Book Clinic Appointment with Dr. Sanjay Sharma
Treatment of Pain
Knee Pain Treatment
Treatment of Cervical Problem
Treatment of Cervical Spondylosis
Treatment of Neurological Problems
Treatment of Hip Disorders
Back Pain Treatment
Neck Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment Of Disk Slip
Chronic Pain Management
Treatment Of Herniated Disc
Treatment of Spine Injuries
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Treatment of Muscle Pain Skeleton System
Treatment Of Foot Infection
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Patient Review Highlights
I was shocked to experience the symptoms of pain treatmentHe is so pleasant to talk to and always ready to answer your doubts. I was suffering from pain treatment for such a long time. I must say the hygiene was maintained very nicely in the JPRC Spine & Joints CareJPRC Spine & Joints Care has all the latest technology in place to handle severe cases. Thanks to him I am much better now. Sanjay Sharma has in depth knowledge and ensures that he explains the problem in detail.
Someone from the office, referred us Dr Sanjay Sharma. He doesn't just randomly prescribes medicines, but first properly diagnoses the problem. The entire JPRC Spine & Joints Care was spotlessly, clean. My previous experiences were not so good, but he has completely changed my opinion as he is very helpful and humble. He helped me immensly to deal with the issue.
I was having very bad thoughts regarding my migraine. I consulted Dr Sanjay. He ensures that he listens to his patients. I thank him for the expert care and guidance. I am totally satisfied with the results. Sanjay Sharma has expert knowledge in the field. The facilities available in the JPRC Spine & Joints Care are very nice.
My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. It's been more than a year that I was experiencing lower back pain. The facilities available in the JPRC Care are very nice. Dr Sanjay ensures that he gives enough time to each patient.
I was in so much Back pain due to my lifestyle problem and lomg sitting hours at office.Thanks to dr Sanjay Sharma of JPRC Spine & Joints Care in Jaipur because of his treatment and medication I am much better now.
I thank Dr Sanjay for providing me RF Neurotomy. I was quite worried about my joint pain which was affecting my day to day life. His advice and counselling has helped me immensely.
My weight is 71 kg, Age 27 years old, I have pain in tailbone when long time seating, travelling. Please advice
I have L4 L5 S1 disk bulge. I had so many medications but no use. While sitting am getting pain. While walking and standing there is no pain. Please suggest me tip. Am suffering from last 2 years. Hope I get the right suggestion from this. Thank you.
Also called as slipdisc pain or sciatica may affect your lumbar or cervical or throracic spine. But most common is l4 5and l5-s1 level or c5-6 level.
Most of painful condition of pertaining to your spine due to bulge, prolapse (protrusion), extrusion, sequestration. In with all condition nucleus pulposus come out from it originally site. Causing pressure over traversing or exiting nerve roots. Most of time patient getting treatment for of slipdisc or sciatica etc without any radiological evidence.
What causes pivd?
*unwanted prolonged exposure to sitting posture
*acute forward flexion
*unwanted weight lifting
*trauma or accident
*keep on exercise for chronic pain condition
What is symptoms?
Paresthesia, numbness, tingling sensation, burning sensation, spasms in thigh's and calf muscles, radiating pain upto knee or foot. Unable to sitting or standing for long hours, bowl or bladder incontinence, motor power affected
What are basic investigation?
X-rays only show alignment and fracture and displacement of vertebrae,
Mri scan shows all soft and hard structure of spine-all disc, nerve, ligaments, joint, vessel and muscles etc can be seen in perfect way
Emg, ncv, neurometry etc
There's two types of options for your spine pain, one is conservative treatment with bed rest, exercises and medicine. But upto certain duration 6week to 6month you can try with. If no red flag sign like loss of motor power. Or bowl bladder involvement should take opinion from surgeon.
