep. Have regular, gentle body massage with lukewarm sesame oil. Dhanurasan, bhujangasana and Ujjai Pranayam are highly recommended for cervical pains. Treatment: 1. Tryodashang guggulu 1 BD 2. Take one tablespoon of castor oil before going to bed, once or twice a week. This helps cleansing toxins and balancing vata. 3. Peel two cloves of garlic and crush it. Add this to a glass of milk. Boil it on a mild flame till one-fourth glass remains. Filter and make two equal parts. Drink one part in the morning and the other in the evening. 4. Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affectedareas. After that do hot fomentation with salt potli (bag).
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I constantly feel like crying and like to be alone every time. Does this mean I am going through depression? I don't feel like eating food but still eat forcefully. Getting severe headaches. Backside nerves on the neck pain a lot every time.

Ayurveda, Faridabad
I constantly feel like crying and like to be alone every time. Does this mean I am going through depression? I don't ...
Depression usually indicates reduced sattvik energy and aggavation of rajasik and tamasik energies. Weakend ojas (which is the essence of all dhatus) often contributes to this problem. Prana vayu is responsible for proper functioning of the mind. Weakened ojas disturbs the prana vayu which then fails to stimulate the mind. Lack of energy, sluggish movements, slow talking, irritability, anxiety, lack of self-esteem, feeling of worthlessness and reduced sex drive generally reflect weakened ojas. On the other hand sadness, despair, and lack of interest in life indicate heightened rajasik and tamasik influences. Diet & Lifestyle Advice Quite a few patients of depression give history of bad life style, improper food habits, addictions, lack of discipline in personal life and unsocial attitude. So maintaining good life style, food habits and discipline acquire lot of significance when it comes to psychiatric disorders such as depression. Getting up early enough in morning, avoiding late nights, doing physical exercises, playing games and outdoor activities help to keep the mind in a positive state. Eating fresh foods, vegetables, seasonal fruits and avoiding alcohol, non-vegetarian and fast foods, and maintaining regular food timings is good for mental health. Ensure that you take meals in a relaxed mental state and atmosphere. Yoga, Pranayama and meditation Treatment: Boil 1 tablepoon rose petal in 1 cup of water for 2 minutes, let it cool. Add 1/2 teaspoon of rock candy (Mishri) to it and drink twice a day to uplift your mood. Take one teaspoon of asparagus powder with half a teaspoon of honey twice a day along with warm milk, it works as a great brain tonic. Take one teaspoon of ashwagandha powder with a spoon of pure ghee. It is very effective in depression. Take one brahmi tablet twice a day.
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I am business man I doing daily 12 he work I got headache I lost 5 kg weight help me.

MBBS, Craniosacral Balancing, Quantum Touch, Visceral manipulation
Pain Management Specialist, Panchkula
I am business man I doing daily 12 he work I got headache I lost 5 kg weight help me.
Your complaints are not sufficient to comment. Weight loss in how much time, 12 hrs. Job from the starting or now it is increased, your age, profession all this will help you give some suggestion. For any type of stress in any field of life i.e student professional family parenting etc. Etc mind management is available which makes a mind - super mind i.e no extra thoughts only useful thoughts ,how to face comparison etc. All treatment is available online. You can contact us on Lybrate. More details about the treatment on our profile/personal statement column.
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I am an intermediate runner and will run an average of 15-20 Km a week. From past one month I am experiencing a slight pain in the lower part of right knee. I changed my running shoes the pain and now I am not experiencing any pain during running but have slight sensation of pain after the run. Please advice me.

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS, MS - Orthopaedics
Orthopedist, Kolkata
I am an intermediate runner and will run an average of 15-20 Km a week. From past one month I am experiencing a sligh...
This could be due to excessive strain on your knee cartilage due to running. Get checked by an orthopaedic surgeon nearby and start cartilage protective medicines. Physiotherapy will be helpful.
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Doctor I really painful in brain because of some pressures and tensions in my life please some solution.

