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About

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.

Timings

MON-SAT
09:00 AM - 01:00 PM

Location

92/2A Bidhan Nagar Road , 2nd Floor , Concord Tower, Ultadanga , Besides Coal India, Sreekrishana Colony, BRS 3, Ghose Bagan
Kolkata, West Bengal - 700067

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Specialities

Pain Management

Pain Management

Concerns itself with the effective diagnosis and management of various kinds of pains

Doctor

Dr. Gautam Das

MD, FIPP
Pain Management Specialist
92%  (363 ratings)
31 Years experience
1000 at clinic
₹300 online
Available today
09:00 AM - 01:00 PM
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Services

Complex Regional Pain Syndrome Treatment

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Treatment of Disc Prolapse

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Treatment Of Disk Slip

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Epidurals And Spinal Anesthesia Techniques

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Fibromyalgia Treatment

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Treatment Of Herniated Disc

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Treatment Of Lumbago

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Treatment of Mckinzie Treatment For Spine

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Treatment of Muscle Pain Skeleton System

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Neck Pain Treatment

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Treatment of Neurological Problems

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Pain Management Counseling

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Pain Treatment

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Rf Neurotomy Procedure

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Spinal Cord Injury Medicine

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Spinal Deformity Correction Procedure

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Spinal Disc Surgery

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Treatment of Spinal Diseases

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Treatment of Spine Injuries

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Treatment of Spondylosis

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Thermotherapy Treatment

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Transcutaneous Electrical Nerve Stimulation (Tens)

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Ozone Injection Treatment

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Platelet Rich Plasma Treatment

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Radiofrequency Neurotomy Procedure

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Epidural And Spinal Anesthesia Techniques

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Ozone Injection Treatment

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Ozone Therapy Treatment

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Patient Review Highlights

"Prompt" 1 review "knowledgeable" 1 review "Very helpful" 2 reviews

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Central Pain Syndrome - All You Need To Know About It!

MD, FIPP
Pain Management Specialist, Kolkata
Central Pain Syndrome - All You Need To Know About It!

It is a form of neurological problem and is caused by the harm or injury of the vital nervous system. It consists of the brain, the brainstem, as well as the central spinal cord. This class of disease can happen by the stroke, the numerous scleroses, the tumors, epilepsy, the brain or Parkinson's disease. The nature of pain linked with this type of syndrome differs moderately because of the diversity of the potential causes. 

It may have an effect on a large part of the body or it may be more limited to the specific areas, like the part of the hands or the feet. Also, the degree of pain is normally related to the reason of the injury This pain is characteristically steady, it may create problems in severe way, as well as it is often created inferior while the touching or any kind of the movement, emotion, as well as the temperature changes, generally the chilly weather. People experience pain sensations; the most important of which is burning. 

The features are 

  1. Mixed with the burning 
  2. The pressing 
  3. The slashing 
  4. Throbbing painon an uncovered nerve 

Individuals might sense numbness in the areas inhabited by the pain. The blazing, as well as, the loss of touch sensation is normally most harsh on the few parts of the body. 

Different kinds of the treatment 
The type of the treatment offered may offer a number of the reductions of the pain, other than not the whole relief of the soreness, for those persons exaggerated by this problem. The medicines of this treatments are- 

  1. The tricyclic antidepressants 
  2. Anticonvulsants medicines can be helpful. 
  3. Intravenous medications 
  4. Lignocaine and Ketamine 
  5. Deep brain stimulation 
  6. Definitions of the prognosis 

It is not a type of deadly disease, but this kind of the syndrome makes a big part of chronic pain as well as the great suffering amongst the greater part of the persons who are going through this type of troubles. 

What kind of research is being done? 
A lot of the organizations dynamically follow a line of investigation program seeking the latest type of the treatments for the chronic pain as well as the damage of human nervous system. The main intentions of this form of examination are to enlarge the habits to more ingeniously treat as well as potentially repeal the debilitating conditions like this type of the syndrome. The pain medications frequently offer reduction of the pain, but not total relief from the pain, for those persons who are affected by this.

You found this helpful

Chronic Shoulder & Neck Pain - Ways It Can Be Diagnosed!

MD, FIPP
Pain Management Specialist, Kolkata
Chronic Shoulder & Neck Pain - Ways It Can Be Diagnosed!

The neck and shoulder have a huge range of movement and thus they are more prone to injury. The ball and socket joint at the upper arm is the shoulder and both the neck and the shoulder are made up of soft tissues, muscles and ligaments.

Reasons behind pain Injured rotator cuffs: 

Rotator cuffs are the tendons supporting the shoulder. If they are injured it might lead to a chronic loss of the range of movement. This is more commonly known as a frozen shoulder. 

  1. Dislocation: Dislocated disc of the neck or shoulder due to an accident would cause severe pain in the affected area. 
  2. Fractures: Fractured collarbone or the upper arm bone may result in chronic pain. 
  3. Tendonitis: This occurs due to the over usage of the arms or neck or strains due to over exertion like in sports. 
  4. An unstable shoulder joint: If there is instability in the ball and socket joint of the upper arm, chances of having a chronic pain is high. Others: Degenerative arthritis, herniated disc, and even heart attacks can be the other possible causes of chronic neck and shoulder pain. 

When to go to the doctor? 