Second way is surgical procedure-like conventional open surgery or endoscopic minimal invasive techniques choice of your surgeon. As common man had reservation about spine surgery as thoughts to be risky, chance of bowl and bladder incontinence, or power loss of limbs, because in conventional surgery a small percentage of cases use to face failed back surgery syndrome. Where such complaint were invitable. Big skin incision. Long bed rest. Long hospital stays. Even with expert surgeon these complications were enviably there.
Secondly there is minimal invasive like pin hole stitchless techniques are now choice for spine disc pain problem. Day care surgery with out any blood loss. 24hrs hospital stay, no incision like conventional surgery. Done under local anaesthesia and sedation. Patient can resume daily activities same day. Can go to work with safety measures after 2weeks. And safety precautions to be followed for strengthening your back spine. Now like day care surgery endoscopic discectomy for slipdisc pain can be managed in our hands. All surgery can be seen even by patients on screen, what exactly happened to your spine and disc material.
Post procedure- follow up-
Regular physiotherapy and rehabilitation services is mandatory for strengthening of your spine.
Prognosis-success of procedure is 95%with all precautions and safety measures.
Back pain may occur due to various reasons. Chronic back pain is the one that remains for 12 weeks or more than that even after the cause of the pain has been treated. There are several ways of treating chronic back pain. Its treatment depends upon the nature of injury or the actual underlying cause of the pain.
The treatment for back pain has been listed below:
- Short-term methods: Initially, people use short-term remedies for tackling back pain. Over-the-counter painkillers and home remedies are used to cure the patient. This might show useful results within six weeks.
- Continue movement: Although traditionally, patients with back pain were advised to take complete bed rest. However, doctors today are of the opinion that patients should not take complete bed rest. The patient should try to move around a bit. It may be hurting first, but slowly it will heal the pain. One can take up brisk walking for best results.
- Painkillers: Patients are first prescribed to take paracetamol. However, some people take non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen for faster relief. There are stronger painkillers like codeine. But one must keep in mind that painkillers are not good for health. They have side effects. Long-term use of painkillers can cause damage to the kidneys. If these are not effective, the doctor might switch to muscle relaxant like diazepam.
- Hot and cold compress: Patients are advised to take hot or cold compress to get relief. A hot bath or compress with hot water can be useful. Otherwise, using ice pack can also produce effective results. Often, alternate hot and cold compress are advised to get rid of the pain.
- Change your sleeping style: The pain can be reduced to a great extent by changing one's sleeping pattern. Use pillows to change the sleep pattern.
- Exercise: The patient might have developed back pain due to faulty posture or obesity. In order to get rid of the pain, one must address these issues first. Shred the extra pounds b exercising the correct way to get cured of the pain.
- Acupuncture: It is a kind of treatment in which fine needles are put at different points of the body. This helps in reducing the pain.
- Oil massage: There are various kinds of massage techniques available. These improve the circulation of blood. This in turn, rejuvenates the muscles and bones by providing sufficient oxygen supply.
- Antidepressants: These are prescribed when painkillers don't show effective results. Tricyclic antidepressants (TCAs), such as amitriptyline are given to the patient. However, these are given in small doses.
- Stay calm and positive: It is important to have a positive frame of mind to get rid of the pain. One has to be patient and not lose hope while the treatment is on. If you wish to discuss any specific problem, you can consult a pain management specialist.
Unlike muscle aches, neuropathic pain or nerve pain is usually a lifelong condition. This usually affects the feet. In some cases, it can get better over the years but in most cases, nerve pain stays persistent or worsens with time. Neuropathic pain is caused by nerve damage and commonly triggered by conditions such as diabetes or is a result of the side effects of medication or chemotherapy.
Medication is usually the first line of treatment when it comes to dealing with neuropathic pain. Medication prescribed for such conditions can be categorized as:
- Local anesthetics
These may be prescribed individually or in a combination of two or more types of drugs. additionally, topical creams may also be prescribed for pain relief. Conventional medicine can provide temporary relief from nerve pain. However, in the long run, making a few lifestyle changes can help control nerve pain. Here are a few tips.
