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Shashank Indore Pain Clinic

Pain Management Specialist Clinic

F-06 1st Flor Basera Apt Index Medical College Nemawar Road MH59A Near Khudel Indore
1 Doctor
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Shashank Indore Pain Clinic Pain Management Specialist Clinic F-06 1st Flor Basera Apt Index Medical College Nemawar Road MH59A Near Khudel Indore
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By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Shashank Indore Pain Clinic
Shashank Indore Pain Clinic is known for housing experienced Pain Management Specialists. Dr. Shashank Shekhar, a well-reputed Pain Management Specialist, practices in Indore. Visit this medical health centre for Pain Management Specialists recommended by 78 patients.

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F-06 1st Flor Basera Apt Index Medical College Nemawar Road MH59A Near Khudel
Indore
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

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Osteoarthritis - 5 Tips to Help You Prevent It

M.Ch. orthopaedics, M.S. (Orth)
Orthopedist, Ludhiana
Osteoarthritis - 5 Tips to Help You Prevent It

Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise. The symptoms may vary from mild creakiness in the joints and swelling to the loss of cartilages between bones.

Long periods of inactivity can also trigger extreme stiffness as well. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain. Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement may be a viable solution, there are other non-surgical processes that reap fruitful results while battling osteoarthritis.

It usually involves an optimum mixture of exercises and drug therapy. While there are several cures available, prevention should always be a priority.

  1. Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Other preventive methods include medicinal spa, massage and chiropractics. These are extremely beneficial in cases osteoarthritis.
  2. Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
  3. Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
  4. Surgery: Although not the favorite, knee replacement surgery is often undertaken even if initial signs of osteoarthritis or rheumatoid arthritis are detected. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this.
  5. Acupuncture: Acupuncture has gained a lot of popularity in the recent times. Based on ancient techniques, this involves gently needling the various pressure points to purify the system from within and reduce the joint pains. They have extremely health boosting properties and contribute to one’s overall well-being.
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I am having back pain since 3 month. On and off nature. Pain disappear on walking and start on sleeping .paine is diffuse in low back region. On MRI annular tear at l4 l5 level and no bulge of disc .plz guide.

Fellowship of the Royal College of Surgeons (FRCS), MRCS, DNB (Orthopedics), MBBS
Orthopedist, Visakhapatnam
I am having back pain since 3 month. On and off nature. Pain disappear on walking and start on sleeping .paine is dif...
Back pain will settle soon. U need to do physiotherapy. Because of annulus tear, some episodes of back and leg pain will come because of the chemical reaction. If pain persist, you can take caudal epidural injection, which will help regarding the pain.
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I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.

DHMS (Hons.)
Homeopath, Patna
I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.
Hello, Lybrate user, You might have been injured on your back cause pain lumber region. Tk, Homoeopathic medicine:@ Hypericum 200-6 pills, thrice. Tk, care.
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I am 24 year old female, unmarried, I have a stomach pain in 2 or 3 days. Its not a period time. I consult with my doctor and she is checked my scan report and she said no problem in my stomach. Please help me.

BHMS, pgdcbm, MD(AM)
Homeopath, Gurgaon
I am 24 year old female, unmarried, I have a stomach pain in 2 or 3 days. Its not a period time. I consult with my do...
Pain in abdomen could be because of acidity and indigestion if your ultrasound scan is normal. You can boil saunf in water and drink that water. Consult privately for homeopathic medicine.
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I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still having pain and some part of shoulder is very hard n stiff I want to know that is shoulder stiff /hard due to injection. My ultrasound of shoulder as well x ray is OK please suggest me the right way. With regard Ashu Tandon Age 40 male.

MPT (Sports Medicine)
Physiotherapist, Delhi
I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still ha...
First of all you have to be assessed for any of the muscles or soft tissues of your shoulder. Then your movements have to be checked properly. And for this you need expert consultation. Then only reach to some decision else you would be prescribed 1 thing or another by different people no matter whether you get relief or not.
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I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
Many times all tests are negative and the patient still suffers. You are suffering from indigestion and due to which there is a toxin called AMA being formed in your stomach. This is accumulating in joints leading to swelling and stiffness. So digestion needs to be rectified first along with panchakarma treatment. Pls see me personally.
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I suffering from pain on forehead and I have not sugar ,heart attack. What should i do to cure?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in Healthcare Services
Ayurveda, Una
I suffering from pain on forehead and I have not sugar ,heart attack. What should i do to cure?
Continuous pain in forehead may be due to sinus problem, vision problem etc. So I advice you to go for a clinical examination rather than taking generalised treatment or taking a pain killer. Because once the proper cause is ruled out it would be easier for you to take treatment.
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My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patient. Can you help her in this?

BHMS, MD - Homeopathy, Post Graduation Diploma In Psychological Counselling, Certificate Course in Medical Transcription
Homeopath, Mumbai
My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patien...
Get her dexa scan done. She will have to take calcium supplements and do mild exercise. Eat well. Yes, homeopathy can help her.
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Is there any cure for bulged disc to be bought back to its original position in the world? Allopathic or ayurvedic? Specifically im having mild disc bulge at my lower back.

