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Dr. Narendra Goyal

Pain Management Specialist, Indore

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Dr. Narendra Goyal Pain Management Specialist, Indore
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Narendra Goyal
Dr. Narendra Goyal is a renowned Pain Management Specialist in Navlakha, Indore. You can meet Dr. Narendra Goyal personally at Narendra Indore Pain Clinic in Navlakha, Indore. Book an appointment online with Dr. Narendra Goyal and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Pain Management Specialists in India. You will find Pain Management Specialists with more than 43 years of experience on Lybrate.com. Find the best Pain Management Specialists online in Indore. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Narendra Indore Pain Clinic

G-3 Bhagwati Apartment 04 Maa Durga Nagar Navlakha IndoreIndore Get Directions
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I am suffering from back pain from past 6 years. I had consulted many doctors in the city. When I bend my back spinal was not able to bent, please suggest me the remedy.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from back pain from past 6 years. I had consulted many doctors in the city. When I bend my back spinal...
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily – Lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana? Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
1 person found this helpful
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I had headache over 2 weeks, what should I do, I am very helpless, please answer?

MBBS
General Physician, Cuttack
I had headache over 2 weeks, what should I do, I am very helpless, please answer?
1.Take paracetamol 500mg,1 tablet sos after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take rest If you have recurrent attack of headache 1.It could be a tension headache due to stress, strain,depression,agitation, Hypertension or migraine. 2.Avoid stress, physical and mental exertion, take adequate sleep for 7-8 hours daily 3.Go for regular exercise 4.Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5.Check for refractive error, sinusitis Hemoglobin, BP 6. Consult Neurologist to rule out other causes of headache 7.consult for further advice
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Meri age 30 years and mera weight 65 kg, right leg ki nash khichti h, kamar dard, right kandhe me dard, need na aana, right hip me dard please help me for that

International Academy of Classical Homeopathy, BHMS
Homeopath,
Meri age 30 years and mera weight  65 kg, right leg ki nash khichti h, kamar dard, right kandhe me dard, need na aana...
2. Rhus tox 200 once a day for 4days Rita 200 as above Sympht 200 as above Hyper200 once day for 5days Bell3 c liquid 4tims day
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Left leg ligament on March 2016 and till now it haven't got cured according to MRI report I need to go under surgery and I don't Wana do that so please suggest what should I do in order to cure naturally.?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Left leg ligament on March 2016 and till now it haven't got cured according to MRI report I need to go under surgery ...
If partial tear then do laser therapy and ultrasonic therapy and quadriceps exercises in gradually process.
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Hiii , I am 18 years old. And I have backache from 1 years . Please give me some suggestion. My sleeping is midnight.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hiii , I am 18 years old. And I have backache from 1 years . Please give me some suggestion. My sleeping is midnight.
Posture correction must do physiotherapy treatment nw after relief do stretching exercise. Avoid long sitting toward bending and lifting weight.
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daily stomach pain continually. I have some medicine not clear jack any option pending and take.

MBBS
General Physician, Cuttack
daily stomach pain continually. I have some medicine not clear jack any option pending and take.
Take bland diet , avoi spicy food,take plenty of water,don't remain in empty stomach. Take one capsule of omez daily in the morning before breakfast If no relief consult doctor.
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I am 22 year old. A very hard pain in my back. Give solution for it. And give instruction for treatment. Thank you.

BPTh/BPT
Physiotherapist, Gurgaon
I am 22 year old.
A very hard pain in my back.
Give solution for it.
And give instruction for treatment.
Thank you.
Take hot fermentation and mentain proper back posture. If it keeps paining then you have to take some sessions of physiotherapy. Thank you.
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Hello sir, I feel often head ache and several leg pain during walking and running. And eye pain. WHat should i do to cure?