- Exercise: Nerve pain may tempt you to sit in one place, but you must force yourself to walk about and exercise a little on a regular basis. Exercising increases blood flow to the extremities of the body and releases endorphins that act as natural painkillers. It can also expand blood vessels and nourish damaged nerves.
- Avoid alcohol: If you suffer from nerve damage, alcohol can aggravate the damage and increase pain. Hence it is best to skip alcohol and all other kinds of stimulants.
- Heat therapy: Soaking your feet in a warm bath or using a heat pack can be very effective when it comes to dealing with nerve pain. The heat temporarily increase blood flow and reduces pressure on the nerves. However, be careful to avoid burning yourself.
- Get a good night's sleep: Nerve pain is usually aggravated at night, thus disturbing your sleep. To get the required 8 hours of sleep a day, try maintaining a schedule of going to bed and waking up at the same time everyday. Drinking a cup of warm milk may also help you fall asleep faster. Ensure that the last cup of coffee you drink is in the afternoon.
- Massage: As with muscle pains; a massage can help ease and reduce nerve pain. Your choice of oils also has a role to play in the effectiveness of the massage. While lavender oil helps people relax and takes their mind of the pain, geranium oil can help directly reduce nerve pain. If you wish to discuss any specific problem, you can consult a pain management specialist.
The lower back region of your body contains many important supportive structures to carry your upper body weight and also transfer the weight to the hips and the legs. This weight is primarily carried by lower vertebrae of the spine along with muscles and ligaments. There are many important nerves running through the spine which perform important functions of the nervous system. Lower back pain could be caused if any of the above is adversely affected.
Causes of Lower Back Pain
If you sprain your ligaments or muscles it could cause lower back pain. Curvature of the spine could also affect the nerves within the spine, pressing up against them, thus causing pain. Some of the common causes include poor posture, arthritis, fracture, improper lifting, or a ruptured disk among others. There are no variable symptoms associated with this condition but only one, which is pain in the lower back.
Tips to Control Lower Back Pain:
Restorative sleep: Getting lots of sleep or rest is a great way to correct lower back pain, especially the ones caused by muscles or tendon wear and tear. Paradoxically, irregular sleep might aggravate your lower back pain. Make a strict sleep routine and stick to it. Make sure to get at least 8 hours of sleep and more if prescribed by the doctor to reduce the pain and let the body heal itself.
Exercise is the key: Your lower spine is supported by the muscles residing in your back and abs. These muscles need to be strengthened through exercise, during the period of a normal day. There are a wide range of exercises which can be performed for about 30 minutes to keep your core muscles engaged and provide relief to the nerves of your lower back.
Heat Therapy: Heat therapy brings nutrients and stimulates blood flow to the affected area. There are several forms of heat therapy like a hot shower, heating pad, heat wrap, hot water bag, or soaking the affected area in a hot-tub which provides warmth and heals your lower back.
Cold Therapy: This therapy helps to reduce the pain to a great extent. It is defined as a process of ice pack application on the affected area which decreases inflammation by slowing down the nerve impulses. It reduces pain and by allowing you to rest also help in healing.
Correcting your posture: It is very important for you correct your posture as spinal deformities arising from years of bad posture is a leading cause of lower back pain. Try to sit in a corrective posture and slowly increase the time that you can spent in that posture until good posture becomes your default. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
Pain and sleep together contribute to be a dreadful cycle. Pain and sleep are two aspects, which go hand in hand. The effect of the pain coupled with stress and tension causes detrimental effects on sleep.
- Relationship between the two: Studies show that more than half the percentage of people with chronic pain disorders suffer from sleep problems and more than half of insomniac patients suffer from pain. Pain affects the duration of sleep and pain inflicted people have poor sleep hours. Pain also affects the quality of sleep. While trying to fall asleep, environmental factors such as light, external noise and temperature affect a pain inflicted person more. People suffering from pain have much less control on sleep. They worry about their disrupted sleep cycle, which causes more stress.