When the patient experiences a pain due to a severe blow or injury, the neck pain radiates down the legs and arms, a feeling of numbness and tingling sensation, or has a stiff neck with fever or vomiting, it is essential to seek the advice of a Doctor. 

Diagnosis for shoulder and neck pain X-ray: 

The main form of diagnosing a pain is an x-ray. It helps to reveal diseases from arthritis, tumour, slipped disc, narrowing spinal cord, fractures and spinal cord instability. 

  1. MRI: Magnetic Resonance Imaging or simply the MRI reveals the detail of nerve-related issues along with the problems in the ligaments and tendons. 
  2. CT scan: There may be instances when the injuries are difficult to be diagnosed. And, in the case of a fracture, a CT Scan is advised for more details. It is also an alternative to MRI. 
  3. ECG: An Electrocardiogram is a way of diagnosis if shoulder and neck pain continues along with chest pain or shortness of breath. If there is a risk of an individual having a heart attack, then an ECG is recommended. 
  4. Electro Diagnosis: Electromyography referred to as EMG and Nerve Conduction Velocity (NCV) are used to diagnose pain in the arm, neck, shoulder followed by a numb feeling on the affected areas. 

Treatment for chronic shoulder and neck pain 
A simple sprain on the neck and shoulder would demand a rest for a few days along with pain medication. If the pain is due to muscle spasms application of dry or moist heat may provide relief. In the case of a swelling due to injuries, a cold ice pack 4 to 8 times a day will provide immense relief. Patients might be advised a cast or sling for the shoulder pain. The soft tissues in the neck and shoulder can be treated with pain relievers taken for a few days. Muscle relaxants are also prescribed depending on the severity of the pain. Local corticosteroid injections are helpful for shoulder arthritis. Platelet rich plasma injection is another modern treatment for arthritis or tendinopathy. In some situation, radio frequency procedures are very helpful. Exercises are very effective for both neck and shoulder pain movement. Surgery might be an option if nerve roots are affected.

3 people found this helpful

Causes And Treatment Of Heel Pain

MD, FIPP
Pain Management Specialist, Kolkata
Causes And Treatment Of Heel Pain

The toes and heels are the most load bearing components within your feet which take most of the weight when walking, running, exercising or even standing up. The heels are an especially vulnerable part of the body which can become painful either due to injuries or excessive stress put on it. Pain in your heels can also be a sign of other problems in your body.

Causes for heel pain:

  1. Sprains or straining the leg: Exercising is one of the most common culprits behind heel damage. Wearing the wrong shoes over prolonged periods, which can cause your balance to be shifted and will lead you to put strain on your heels and cause pain. Falling or spraining during exercising or training can also cause heel pain.
  2. Fractures: Stress or hairline fractures can occur even without impacts or trauma and also cause pain. It will slowly build up over time. In such cases, you should immediately consult a doctor and take remedial action.
  3. Achilles tendon: A common cause for heel pain, the Achilles tendon connects the calf muscle to the heel. If this is torn or damaged, it can cause pain in your heel.
  4. Arthritis: The deposition of uric acid crystals in parts of your body may result in arthritis; this is a fairly common cause for heel pain as well.

Treatments available

  1. Change in shoes: Shoes play a major role in the development of heel pain. You will either need to change the shoes or adjust the heels to ensure that they are at an equal and comfortable height and keep your posture natural and balanced.
  2. Foot supports: There are specialized heel supports and wedges, which you can wear with the footwear. These supports help redistribute weight from the problem areas and uniformly distribute it among the other parts of the foot. Heel cups are also another form of supports you could try.
  3. Pain relief medications: Sometimes aspirin or ibuprofen may be required to numb and dull the pain, if getting through the day becomes difficult or you are in the middle of work.
  4. Resting: Sometimes resting is the only medication you can take to relieve the pain as it can only subside once the underlying conditions are corrected.
  5. Ice packs: Cold compress and cold therapy would definitely help in numbing the area and providing temporary pain relief.
  6. Interventional pain management: When all other options failed, go for interventional pain management.

It is however, advisable to visit the doctor if the pain persists and take specialized medical care in more complicated cases wherein the pain is prolonged.

9 people found this helpful

Compartment Syndrome - What Exactly It Is?

MD, FIPP
Pain Management Specialist, Kolkata
Compartment Syndrome - What Exactly It Is?

What is Compartment Syndrome?
Compartment syndrome is a type of condition that occurs when pressure builds up inside a muscle tissue in the body. Compartment syndrome usually occurs due to swelling or internal bleeding after an injury. The swelling should go away once the wound heals. However in some cases, if the swelling doesn't improve quickly, it leads to the accumulation of pressure. Let us have a look at the symptoms and the causes in depth.

Understanding Compartment Syndrome:
Compartment syndrome is not exactly a disease, but it hampers the flow of blood to and from the affected tissues. Groups of organs/muscles are organized into zones called compartments. During an injury, blood may start accumulating in these compartments, as a result of which the pressure inside the chamber rises restricting smooth blood flows. Severe tissue damage can result, with a loss of body function as well. Compartment syndrome can be fatal in some cases if not treated immediately. The common areas where this occurs are the legs, arms, and abdomen.