BHMS
Homeopath, Secunderabad
Doctor I really painful in brain because of some pressures and tensions in my life please some solution.
Please visit a doctor for a routine medical examination so that the doctor can check you for vital signs and advise some tests. Let the doctor decide whether it is due to stress or due to some other reason. You should also change your life style and adapt a healthy lifestyle. Read more from the internet about healthy lifestyle and good habits which can help you enjoy health and manage life with discipline.
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Chronic Back Pain - How Radiology Can Help With It?

DNB (Radio Diagnosis), MBBS
Radiologist, Hyderabad
Chronic Back Pain - How Radiology Can Help With It?

Many people all over the world often suffer from chronic back pain due to various reasons. Persisting for weeks together, this type of acute pain in the back can even cause severe damage to one's daily work schedule. It is often the neck or the lower back or upper or middle back that cause such pain and forces one to look for medical assistance. And it is this necessity for obtaining a cure or treatment solution that radiology becomes extremely helpful in dealing with chronic back pain. Read further to have a better idea of how radiology can be of great help in getting relief from the annoying and distressing chronic back pain.

What is radiology?
Radiology refers to a branch of medicines which dealing with radiant energy, helps in the proper diagnosis as well as treatment of a disease. This specialty specifically uses medical imaging for diagnosing a disease or the root of illness and treating it. This field is divided into two major areas, one is interventional radiology, and the other is diagnostic radiology.

Radiology and chronic back pain
Radiology is known to be an ideal solution for getting relief from the constant suffering of chronic back pain. Whether it's a pain in the spine or the hip, radiology helps in ensuring accurate treatment while reducing the chances of inappropriate treatments which often is performed due to the lack of knowledge about the root problem. With the image-guided injections and the accurate diagnosis, radiology reaches to the root of the back pain and helps the medical professionals have a better understanding about what's ailing the patient.

How is radiology effective in treating back pain?
While the majority of the back pain can be dealt with proper rest, anti-inflammatory medications and physiotherapy sessions, when it turns out to be a chronic pain, proper diagnosis is the best option for dealing with the pain. Using different radiological imaging services such as CT or computerized tomography, MRI or magnetic resonance imaging and X-ray, the location of the pain can be easily identified and then is treated properly. And treating the back area with different therapeutic injections becomes necessary, such as nerve root injections or facet joints injections or epidural injections, for dealing with the chronic back pain, again it’s radiology that turns out to be an irreplaceable part of successful treatment.

Chronic back pain being one of the most common reasons for visiting a doctor, opting for the right diagnosis procedure becomes crucial for identifying the main underlying reason which is causing the pain. And there's no doubt that it is with the help of the latest imaging facilities of radiology that accurate diagnosis as well as managing the pain can be possible. If you wish to discuss about any specific problem, you can consult a Radiologist.

How Can Physical Therapy Help Fibromyalgia?

BPTH/BPT, MPTH/MPT-Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics)
Physiotherapist, Gurgaon
How Can Physical Therapy Help Fibromyalgia?

Fibromyalgia causes pain in the muscles of the body and weakens them gradually. Patients with fibromyalgia have a number of "delicate points" on the body and are very sensitive to different things that are not typically painful or unpleasant. They can encounter increased the tenderness and weakness which may lead to problems in movement and even proper sleep.

Physiotherapy concentrates on the treatment, and healing of injuries. Standard exercise based physiotherapy methods may help you gain control of your fibromyalgia as you concentrate on lifestyle changes instead of persistent pain, stiffness and fatigue. Physiotherapists can demonstrate generally accepted methods to get rid of the side effects of pain and solidness in everyday life. They show patients how to build strength and enhance their scope of movement. They show them ways to get rid of the everyday pain.

In case you have fibromyalgia, your physiotherapist creates particular extending and stretching programs to meet your individual needs. While there is no known cure for fibromyalgia, physiotherapy might help you get rid of the pain. It can reduce the stiffness.