- Medications: Medications which treat chronic pain sometimes are responsible for causing sleep disturbances because of the presence of certain chemicals. It is perceived that pain medications would reduce pain and sleep would improve. However, this is not the case and people who take medicines for pain treatment, suffer from disrupted sleep. Sleeping pills do not work effectively in people suffering from pain.
- Effects: Lack of sleep affects your quality of life to a great extent, especially when it is due to pain. Lack of sleep combined with pain will affect any kind of work you undergo and your performance will be dull and sloppy. There will be a degradation in the person's mood, activities and even relationships are affected.
- The disastrous cycle: Sleep and pain create a dangerous cycle. The relationship between sleeplessness and pain is reciprocal in the sense that pain affects and causes difficulty in sleeping, in a continuous pattern and poor sleep further enhances or affects pain. Pain causes disturbances in sleep, gives rise to stress and fatigue and leads to even more pain, which again affects sleep. This process keeps on occurring like a cycle.
- Treatment: For treatment of sleeping disorders due to pain, both the aspects should be addressed. A multidisciplinary approach has to be taken. You can try interventional treatment procedures, which will help you to decrease your level of pain. Along with this, you should consult a behavioral health specialist to get the best remedies on coping with stress. Working these two out will result in decreased pain, decreased stress and your normal sleep will be revitalized.
Pain and sleep together work like a cycle. Excess pain leads to reduced sleep, which causes more pain in return and the cycle carries on. Proper remedies should be taken to get rid of the pain, which would revive good sleep.
When you experience any kind of bone and joint pain, you may be wondering what the best remedy might be to get relief. Some people ignore the pain, and it worsens, while others take over-the-counter medicines. However, the best remedy for bone and joint pain is to visit a pain management specialist. The field of pain management has evolved over the last twenty years. Nowadays, there are dedicated pain management specialists who are experts in treating bone and joint pain.
Here are 3 reasons to consult a pain management specialist for bone and joint pain:
- Pain management specialists are trained especially for understanding any kind of bone or joint pain. They undergo special training based on bone and joint pain management and thus know how best to recognize and treat such pains.
- Pain management specialists have a multidisciplinary approach towards treating bone and joint pain. The aim of pain management is to provide overall treatment and pain management specialists know about the best ways to take care of joint and bone pains. Pain management involves interventional procedures, psychological therapies, medication management and physical therapies. Pain management specialists also provide you with lifestyle modification remedies and assign you exercise schedules and diet plans. Alternative medicines like acupuncture and massage therapies are also provided by pain management specialists.
- Pain management specialists cooperate with you and come up with the best solution for your bone and joint pain. Pain is such an aspect, which has no fixed cure and the remedy varies from person to person and depends on the nature and severity of the pain. Thus everyone should receive a personalized treatment, which is most suitable to cure the pain that has occurred to them. Pain management specialists work with patients, discuss a lot and come up with the best treatment procedure, which would complement the patient. For example, a neurostimulation device can be prescribed to a patient who suffers from complex regional pain syndrome and did not have success with other treatment procedures. In many patients with a shattered spinal disc, pain management specialists prescribe injections, which work effectively to give relief and treat the condition.
A pain management specialist can make the best assessments on bone and joint pain. Being trained especially in bone and joint pain management, you can bank upon pain management specialists to receive the best treatment for your bone or joint pain. In case you have a concern or query you can always consult an expert & get answers to your questions!
Are you worried about the labour pain? It is perhaps the most difficult phase of a woman's life. But today, there is no reason to worry for. Thanks to epidurals, you can give birth to your baby without experiencing the pain involved.
Epidural is the new age anaesthesia. It is used to block pain in a specific region of the body. A patient is not made unconscious fully at the time of any surgery. He or she is given epidural for regional anaesthesia. Its use has become popular during childbirth. A pregnant woman is given epidural at the time of labour or c-section. It provides relief from the pain rather than cutting off the patient's feelings or senses.