Compartment Syndrome Causes:
Compartment syndrome can occur immediately after an injury or they can happen when the treatment plan for the injury is under way. The biggest risk is that while some compartment syndrome takes days to form, few cases occur within hours. The acute form of the condition occurs when there is damage to the bone like a fracture to the hand and limbs. Other causes can include crush injuries, over-tight bandaging, burns and prolonged compression of an arm or leg. Blood clots also cause this condition in some cases, and so does strenuous physical exercises. A simple physical exam is used to diagnose compartment syndrome along with an X-Ray.

Compartment Syndrome Treatment:
Treatment for compartment syndrome works on the fundamental principle of reducing the pressure to the affected region. Dressings and casts that hamper the blood flow have to be removed immediately. Movement and bodily functions of the affected area have to be monitored vigorously. Surgery is one of the foolproof ways to ease the pressure. It is done by making long incisions into the skin underneath the affected area and releasing the pressure. The surgeries are done as minimally invasive procedures and can be clubbed together with the treatment plan the person is undergoing. In some cases, if the pressure is weak and not restricting the flow, then physical therapies can be undertaken. Medications can also help to an extent along with strength exercises.

With the advances made in medical science, doctors can identify potential compartment syndrome symptoms more quickly. Since these mostly occur when undergoing the treatment, the condition has a better chance of getting identified at its root. They can be avoided mostly with the experience of the physician. If you wish to discuss about any specific problem, you can consult a pain management specialist.

4442 people found this helpful

Hot And Cold Therapy - How It Helps To Treat Lower Back Pain?

MD, FIPP
Pain Management Specialist, Kolkata
Hot And Cold Therapy - How It Helps To Treat Lower Back Pain?

Lower back pain can be one of the most physically debilitating things that can affect you and limit your mobility. Even if the pain isn’t that acute, it could still signal something deteriorating in your lower back. While oral medications, topical creams or sprays can help in reducing pain, there are other effective remedies you can try on your own. These will be handy when you have no medications at hand. One of these is the hot and cold therapy.

Heat therapy for lower back pain

Heat works well with lower back pain as it can dilate blood vessels and improve circulation within the tissue. This will help in circulation and also result in lowering the pain. Heat therapy will also loosen up other muscles in the area and help soothe sore areas which have been taking the burden along with the lower back muscles. Some of the techniques that can be applied are:

1. All day heat wraps: These are specially manufactured belts or wraps which wrap around your abdomen and keep tightness and pressure on your lower back as well as supplying heat.

2. Electric heating pads: These are mechanized heating pads which generate heat with electricity. You can place them under you back and then either sit or sleep with it positioned behind you. However, ensure that you don’t keep these for too long as they could burn your skin.

3. Hot compress with towels or hot water bags: Use a clean towel and heat it over a conductive surface and apply it on your lower back. You can also use hot water bags for the same purpose.

Cold therapy for lower back pain

Cold therapy uses the principle of constriction of blood vessels as well as slowing circulation. This will help numb the area and thus help relieve the pain. Some of the ways these can be administered are mentioned below.

1. Ice towel: In this method, soak a towel in ice cold water, wring it to dry it and then apply on your lower back. This will numb the pain without transferring the sting of the cold or damaging your skin.

2. Ice packs: Put about half a kg of ice in a plastic Ziploc bag and pour water over the ice to just about cover it. Push out the air out of the bag and then lock it. Use this ice pack with a towel to ensure that you back doesn't get wet.

3. Ice gel packs: These are ready made packs, which can be bought from medical stores and kept frozen to be used whenever you need it in order to relieve lower back pain.

6 people found this helpful

Fracture Pain - How To Deal With It?

MD, FIPP
Pain Management Specialist, Kolkata
Fracture Pain - How To Deal With It?

A fracture is a complete or incomplete crack, which appears on a bone due to application of intense pressure or force. A fracture results in extreme pain, and the bone becomes immobile. Any kind of movement boosts the pain. Fracture pain occurs in three distinct stages. Acute pain is felt immediately after a fracture while sub acute pain occurs over the weeks that follow after a fracture. The third stage or chronic pain occurs when the fracture and soft tissues around it have healed.

Fracture pain is quite intense in nature and proper precautions should be taken while dealing with them:

  1. Development of fracture pain: When a bone undergoes a fracture, the ligaments and tendons are also damaged. While the bone slowly heals, ligaments and tendons fail to heal equally well or completely. Post fracture pain also develops when the outside of the bone does not heal completely. This usually does not appear in an X-ray.
  2. Treatment of fracture pain: Modern medications can be utilized to treat a fracture pain. Steroid injections and prescribed anti-inflammatory medicines help in treating a fracture pain. However, these remedies cause side effects, which are harmful for the body. Cortisone shots are utilized for the same purpose as well.
  3. Prolotherapy: Prolotherapy is an approach where ligament and tendon strengthening is stimulated along with repairing. This technique ensures complete treatment of the fracture, and the risk of long-term complications like arthritis is absent. In cases of fracture pain, which occurs due to the incomplete healing of the outer part of the bone, Prolotherapy helps in strengthening the fibro-osseous junction at the source of the pain. This will stop the nerve endings from firing. Prolotherapy provides speedy recovery and accounts for making the injured bone stronger than before. This process is often undergone by athletes. The procedure is undertaken only after thorough examinations for detection of the root cause of the pain. Prolotherapy is considered to be the best treatment for repairing tendons and ligaments, which commonly cause fracture pain. The body is simply stimulated and the painful areas are repaired. This is done by the introduction of a mild inflammatory reaction to the area of the weak tendons and cartilages. The results obtained after Prolotherapy are permanent and the fracture pain is unlikely to reoccur.