Strengthening muscles and increasing flexibility through a number of exercises are two vital ways physical therapists decrease fibromyalgia pain and make life more manageable. These include:

  1. Stretching: By increasing your flexibility through stretching, the hardened muscles loosen up giving fibromyalgia help. Your physiotherapist can teach you the correct approach to stretch your muscles, ligaments, and tendons. Various stretching exercises will also be suggested depending upon the condition or type of pain you have in what part of your body. The combination of these stretching exercises might need a stretching band or other accessories like a compression ball or a rubber band.
  2. Aerobic exercises: Low speed and low affect exercises are ideal. Stationary cycles and circular machines are typically less pressurizing on the joints. Aerobic exercises are also a great option for fast recovery, but the intensity depends on your condition.
  3. Aqua treatment: Swimming and other water activities are very good for fibromyalgia patients. The lightness of the water can decrease weight on muscles and joints and enhance adaptability. A warmed pool might be particularly useful because of the warmth that can calm sore muscles.
  4. Massage: Massage can help pain alleviation and joint stiffness.
  5. Joint movement: It can improve movement in the tightened muscles, delicate spots and joint stiffness.
  6. Dry NeedlingThis treatment for fibromyalgia known as dry needling reduces pain stemming from trigger points and increases spinal mobility, according to a clinical study. The technique uses needles to affect sensitive points in the muscle, which cause pain in seemingly unrelated body parts.

Physiotherapy is a lifestyle remedy for such conditions but must have to be patient as the results will be gradual.
 

Knee Pain: Tips to Manage It!

MBBS, MS - Orthopaedics, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Chandigarh
Knee Pain: Tips to Manage It!

The knee is the largest joint of the body and is made up of upper and lower bones that are separated by two discs known as menisci. While minor knee pain may be experienced by many people, it should be handled with medical intervention when it becomes a serious and debilitating problem. Sudden injury or injury due to overuse as well as myriad conditions that affect the joints and muscles can bring about knee pain. Underlying conditions like osteoporosis or arthritis, which affect the bones and joints, can also cause knee pain. The symptoms include painful swelling and stiffness as well as severe discomfort. Let us learn more about the causes of knee pain and the ways in which it can be managed-

Injury: Exercise and sports injuries are one of the most common causes that can be the start of acute knee pain, as well as chronic condition. These kinds of injuries can affect the ligaments and cartilage which leads to severe pain. The pain can even affect the way one functions in one's daily life. Knee ligament injuries can also cause this kind of pain. These ligaments are bands of tissues that connect the thigh bone with the lower leg bones. Sprains and tears in the ACL or PCL are common in sports injuries, and may even require surgery in many cases. Knee Cartilage Tears can also take place in the hard yet flexible cartilage of the knee which can affect the meniscus around the knee. This condition may also require surgery.

Arthritis: This condition can affect the knees specifically and is one of the most common types of arthritis. This is a chronic condition which gets progressively worse over time and may even require surgery. Stiffness and inflammation are common symptoms. Rheumatoid arthritis is also a degenerative auto-immune disease that can affect the knees and cause knee pain. Furthermore, post traumatic arthritis can also be experienced after an injury. Osteoarthritis is another common condition that leads to knee pain. It basically occurs due to wear and tear of the knees over a prolonged period and is usually experienced by patients over the age of 50.

Managing Knee Pain: While pain medication and anti-inflammatory drugs may be prescribed for most cases, along with the surgery in long run, it is also possible to manage knee pain with the help of better lifestyle choices like regular knee and muscle strengthening exercises as well as REST - rest, ice, compression and elevation. These methods can help in relieving inflammation and pain. But very severe cases will require medical intervention, so it is imperative to get in touch with your doctor if the condition does not improve.

Headaches - Know Everything!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Headaches - Know Everything!

Headaches are common, and many people treat themselves with simple painkillers, drinking extra water, having a rest, or simply by waiting for the headache to go away. Even so, headaches can be distressing and disabling, and sometimes people worry that they may have a serious underlying cause. In fact most headaches are unpleasant but cause no lasting harm. 

What are the different types of headache? 