Although it has become a widely accepted technique, women worry about the safety of epidurals. They are concerned about the safety of the baby and their health. But it is absolutely safe.
- How do these work?: There are nerves in our body, which carry the pain signals to the brain. These nerves pass through epidural spaces. Therefore, anaesthesia is injected into these spaces to stop the pain signal from reaching the brain. This blocks the pain. If you are pregnant and thinking whether to go for epidural or not, you will have a lot of questions in mind. Here's all that you need to know about epidurals:
- Effect on baby's and mother's health: Use of epidurals tends to increase the time of labour by 20 minutes approximately. The mother may develop fever. However, it blocks the pain. This is some relief to the mother. As there is no pain, stress hormones are not released. Thus, blood will not be diverted from uterus and placenta. Baby's supply of nutrients and oxygen will remain intact.
- How painful it is?: Women mostly worry about the painful insertion of the epidural needle. However, this will not hurt you. A small needle is first inserted to make the area numb. Thereafter the bigger needle is inserted. You may feel the discomfort for five seconds. The epidural medicine starts functioning just after 5 minutes of insertion.
- Procedure: First the patient is made to take the suitable position. While some may be asked to lie sideways, others may be asked to sit straight. The area is cleaned with a solution. The small needle is first inserted to create numbness in the area. Once the area is numb, the bigger needle is inserted. You might feel a pinching sensation. Thereafter, a catheter is threaded to the epidural space, where the nerve carrying signal of pain passes through. Epidural medicines are pushed into the region via the catheter. Epidurals don't affect your nerve endings or spinal cord. They are pushed into the epidural space. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
Ever faced a nagging low back ache that just won't quit? You could be dealing with sciatica. Sciatica or sciatic nerve pain is not a diagnosis in itself, but is a symptom of a deeper problem. Conditions that trigger sciatica include degenerative discs, spinal stenosis, a herniated disc in the lumbar region or spondylolisthesis. Whether your sciatica pain is persistent or sporadic, it can make routine tasks difficult to perform. The good news is that there are a number of remedies to ease this pain and improve the health of your spine.
- Hot and cold therapy: Sciatic pain that extends down to the thighs can be relieved by alternating between a heat pack and an ice pack. Each pack can be applied for about 20 minutes at a stretch every two hours. However, this does not treat the sciatic nerve itself.
- Pain medications and steroid injections: Over the counter pain medication like ibuprofen or muscle relaxants can help alleviate pain and reduce inflammation. In chronic cases, epidural steroid injections may also be prescribed to address the inflammation and pain. Pain relief provided by medication and steroid injections can last for a few days or a few months depending on the person.
- Yoga: Sciatica patients looking for long term relief often turn towards alternative forms of treatment like yoga. Yoga helps strengthen muscles, increases flexibility and improves posture. This is more beneficial towards preventing sciatica problems from arising than treating ongoing sciatic pain. When practicing yoga with a sciatica problem, it is very important to understand your body's limitations and not over extend your back muscles.
- Massage: A massage that treats sciatic pain is very different from the usual massage you may get at a spa. A massage to relieve sciatic pain involves putting pressure on the inflamed part of the back and the piriformis muscle. This is the muscle that sits over the sciatic nerve and triggers sciatic pain. In most cases, 3 to 4 massage sessions at intervals of 7 to 10 days can have effective results on sciatic pain.
- Physical therapy: Sciatica patients often find the slightest movement extremely painful. While lying in a bad is tempting, it can actually worsen the pain. Exercise increases blood flow to the spine and helps flush out toxins. Going for a walk, light aerobics or swimming are ideal ways for a sciatica patient to exercise.
- Chiropractic manipulation: This involves realigning the spinal column and is an effective way of treating underlying conditions that trigger sciatic pain. These spinal adjustments should only be performed by licensed chiropractors or osteopathic physicians. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.