Other measures:

  • Splints are utilized to stop the movement of fractured bone and braces can be used to support the bone. Plaster cast also supports and immobilizes the fractured bone. Traction and surgical implants are other treatment measures.
  • Fracture pain occurs not only because of the broken bone, but also because of the weakened ligaments and tendons around the bone. Fracture pain should be handled very carefully, and proper control measures should be applied.
3 people found this helpful

3 Causes of Back Ache!

MD, FIPP
Pain Management Specialist, Kolkata
3 Causes of Back Ache!

Back pain has become an unavoidable discomfort for some people. But the good news is that you can easily control back pain if you are aware of what is causing it and the ways to reduce the same. You can damage your back through several ways but there are three most common causes of a backache among most of the individuals.

Most of us, experience back pain due to incorrect posture or longer duration of sitting.

Sometimes you may experience back pain because of exertion - you spent the entire day doing the same kind of job or maybe you bent in a wrong manner while picking up your child. However, the actual cause of your spinal agony may not be very clear, but it pays to be aware of the possible reasons that can cause backache. It is good to consult a doctor if your back pain is consistent and recurrent.

Here are few of the causes:

  1. Facet joint arthropathy: This is caused due to the damage of the facet joints which help in keeping the spinal cord in place. Unhealthy posture is often considered to be a cause of spine and back problems causing terrible pain. This might be due to arthritis that occurs in people. Furthermore, the sedentary lifestyle compels the people in the corporate sectors to sit before the laptop or computer for several hours at a stretch. This proves to be devastating for the spine. At times, such problems resemble a herniated disc quite closely. Thus, it is recommended to get yourself checked by a medical practitioner to properly diagnose the condition so that correct treatment can be provided to you. 
  2. Sacroiliac joint arthropathy: The sacroiliac joint is present in the lower back part of the body. Continuous standing or sitting in the wrong posture gives you pain in the lower back. This pain, if not catered to immediately might spread to the upper parts of the body merging into a proper back and lower back pain. At times the straining of the back can make an individual suffer from mild to severe back pain which may disable him. Injuries caused to the muscles, ligaments and tendons supporting the spine, present in the lower back can also cause back pain. The common symptoms of such pain include muscle stiffness, joints getting locked, limping and weakness in the body movements. 
  3. Piriformis syndrome: This is caused due to the compression of the sciatic nerves present in the lower back part of the body. This is basically regarded as a neuromuscular disorder and various medical researchers have various views about this syndrome. It is caused when the piriformis muscles are in compression by the hips. It generally affects one hip at a time, but in some cases, it might affect both of them together. 

Thus, these are the three common causes of having a back pain. If you experience any such pain as described above, do not let it continue for a long time but consult your medical practitioner at the earliest. "

Few precautions that can be taken for a hurting back. Despite the causes, there are certain precautions that you can take, which are:

  • Avoid sitting in a bad posture, that is, keep your back straight as much as you can. Pull and stretch your body in continual intervals to keep it relaxed.
  • Consult the right physician instead of doing exercise that can aggravate your pain.
  • Take a break from work and go for short walks, every couple of hours.
4 people found this helpful

Migraine Vs. Headache - Know The Difference!

MD, FIPP
Pain Management Specialist, Kolkata
Migraine Vs. Headache - Know The Difference!

'Tension type headache' is the most common type of headache experienced by most of us in our life.

How to differentiate between a Migraine and Tension-type Headache?

When you feel pain or pressure in your head, it may become difficult for you to assess whether you are experiencing a tension-type headache or a migraine. Let's understand how different they are from each other.

A typical tension-type headache usually affects both sides of your head and varies from a mild to moderate pain. It can last from 30 minutes to up to a period of one week.

Some specific areas which get affected by a tension-type headache are:

  •   Temples
  •   Forehead
  •   Back of your neck

Factors that trigger this headache type are a muscle strain, stress or anxiety.

A migraine, on the other hand, is also a type of a tension-type headache which results in an acute throbbing sensation in one part of your head. Usually, migraine headaches are highly painful. Migraine pain makes it difficult for a person to carry out his/her daily tasks. Symptoms or signs associated with migraine attacks are:

  •   Vomiting
  •   Nausea
  •   Sensitivity to sound or light
  •   Pain in the temples
  •   Temporary loss of vision
  •   Pain behind your ear or eye

What are the common causes of a migraine?

  •   Hormonal imbalances in women - fluctuations in oestrogen, especially during menopause or pregnancy seem to trigger a migraine
  •   Drinks like wine and extremely caffeinated beverages
  •   Foods such as salty foods, aged cheese as well as processed foods can trigger the migraine attack.
  •   Medications - vasodilators such as nitroglycerine and oral contraceptives can intensify migraine pain.

How to treat a tension-type headache?

Fortunately, you can get rid of stress-induced headaches through over-the-counter treatments, which include:

  •   Aspirin
  •   Acetaminophen
  •   Ibuprofen

How to treat a migraine?