Headaches can be primary, or they can be secondary which means they are a side-effect of a separate illness or injury. Your doctor can generally tell the cause of your headache from talking to you and examining you. Once he or she has discovered the cause then you will be able to decide how to reduce or stop the headaches. This may involve taking medication only when you get the headaches, taking daily medication to prevent them or, sometimes, stopping medication you are already taking. 

Primary headaches 

The most common types of headache are tension headaches and migraines.

Tension headaches

Tension headaches are usually felt as a band or across the forehead. They can last for several days. They can be uncomfortable and tiring, but they do not usually disturb sleep. Most people can carry on working with a tension headache. They are not usually made worse by physical activity, although it's not unusual to be a bit sensitive to bright light or noise. Tension headaches tend to get worse as the day goes on and are often least in the morning. (An exception to this would be a headache caused by sleeping in an awkward position causing a sore neck.) Tension headaches are usually felt on both sides of the head (known as symmetrical) - most often the front. They are often called pressure headaches. They can interrupt work and concentration but usually not enough to send you to bed. Tension headaches are caused by tightness in the muscles at the back of the neck and over the scalp. Tiredness, stress and an awkward sleeping position can make them worse. Some people get tension headaches if they drink too much caffeine or alcohol, if they don't drink enough water or if they go for a long time between meals and become tired and hungry. 

What is the treatment for tension headaches? 

Tension headaches usually respond to simple painkillers. Changes in lifestyle can help - such as having less caffeine and more water, and a sensible diet. Changing pillows can sometimes help, as can getting adequate sleep and avoiding excessive noise. Occasionally tension headaches can be caused by poor vision, particularly if reading in low light for long periods. 

Migraines 
Migraines are also very common. A typical migraine is one-sided and throbbing. Indeed, headaches that are one-sided, headaches that throb and headaches that make you feel sick are more likely to be migraines than anything else. Migraines are often severe enough to be disabling. Some patients need to go to bed to sleep off their headache. Migraines can last anything from four hours to three days. They are often made worse by movement or sound. Patients often feel sick (nausea) or are sick (vomit), even if the pain is not severe. Often patients find bright light and even TV make the headache worse. Most people with migraines have 1-2 attacks a month. About a third of people have migraine with 'aura', or 'classical migraine'. In this condition warning symptoms (the aura) occur before the migraine. These most commonly consist of flashing lights, often in the shape of zigzags. They are sometimes described as being like firework displays. They tend to occur on one side of the vision only (although affecting both eyes at the same time). Some people actually lose half of their vision completely. Others experience tingling or weakness on one side of the body, or slurring of speech. These warning symptoms can last for up to an hour, and are generally followed by a headache. Typically the headache is on the opposite side to the visual symptoms. 

What is the treatment for migraines? 
Migraines can improve with rest, sleep, darkness and quiet. Drinking water can help if you don't feel sick, and simple painkillers such as paracetamol and ibuprofen can be effective. Many people find that they are not, and have special migraine medication prescribed by their doctor. These medications can consist of tablets which you take when you have a headache. However, some people take a daily tablet to act as a migraine preventer, and this can be a good solution for those who have frequent migraines. Migraines can be triggered by stress, certain foods such as chocolate and red wine, tiredness, and lack of body fluid (dehydration). 

Cluster headaches 
Cluster headaches are very severe headaches, sometimes called 'suicide headaches'. They occur in clusters, often every day for a number of days or even weeks. Then they disappear for months on end. They are uncommon, and tend to occur particularly in adult male smokers. They are severe, one-sided headaches, which are really very disabling (that is, they prevent regular activity). Cluster headaches are usually one-sided. Patients often have a red watery eye on the affected side, a stuffy runny nose and a droopy eyelid. 

What is the treatment for cluster headaches? 
Cluster headaches usually require treatment from your doctor, which can be with tablets or occasionally with inhaler oxygen. Chronic daily headaches Chronic daily headache or chronic tension headache is usually caused by muscle tension in the back of the neck and affects women more often than men. Chronic means that the condition is persistent and ongoing. These headaches can be started by neck injuries or tiredness and may be made worse by medication overuse. A headache that occurs almost every day for six months or more is called a chronic daily headache. 