BAMS, PG Dip (Medical Education), (FAGE) Fellow of Academy of General Education, MBA (Healthcare)
Ayurveda, Bangalore
Is there any cure for bulged disc to be bought back to its original position in the world? Allopathic or ayurvedic? S...
Disc bulge can be managed with Ayurveda Treatments, Life style modifications, Medicines and Yoga. If disc bulge untreated may lead to numbness, pain, stiffness and many other symptoms. With 2-3 months of precautions and treatments can definitely help you with this condition. But pls consult an Ayurveda Doctor nearby and do not do any home remedies.
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My left back is paining. It is giving some pain signal the time when I hold handle of sweat.

DHMS (Hons.)
Homeopath, Patna
My left back is paining. It is giving some pain signal the time when I hold handle of sweat.
Hello, Lybrate user, Tk, Homoeopathic medicine:@ Arnica mont 200-6 pills, thrice. Avoid, junk food, alcohol, cold intake, lifting weight. Tk, care.
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Dear sir I have been suffering right side chest pain past from 1 week. What it is please reply.

MBBS
General Physician, Cuttack
Dear sir
I have been suffering right side chest pain past from 1 week. What it is please reply.
1.For your age pain chest could be due to anxiety, stress, depression, Physical and mental strain, hyper acidity, muscular problem 2. Avoid stress and strain 3.Do regular exercise, reduce your weight if over weight. 4.Control your diet. Avoid oily/spicy/fried and junk food, high calorie and cholesterol rich diet. Take small frequent meals (5-6 meals/day instead of three heavy meals. If you have hyper acidity take one tablet of pan 40 in the morning before breakfast daily for few days 5.Do Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress. 6.Have sound sleep for 7-8 hours daily. 7.Avoid smoking, alcohol, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Takecrocin Advance one tablet sos after food up to a maximum of three tablets per day at the time of chest pain 10. If you have recurrent attack of chest pain check your BP, take ECG, X ray chest and consult physician for advice and treatment.
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I'm srikanth when I'm eating less quantity of rice suddenly getting pain in stomach some what. I dnt know when I'm drinking water stomach pain getting in stomach.

MD- Ayurveda
Ayurveda, Ujjain
I'm srikanth when I'm eating less quantity of rice suddenly getting pain in stomach some what. I dnt know when I'm dr...
Dear lybrate-userji, You are suffering from AGANI MANDH, take LASUNADI BATI 2-2-2, three times a day, KUMARI ASAV 30-30 ml with equal quantity of water, twice a day after meals. You will get rid of your problem.
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Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complete ACL Tear, Grade 3 Tear f posterior Horn of Meniscus and Knee Joint Effusion. What is the treatment for this? Surgery is necessary?

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Impression :- Mr. Morphology suggestion Features are Suggestive Of kissing Contusions Of Tibia And femur With Complet...
You can wait upto a period of 6 weeks during which you have to undergo physiotherapy to strengthen your thigh and calf muscles and also to improve your knee movements. At the end of this regimen if you are able to carry out all your pre-injury activities comfortably you may not need surgery immediately. But if you have knee pain / instability at the end of 6 weeks, it is definitely advisable to undergo surgery. Thanks & Regards.
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What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n leg. Thank you doc.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n...
You have to go for traction and also you can do IFT. Please consult the near by therapist for quick relief. It is also suggestible to go for cervical muscle strengthening exercises.
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Sometimes, pain of chest, it makes a great problem in my life. You are requested to give me a solution of this problem.

MBBS
General Physician, Mumbai
Sometimes, pain of chest, it makes a great problem in my life.
You are requested to give me a solution of this problem.
Dear Lybrateuser, - At your age pain chest could be due to acidity, anxiety or sedentary habit - avoid fried, spicy, sour & junk food, restrict intake of tea, coffee to 1-2 cups per day - chew your food well, do not skip meals, have meals on time, do not lye down for about an hour after meals, have dinner 2-3 hrs before bedtime - take syrup Gelusil, 2 teaspoonful three times a day half an hour after meals - have 7-8 glasses of water per day for proper digestion -do regular exercise like brisk walking, jogging, swimming for 20-30 min, also do yoga & deep breathing for 5-10 min daily morning to keep fit.
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I am getting headache along with whole body pain Headache along with whole body pain.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
I am getting headache along with whole body pain
Headache along with whole body pain.
Headache along with body pain can be due to viral fever, dengue, infections or exertion. Take over the counter medications like paracetamol for relief. If problem persists consult your local doctor for blood tests and further management.
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I have knee pain from 2-3 month when I get any painkiller or use move then I give relief only for 1-2 days and after that pain again continuously.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have knee pain from 2-3 month when I get any painkiller or use move then I give relief only for 1-2 days and after ...
As knee pain is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Simple Knee Exercies Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.
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I have made road accident before 2 months but but at the time of walking I am feeling pain in left leg knee. So give me the suggestions about ligament injury. And treatment.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have made road accident before 2 months but but at the time of walking I am feeling pain in left leg knee. So give ...
If you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. Wear knee cap so that you will feel firm while walking or climbing stairs.
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