If you experience migraine attacks less frequently, these medicines may give you quick relief:

  •   Triptans, such as rizatriptan (Maxalt) or almotriptan (Axert)
  •   Antinausea medicines, such as chlorpromazine (Thorazine), promethazine (Phenergan) or prochlorperazine (Compazine)
  •   Non-steroidal anti-inflammatory drugs (NSAIDs), such as acetaminophen, naproxen sodium, aspirin or ibuprofen

Some preventive tips:

  •   Make changes in your diet such as avoid such foods, including caffeine and alcohol which are believed to trigger tension-type headaches.
  •   You can also try muscle relaxation exercises, yoga or meditation to ease the migraine attack.
10 people found this helpful

Massage Therapy for Pain - An In-Depth Analysis!

MD, FIPP
Pain Management Specialist, Kolkata
Massage Therapy for Pain - An In-Depth Analysis!

There are many ways to treat pain and this includes acupuncture, several natural remedies, technological procedures and surgery. Among the different approaches of treating pain, massage therapy is an effective method.

  1. Massage therapy is one of the earliest therapeutic processes for relieving pain for a long time as it provides ideal relief and performs recovery functions as well. In the modern day, massage therapy is a popular pain relieving remedy, which is utilized by people all over the world.
  2. Massage therapy involves manipulation of the tissues, which is performed by special therapists. There are various types of massage therapies, which incorporate different techniques and procedures.
  3. Long term massage therapy is not very expensive and has no side effects on the body. With the help of massaging, there is an increased lymph flow, improved blood circulation and several positive effects on the immune system. Local biochemical changes occur, neural activity gets enhanced and all these mean that pain is reduced.

Conflicting views

The current studies on massage therapy are quite conflicting and there are negative views regarding the effects of massage therapy to provide pain relief. Massage therapies are successful in treating several cases of lower-back pain. However, many experts consider massage therapy to be a relaxation technique and not a proper treatment procedure.

They say that massage provides relief to pain, but physical therapy, exercise and medicines are far superior in providing pain relief than massage therapy. Massage provides relief to neck pain, shoulder pain, headaches and carpal tunnel syndrome. However, it is considered that this relief is only temporary and not consistent enough. A single session of massage therapy does not really provide a long-term relief from pain. For better and lasting results, massage therapy should be undertaken regularly.

Multidisciplinary treatment

Massage alone will never provide ideal relief from any kind of pain and a multidisciplinary approach should be taken for pain relief treatment, where massage therapy would be one of the elements. For ideal pain relief, you should practice other measures such as physical therapy, behavioral health care, acupuncture, regular exercise and use massage therapy as a complementary relief method.

Massage therapy can never be the main treatment procedure for treating pain and it is an accompanying treatment method which you should practice along with major treatment procedures. Massage therapy combined with other therapies will provide you effective pain relief.

Massage therapy for pain provides effective temporary relief from pain. It should be performed by a trained massage therapist and for good results must be performed every day. However, massage therapy is not a primary treatment measure and should be a part of a multidisciplinary approach for pain relief.

4 people found this helpful

Lower Back Pain - Do I Need Physical Therapy?

MD, FIPP
Pain Management Specialist, Kolkata
Lower Back Pain - Do I Need Physical Therapy?

Lower back pain is fast becoming an epidemic not just among elderly, but across all age groups. Primary causes of back pain are quite a few including lumbar hernia, disc degenerative disease (DDD), spondylosis etc., but the symptoms are usually the same excruciating pain in the lower region of the spine, followed by stiffness. Since back pain is caused due to a number of spinal problems, it manifests differently in different patients. The pain may be dull, burning or sharp. It could also be felt at a single point or over a broad area and could be accompanied by muscle spasms or stiffness or even shooting pain in one or both legs.

Back pain can also be differentiated according to time period:

  1. Acute: Pain lasts for less than three months.
  2. Recurrent: Acute symptoms reoccur over time.
  3. Chronic: Pain lasts longer than three months.

Sometimes symptoms resolve on their own, but in many cases conservative treatment, such as physiotherapy, which often work better than surgery, becomes essential. Alternate therapies like surgery, acupressure, acupuncture as well as yoga and Ayurveda also help.

Physiotherapy - Exercises that work
Since the reason for low back pain is not always same, a patient’s treatment too should be tailored for his specific symptoms and condition. This is what the physiotherapist will do design an exercise plan based on the patient’s specific problem and its cause.

Physiotherapy treatments may include:

  1. Manual therapy, which includes direct spinal manipulation aimed at improving the mobility of joints and soft tissues
  2. Strengthening and flexibility exercises
  3. Education about what do and what not to do
  4. Training for proper sleeping positions, lifting, bending, and sitting as well as for working at home and at work
  5. Use of heat/cold treatments or electrical stimulation to help relieve pain

Physiotherapy exercises help support the back and strengthen muscles so that the spine is cushioned properly. This is why physiotherapy is relevant as a treatment for backache. Treatments like traction help in lengthening the spine and relieving compression of nerves that cause sciatica, radiating pain into legs largely due to lumbar herniation. If back pain is extreme, a patient will require physical therapy along with medication, which will help in managing pain and bringing inflammation down. But in the long term, being physically active, going for walks, sitting properly and maintaining a good posture will help the most. If you wish to discuss about any specific problem, you can consult a physiotherapist.

3791 people found this helpful

Lumbar Herniated Disc Pain - 3 Hamstring Stretches for it

MD, FIPP
Pain Management Specialist, Kolkata
Lumbar Herniated Disc Pain - 3 Hamstring Stretches for it

The sciatic pain caused due to a lumbar herniated disc can radiate down your legs and may make you immobile. It is quite common for a herniated disc to press against a nearby nerve and inflame, leading to pain radiating along the length of the affected sciatic nerve. For getting relief from lumbar herniated disc pain, you need to become active. Daily hamstring stretches are considered to be an effective way to tackle such pain if you do them regularly.