What is the treatment for chronic daily headaches? 
This type of headache is best treated by physiotherapy, avoiding painkillers and occasionally by antidepressant medications (many of which can be effective against chronic headaches). Primary stabbing headaches Primary stabbing headaches are sometimes called 'ice-pick headaches' or 'idiopathic stabbing headache.' The term 'idiopathic' is used by doctors for something that comes without a cause. These are short, stabbing headaches which are very sudden and severe. They usually last between 5 and 30 seconds, at any time of the day or night, and they feel as if an ice pick is being stuck into your head. They often occur in or just behind the ear and they can be quite frightening. Although they are not migraines they are more common in people who get migraines - almost half of people who experience migraines get primary stabbing headaches. They are often felt in the place on the head where the migraines tend to occur. 

What is the treatment for primary stabbing headaches? 
Primary stabbing headaches are too short to treat, although headache prevention medications may reduce their number. Trigeminal neuralgia Trigeminal neuralgia causes pains - mainly in the face. These consist of extremely short bursts of electric shock-like pain in the face - in the area of the eyes, nose, scalp, forehead, jaws, and/or lips. It is usually one-sided, and is more common in people over the age of 50. It can be triggered by touch or light breeze on the face. 

What is the treatment for trigeminal neuralgia? 
Usually, trigeminal neuralgia can be treated with preventative medicines. 

Migraine - top tips 

What are the different types of secondary headache? 
Sometimes headaches have underlying causes, and treatment of the headache involves treating the cause. People often worry that headaches are caused by serious disease, or by high blood pressure. Both of these are extremely uncommon causes of headache - indeed high blood pressure usually causes no symptoms at all. Chemicals, drugs and substance withdrawal Secondary headaches can be due to a substance, or its withdrawal - for example, carbon monoxide (which is produced by gas heaters which are not properly ventilated), drinking alcohol (with headache often experienced the morning after), and lack of body fluid (dehydration). Medication-overuse headaches, discussed below, are the most common cause of secondary headache. 

Medication-overuse headaches 

Medication-overuse headache is an unpleasant and long-lasting headache. It is caused by taking painkilling medication - usually for headache! Unfortunately, when painkillers are taken regularly for headaches, the body responds by making more pain sensors in the head. Eventually the pain sensors are so many that the head is super-sensitive and the headache won't go away. People who have these headaches often take more and more painkillers to try to feel better. 

What is the treatment for medication-overuse headaches? 
Unfortunately, the treatment is to stop all painkillers for at least a month. Most patients find this very hard to do and take a lot of convincing to even try. The headaches may take weeks or even months to lessen (subside) and may get worse first. Most common painkillers can cause chronic daily headache, but medicines such as ibuprofen - non-steroidal anti-inflammatory drugs (NSAIDs) - are less likely to cause it. If they have not been involved they can be tried as a treatment. Headache preventers are also sometimes used. Many doctors feel that the best way forward is to stop all headache pills and weather the worsening of the headache in order to get better in the end. 

 ▶ Headaches due to referred pain 

Some headaches can be caused by pain in some other part of the head, such as tooth or ear pain, pain in the jaw joint and pains in the neck. Sinusitis is a common cause. The sinuses are 'holes' in the skull which are there to stop it from being too heavy. They are lined with mucous membranes, like the lining of your nose, and produce mucus in response to colds or allergy. The headache of sinusitis is often felt at the front ot the head and also in the face. Often the face feels tender to pressure, particularly just below the eyes and beside the nose. You may have a stuffy nose and the pain is often worse when you bend over. In acute glaucoma the pressure inside the eyes goes up suddenly and this causes a sudden very severe headache behind the eye. The eyeball can feel very hard to touch, the eye is red and the vision is usually affected. 