DHMS (Hons.)
Homeopath, Patna
Hello sir, I feel often head ache and several leg pain during walking and running. And eye pain. WHat should i do to ...
Hi, you might b suffering from malnutrition as you r under weight by20 kg. Take easily digestible, nutritious diet on time. Take, apples, carrots, cheese, soya been, milk, almonds, walnuts, spinach, potatoes. Take plenty. Of water to eliminate toxins and to regulate your metabolism. Homoeo medicine: @ alfalfaq-10 drops, thrice with little water. @ five phos6x-4 tabs, thrice with lukewarm water. Take care.
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I always have some pain in my shoulders back. When I do sit in front of my computer what is reason for this? What would I have to do for the duration of this.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I always have some pain in my shoulders back. When I do sit in front of my computer what is reason for this? What wou...
Do Take IFT and laser Therapy for 7 days followed by mobilisation exercise From Neuro physiotherapist Best Wishes
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Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology response to treatment. Using precision diagnostic therapeutic blocks in chronic lbp, isolated facet joint pain in 40%, discogenic pain in 25% (95% in l4-5 l5-s1), segmental dural or nerve root pain in 14% sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of lbp after conservative treatment has failed.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (fbss). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ l. A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain (even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options in assessing previously operated spines.

Percutaneous disc decompression (pdd): after diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

Ozone-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at european countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

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My wife aged 64 had leftside stroke on 7th Jan,15. Got treated and recovered 75 to 80%. But she is hacing sholder pains. What is the remidy.

MBBS, MD - General Medicine
General Physician, Pune
Complete recovery and pain relief may take time. Continue regular physiotherapy and keep patience. Best luck. Dr Abhijeet Baldota MBBS MD MEDICINE
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Hello sir. My problem is my stomach is not clear proper I am taking the medicine also but not clear at all so what can I do.

BAMS
Ayurveda, Bangalore
Hello sir.
My problem is my stomach is not clear proper
I am taking the medicine also but not clear at all so what ca...
Hi, Please follow these home remedies to cure constipation: - Eat a big bowl of papaya daily before or after food. - Soak dry fig in water overnight and eat it in the morning every day. - Add 2tsf of lemon juice and a pinch of salt to a glass of hot water and drink it on empty stomach in the morning. - Eat one medium sized raw potato along with its peel daily. - Include lot of vegeables like cucumber, carrot, onion,beetroot, ladies finger,radish, snakegourd, beans, etc, both cooked and raw , in your diet. - Add 1tsf of pure ghee to a glass of hot milk and drink it at bed time.
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Now days I studying more than 6 hours and I had a headache for two days how to get out from this situation.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
Now days I studying more than 6 hours and I had a headache for two days how to get out from this situation.
Take over the counter available analgesics like paracetamol or Ibuprofen for relief. HeadacheHeadache with studies is often due to refractive error, get your vision checked and wear spectacles accordingly Follow these lifestyle changes to avoid headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily 5. Take breaks between study and walk, stretch your back , splash eyes with water and focus on distant objects. If problem persists consult again.
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Day before yesterday my mom just slipped on the floor, from then she's feeling lot of pain on her back bone. When I took her to an orthopedic doctor he asked to take an x-ray and said that one bone were slightly disturbed but will become normal in 2-3 weeks. After that he suggested some medicines after using which my mom facing EVEN MORE PAIN THAN BEFORE. Can you help me on this? Also suggest her a good diet to loose some weight. She's 5.4 feet height with 69.3 kgs of weight.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Day before yesterday my mom just slipped on the floor, from then she's feeling lot of pain on her back bone.
When I t...
I'll recomment to do mri for detail examination 1) do light massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. Consult privately to get more help.
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I am a 20 year old male and I always have pain in my legs whenever I stand for a long time or while playing. Even while doing pushups my leg hurts more than my hands. Is it normal? what should I do?

BPTh/BPT
Physiotherapist, Mumbai
I am a 20 year old male and I always have pain in my legs whenever I stand for a long time or while  playing. Even wh...
Hi legs pain can be due to muscle weakness, dehydration, calcium and vit. D deficiency or pain may be radiating from lumber spine. -increase fluid intake. -check you calcium and vit. D. -learn strengthening exercise for spine and leg from physiotherapist.
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R/Sir I have pain in my left knee in every winter since last year. Its very painful while stand after long time sitting.

Md ayurveda
Ayurveda, Bangalore
R/Sir
I have pain in my left knee in every winter since last year. Its very painful while stand after long time sitting.
Hello lybrate user, you need to rule out for ra test 1st. 1. Take decoction of fresh ginger and ajwain daily before food twice a day 2. Apply dry ginger powder mix with warm water and apply on knee joint for 15min and wash. 3. Apply dhanwantara taila to. Joints daily once. 4. Take trayodashanga guggulu 2-0-2 after food. Do consult aftr 15days. Thank you.
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