Here are three important hamstring stretches which will help you in strengthening your hamstring muscles:

  1. Seated chair stretches: This stretch is perfect for people whose mobility is limited or for those who have unusually tight hamstrings. It is carried out in a sitting position. While performing this stretch, you have to sit on a chair with another chair placed across. By resting one foot on the ground and the other on the second chair, you need to straighten your back and lean forward over the leg which is extended. Once you feel a stretch in the upper and rear thigh, you should be in that position for at least 30 seconds. You should switch legs and repeat the stretching exercise thrice for each leg.
  2. Towel hamstring stretch: If you like stretching while lying down, this stretch is an ideal option for you. For performing a towel hamstring stretch, you have to lie down on the floor and keep one leg flat. Tighten your abdominal muscles while you lift the other leg and keep it straight. You should wrap a belt around the elevated leg’s instep and use it for pulling back the leg towards you. Hold the position for around 30 seconds when you feel a stretch.
  3. Wall hamstring stretch: This stretch is for people who find the towel hamstring stretch hard to execute. For such people, extra stability can be attained by taking help of a solid surface such as a door jamb or a wall. You can rest the raised leg against the wall for support. You need to lie on the floor near a wall corner and leave one leg straight while placing the other against the wall. Your hips should be on the floor.

While you do stretches of any kind, you should only stretch as far as you are comfortable. You must not stretch to a point which causes pain. These hamstring stretches are quite safe, but you should avoid them in case of any sudden, acute pain.

You found this helpful

Neck and Shoulder Pain: What Does it Indicate?

MD, FIPP
Pain Management Specialist, Kolkata
Neck and Shoulder Pain: What Does it Indicate?

What does neck and shoulder pain indicate?

The stabbing pain that you experience around the neck and shoulder region should never be ignored as they may indicate health problems that require medical attention. There are certain points that you need to keep in mind the if you experience prolonged pain in these areas of the body.

1. Neck injury? your neck and shoulder pain should be seen as a warning sign that you need to take a look at the neck injury you may have sustained during a rear-end automobile accident. More specifically, whiplash injuries that happen when the head experiences a sudden backward and forward jerk, straining the tissues of the neck. 

2. Pain in these areas of the body could indicate abnormalities in the vertebrae of your neck such as herniated disc, causing added pressure on the nerves of the spinal cord.

3. Your neck and shoulder pain complaint may also point towards muscle strains. Lifestyle factors like working long hours in front of laptops or desktops leave you with no time and zero energy to exercise, resulting in serious neck and shoulder pains.

4. Your neck and shoulder pain may also indicate the problem of cervical spondylosis. This is a degenerative disc disease, which is characterised by severe pain that originates from the neck and radiates till the shoulders.

5. Even heart problems, such as a heart attack can cause pain in the shoulder and the neck. When this happens, the condition is known as referred pain.

6. Adopting an improper body posture during lifting of heavy materials can induce pain in your body parts, with neck and shoulders being the most vulnerable areas.

7. You may be suffering from a condition known as rotator cuff injury in which the group of ligaments and muscles that support the shoulder get injured during lifting or playing any sport.

To avoid aggravating the pain from becoming more severe, you shouldn't ignore any ache that arises from these areas.

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Know How Pain Can be Treated by Using Heat And Cold Therapy

MD, FIPP
Pain Management Specialist, Kolkata
Know How Pain Can be Treated by Using Heat And Cold Therapy

Most diseases, small or big, acute or chronic, accident or infection, have one common factor - pain. In most cases, in addition to reducing the severity of the infection or the impact to various structures from the trauma, managing pain assumes a bigger role. It is only when the pain is controlled can the bigger picture of disease management be done, as the patient would be inconsolable.

To this effect, in addition to pain killers, the most inexpensive and easily available modes of pain management are heat and cold. Though all are not aware, there are specific instances where heat and cold should be used as listed below.

Heat: Some of the common modes to heat therapy include heat pads, warm baths, paraffin wax system, hot water bottles, air-activated heat pack, or warm oils. Heat acts by improving blood circulation and nutritional supply to the body parts and is best suited for stiff joints and muscle soreness. 

Some common ways to heat therapy include:

  1. A warm shower or bath in the morning - this will ease morning stiffness and get you ready for exercise.
  2. Apply a heating pad on the sore/stiff areas for up to 20 minutes - Use optimal, bearable temperature to avoid skin burns.
  3. Wrap the affected area for 15 to 20 minutes with a moist heat pad. A wet towel can be put in the freezer and then warmed up in the microwave. Moist heat pads are also available with local pharmacies.
  4. Warm mineral oils can be applied to the stiff joints of hands and legs. Leave it in place for 15 to 20 minutes before washing it off.
  5. For sore hand and foot joints, warm paraffin wax can be applied using the equipment available at drug stores. This will help ease the pain and soreness. Soak in a warm whirlpool.

Contrary to heat therapy, cold therapy acts by reducing blood flow to the affected area and numbing the nerve endings, thereby reducing the perception of pain. It works well for acute pain cases like fresh injuries and post-exercise inflammation.