Exertional headaches/sexual headaches 
Exertional headaches are those associated with physical activity. They can become severe very quickly after a strenuous activity such as running, coughing, sexual intercourse, and straining with bowel movements. Most exertional headaches are harmless. They are more commonly experienced by patients who also get migraines, or who have relatives with migraine. Headaches related to sex particularly worry patients. They can occur as sex begins, at orgasm, or after sex is over. Headaches at orgasm are the most common type. They tend to be severe, at the back of the head, behind the eyes or all over. They last about twenty minutes and are not usually a sign of any other problems. Exertional and sexual intercourse-related headaches are not usually a sign of serious underlying problems. Very occasionally they can be a sign that there is a leaky blood vessel on the surface of the brain, so if they are marked and repeated then it's sensible to discuss them with your doctor. 

What types of headache are serious or dangerous? 

All headaches are unpleasant and some, such as headache from medication misuse, are serious in the sense that if they are not tackled properly they may never go away. However, a few headaches are signs of serious underlying problems. These are uncommon - in many cases very rare. Dangerous headaches tend to occur suddenly, and to get progressively worse over time. They are more common in older people. They include the following: 

Bleeding around the brain (subarachnoid haemorrhage): Subarachnoid haemorrhage is a very serious condition which occurs when a small blood vessel bursts on the surface of the brain. Patients develop a severe headache and stiff neck and may become unconscious. This is a rare cause of severe headache. 

Meningitis and brain infections: Meningitis is infection of the tissues around the brain and encephalitis is infection of the brain itself. Brain infections can be caused by germs called bacteria, viruses or fungi and they are thankfully rare. They cause a severe, disabling headache. Usually patients are sick (vomit) and cannot stand the light. Often they have a stiff neck, too stiff to bend the head down so that the chin touches the chest. Patients are usually also unwell - hot, sweaty and ill. 

Temporal arteritis: Temporal arteritis is, generally, only seen in people over the age of 50. It is caused by swelling (inflammation) of the arteries in the temples and behind the eye. It causes a headache behind the forehead (a frontal headache). Typically the arteries in the forehead are tender and patients notice pain in the scalp when they comb their hair. Often the pain gets worse with chewing. Temporal arteritis is serious because if it is not treated it can cause sudden loss of eyesight. 

Brain tumours: Brain tumour is a very uncommon cause of headaches - although most patients with long-lasting, severe or persistent headaches start to worry that this may be the cause. Brain tumours can cause headaches. Usually the headache of brain tumours is present on waking in the morning, and gets steadily worse from day to day, never easing and never disappearing. It can sometimes be worse on coughing and sneezing (as can sinus headaches and migraines). 

Summary 
Most headaches, whilst unpleasant, are harmless. Headaches are, very rarely, a sign of a serious or sinister underlying condition, and most headaches go away by themselves. It is possible to develop a persistent (chronic) and continuous headache through taking simple painkilling medicines which you took to get rid of your headache. Your doctor can support you through the process of stopping painkillers if this is the case. If you have a headache which is unusual for you then you should discuss it with your doctor. You should also talk to your doctor about headaches which are particularly severe, those which are associated with other symptoms like weakness or tingling, and those which make your scalp sore (especially if you are over 50 years of age). 

Finally, always talk to your doctor if you have an unremitting headache which is present for more than three days or is getting gradually worse. Remember that headaches are less likely to occur in those who manage their stress levels well, eat a balanced, regular diet, take balanced regular exercise, drink plenty of water and get plenty of sleep. Anything that you can do to improve any of these areas of your life will improve your health and well-being and reduce the number of headaches you experience.

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Stress & Headache - Understanding The Relation Between The Two!

MCh - Neurosurgery , MS - Orthopaedics
Neurosurgeon, Bangalore
Stress & Headache - Understanding The Relation Between The Two!

Stress has become an integral and inevitable part of life. From personal life to professional commitments, the trigger can be anything. While there can be many common and harmful effects of stress, one that deserves a special mention is a headache. Almost 90% of the people worldwide get a Tension Headache (a term often used for a headache associated with stress).

In case, when headache is due to tension,  the head feels tight and heavy. Further, a person may experience pressure mainly around the forehand and also at the back side of the head, moving down to the neck. However, it is important that one does not confuse a tension headache with a migraine. The two are as different as chalk and cheese. A tension headache can be chronic or episodic. A person with a chronic tension headache may suffer from the condition frequently. On the other hand, if a person gets a tension headache for less than 15 days a month, the headache is said to be episodic. The condition is more severe and painful in a chronic tension headache.

What causes a tension headache?
While stress (physical, mental and emotional) is the major contributing factor, the following triggers may also play a pivotal role in a tension headache.

  • Severe anxiety and depression.
  • Lack of a proper rest and sound sleep.
  • Extreme fatigue (physical or mental) or hunger can also result in a tension headache.
  • A person with iron deficiency may also suffer from a tension headache.

Managing a stress related headache
Managing and eliminating stress can go a long way to prevent a tension headache. The following activities are sure to make the situation better

  1. Sleep well to keep stress at bay: Sleep can work wonders to reduce stress and the associated headache. Maintain a healthy sleep cycle. Work is important, but compromising on your sleep is foolish. It is important that you sleep for not less than 6-8 hours daily.
  2. A healthy diet for a stress-free life: A healthy diet can play a significant role to reduce stress, thereby enhancing your moods. Enrich your diet with dark green leafy vegetables, dark chocolates, nuts, probiotics, berries (especially blueberries), seeds (sesame, pumpkin, and sunflower), foods rich in omega-3 fatty acids. Foods rich in vitamins, magnesium, and potassium are known to be great mood enhancers. Try and avoid processed foods as well as foods rich in fats and complex carbohydrates as much as you can.
  3. Meditation can help: People under stress can benefit immensely from meditations, exercise, and physical activities. Exercise is known to trigger the release of endorphins or feel good hormones. Endorphins can lift up your mood and spirits to a great extent.
  4. Family time: Spending time with your family and loved ones can also help to reduce stress.

Stress and headache can both be managed and taken care of if you follow a healthy lifestyle.

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In my foot I am having inner growth of bone in the part of heel please suggest me what I have to do can not stand for long hours and having pain in my foot I do not want to take injection as I am very much scared of injection please suggest what another option I have to do.

DPT
Physiotherapist, Gurgaon
In my foot I am having inner growth of bone in the part of heel please suggest me what I have to do can not stand for...
Do contrast bath, take hot water in one bucket and icecold water in another dip your feet in hot water for 4 min. And then dip in cold water for 2 min repeat at least six to seven times. your shoes shd have a soft sole and you can use silicon heal by putting it inside d shoe under your heal. Do some exs 1 bend your toes and streach, about 10 to 15 times Move your ankle up and down 15 times Rotate your ankle clockwise and anticlock wise 15 times each direction.
1 person found this helpful
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Adults? How long does it take for Osgood Schlatter to go away? How do you treat Osgood Schlatter?

MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
Adults?
How long does it take for Osgood Schlatter to go away?
How do you treat Osgood Schlatter?
Osgood Schaltter is a problem at the tibial tuberosity of the Shin bone. It's sometimes associated with other co-factors like Pes Anserinus bursitis, Overweight/Obese, Repetitive overuse of Shin on floor work etc. If it's severe, it usually takes 3 months to heal with proper Physiotherapy and Rest along with Proteolytic enzymes supplements. Feel free to contact me for further evaluation. Hope it helps. Thanks.
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I am suffering from snapping scapula syndrome. What are the exercises to strengthen the shoulder muscles and cure for the syndrome? Thank you.

MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
I am suffering from snapping scapula syndrome. What are the exercises to strengthen the shoulder muscles and cure for...
It's not possible to prescribe Exercises for Snapping Scapular Syndrome (SSS) unless specific diagnosis is confirmed that is, SSS is associated with other co-morbidities, which needs to addressed. In a simple way, you can do Active Range of Motion Exercise for all the planes in a pain free zone. Strenthenig of Rotator cuff muscles and neck muscles will help. Get consulted by a Qualified Orthopedic Physiotherapist for in depth analysis. Hope it helps.
1 person found this helpful
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