  1. A cold wrap with ice cubes can be applied to the painful area for about 15 to 20 minutes. This can be repeated if required after a break.
  2. Alternately, a wet towel can be put in a plastic bag and kept in the freezer for 15 minutes and then used as a cold pack.
  3. The affected joint can be submerged in a container of ice and water.
  4. Cold gel packs are available at stores - these won't leak, will stay cold longer and can be easily wrapped around a joint.

Cryotherapy, as cold therapy is also called, is not as effective as heat therapy, though it does provide immediate relief.

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Knee Pain: Treatment it Requires

MD, FIPP
Pain Management Specialist, Kolkata
Knee Pain: Treatment it Requires

The knee is the largest joint in the human body and is a complex structure formed of bone, muscle and cartilage. Development of pain in the knees can be caused by numerous factors such as aging, injuries, diseases, dietary deficiencies, etc.

Arthritis is the most common cause of knee pain and usually affects the elderly and aged. It occurs due to an inflammation of the joint and causes pain, swelling, redness and inflexibility of the knees.

What are the factors that determine treatment method?

Diagnosis for knee pain varies from patient to patient as each case is different and must be approached differently. Some of the factors that determine the treatment method are as follows:

  • Cause of the problem
  • Nature and intensity of pain
  • Age of the patient
  • Medical history of the patient
  • Diet and lifestyle of the patient

There are a number of different types of arthritis which can affect the knees in different ways and, consequently, require different types of treatment methods.

What are the various treatment methods for knee pain?

1. Conventional Remedies - These are used in case of conditions that are not too severe or chronic. It includes keeping on bed rest, using an ice pack, taking a painkiller and anti-inflammatory medicines, wearing knee braces, etc.

2. Physical Therapy - There are many stretching and strengthening exercise routines that help alleviate knee pain and treat the condition. Recovery is achieved by making the muscles around the knees stronger and increasing stability and flexibility.

3. Injections to the Knees - A number of anti-inflammatory substances and supplements, as well as lubricants, can be injected into the knee joint which helps reduce pain and makes the joint more supple.

4. Platelet Rich Plasma Therapy - This involves drawing platelets from the patient's blood and injecting it into the knee joint for repairing damage caused to ligaments, tendons or cartilage.

5. Surgery - Surgical procedures for treating knee pain include partial or complete knee replacements.

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How to Treat Sciatica Without Surgery

MD, FIPP
Pain Management Specialist, Kolkata
How to Treat Sciatica Without Surgery

The term Sciatica is used to describe leg pain along sciatic nerve, with or without tingling, numbness or weakness that travels down from the low back. Sciatic nerve arises from each side of lower spine and passes deep in the buttock along the back of thigh and legs. The pain of Sciatica may be irregular/ infrequent or persistent causing severe agony to the patients. The pain of Sciatica may be confined to back of thigh & leg or may extend up to toes. The pain of Sciatica can be excruciating and "not relieved by painkillers". 

What causes Sciatica? 

Pain in Sciatica is due to irritation or pinching of nerve roots that form the sciatic nerve or pinching of Sciatic nerve after it is formed. This occurs most commonly due to prolapsed intervertebral disc (slip disc) causing nerve compression resulting in pain or it can be because of some similar conditions like Piriformis syndrome. 

Is surgery the only treatment for Sciatica? 

Most patients can be managed with medication, exercises or interventional procedures. So surgery is not the only way out. Patients who have severe pain can also benefit from "Epidural Steroid Injection" or " Ozone Nucleolysis". This treatment has proven to be effective in avoiding spine surgery in such patients. 

What is Epidural Steroid Injection? 

Epidural Steroid Injection is a procedure done by a Specialist (Interventional Pain) in an Operation Theatre using X-Ray (Image Intensifier) to locate at an exact level of injection. A drug mixture consisting of Steroid with Local Anaesthetic is injected at the epidural space of affected nerve root. The steroid washes away inflammatory mediators from the epidural space which decreases the pain. Steroid also decreases the inflammatory response of the body to the prolapsed disc. As a result, the pain arising from nerve inflammation is decreased. This is a day care procedure i.e. the patients are discharged the same day. 

What is Ozone Nucleolysis? 

This is a procedure similar to Epidural injection. Here Ozone-oxygen gas mixture is injected at prolapsed disc. Ozone shrinks the disc size and reduces inflammation of nerve. 

How is the possibility of surgery ruled out? 

Epidural Steroid Injection/Ozone Nucleolysis are proven, safe and an effective treatment that work on the concept of Interventional pain management - to provide relief from persistent and chronic pain of Sciatica. Generally, a single injection is sufficient to relieve patients of the pain. The procedure can be repeated for a maximum 3 times in a year, depending on the patient's response. With effective pain relief, surgery is negated.

5087 people found this helpful

Burn Injuries - 5 Ways to Manage Its Pain

MD, FIPP
Pain Management Specialist, Kolkata
Burn Injuries - 5 Ways to Manage Its Pain

While injuries of any form can be painful, burn injuries are one of the worst to suffer from. While cuts and bruises can be temporarily assuaged with a proper dressing, burns are quite different in this regard. With burns, the damaged tissues will stay on the body and may cause continuous pain. Thus, burn injuries are difficult to treat and they require different strategies for pain management as well.

Treatment methods available for treating pain arising due to burn injuries

  1. Apply an anesthetic cream or aloevera gel to soothe the burnt skin. Avoid exposing the skin to air as that will cause painful sensations.
  2. Loose gauze or antibiotic ointment must be used to protect the influenced area.
  3. Soak the burnt area wound in cold water for about five minutes or more.
  4. If the burn escalates or affects a widespread area, seek medical attention immediately.

Pain management factors for burn injuries:

  1. Relaxation: During the phase of recovery, burn injuries put immense stress on your body and continue for a long period. Muscle tension is caused by stress that increases pain. Some relaxation techniques are proven to be beneficial to reduce the stress on body.
  2. Coping with your pain: Different people have different ways to cope with physical discomfort. Look out for situational aspects which are currently under your control and take it positively. The ‘what ifs’ or wishing that the burn didn’t occur in the first place will not help with your current situation. You should focus on things what you can control like self-rehabilitation, doing your daily exercises, physical therapy treatment or following a doctor’s suggestion of pain management strategies. This will help you cope with your pain to a greater extent.
  3. Sleep medications: If your normal sleep routine is hampered, consult your physician for safe sleep medications. Proper sleep is very important for the healing process and even more so in the case of burn related injuries.
  4. Antidepressants: Some people may not be suffering from depression, but they might still need antidepressants for relief and sound sleep. A health care provider might prescribe antidepressants as a way to deal with acute pain from burn injuries.
  5. Increase the pace of your activities: If you want to rebuild your health and stamina and get back in form soon, focus on the regular physical and mental activities. Exercise regularly, but don’t push yourself too much. Increase your physical activities gradually over time. Unless and until you are fully comfortable, don’t strain yourself too much. Occupational and physical therapists can help you with an appropriate activity program. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
4729 people found this helpful

Nerve Pain - 7 Ways You Can Control it

MD, FIPP
Pain Management Specialist, Kolkata
Nerve Pain - 7 Ways You Can Control it

How To Control Nerve Pain?

Nerve pain or peripheral neuropathy, as it is medically known, is characterized by pain, numbness and weakness that arise out of nerve damage. This pain is usually restricted to the feet and the hands.

What are the common causes?

Diabetes is the most common cause for this condition. However, other causes, such as injuries, infections and prolonged exposure to certain toxins can also trigger nerve pain.

How can you control nerve pain?

Nerve pain can be managed and taken care of at home taking into consideration the points that have been mentioned below:

  1. Topical Painkillers: Certain over the counter ointments and creams can help relieve nerve pain. These medications act as local anesthetics; that is they numb the area of the pain. Capsaicin, a derivative of chili peppers, is one of the major ingredients used in these medicines. Others use botanical oils as the major ingredients.

  2. Painkillers: There are painkillers available OTC which can curb nerve pain. However, painkillers such as ibuprofen, aspirin and acetaminophen do not really work well for severe pain of the nerves.

  3. Supplements: The lack of Vitamin B12 is considered to be a very important cause, and at times, a catalyst for nerve pain. In a case such as this, Vitamin B12 supplements or injections might be administered. Although more research needs to go into this, but certain supplements, especially gamma-linolenic and alpha-lipoic acid can help soothe nerve pain caused by diabetes.

  4. Acupuncture: This time honored Chinese approach is a proven alleviator of nerve pain. Acupuncture releases chemicals which numb the pain, or prevent the pain signals from travelling to the brain.

  5. Physical Therapy and Massages: Physical Therapy can especially heal and strengthen weak muscles that can stem from acute nerve damage and pain. Though more evidence is needed, according to a few sufferers of this condition, massages can be helpful with the tremendously painful muscle spasms that can so often result from nerve pain.

  6. Relaxation Techniques: In combination with the above mentioned approaches, relaxation techniques can go a long way in relieving debilitating neural pain. Besides being helpful with dealing and reducing a few stress phases of life which can cause nerve pain, these techniques might actually root out the actual pain itself.

  7. Lifestyle Modifications: This one’s always a winner! Eating a well-balanced diet that guarantees all nutrients in uniform amounts can never go wrong. Regular exercises for about 30-45 minutes can remedy different types of pain; nerve pain being one of them. Try and limit alcohol intake (a peg once a week won’t harm one, but binge drinking can play the ultimate spoilsport and make all health plans go topsy-turvy!). Abstain from smoking or chewing tobacco as this is usually the primary contributor towards any medical condition or disorder. If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

4630 people found this helpful

5 Common Causes of Hip Pain in Women

MD, FIPP
Pain Management Specialist, Kolkata
5 Common Causes of Hip Pain in Women

Your hip plays a very crucial role in the proper functioning of your body. It bears the weight of the entire upper body and also supports your back to maintain balance. The hip joint is a ball and socket joint that connects the pelvic region to the thighs. Some sort of injury on the hip joint/bones or a disease can cause pain in the hips. Also, women are more likely to suffer pain in the hips than men.

Here are some common causative factors of hip pain in women:

1. Arthritis - One of the most common causes of hip pain in women is Arthritis. As women grow older, the risk of suffering from arthritis increases. The ball and socket joint of the hip gradually degenerates with age. This wear and tear of the joint causes swelling and stiffness which results in pain.

2. Obesity - Excessive body weight results in excessive pressure on the hip joint. Due to the development of excessive pressure on the joint, an obese/overweight woman may experience pain on the hip joint.

3. Osteoporosis - Mostly found in older women, osteoporosis is a condition in which the density of the bones reduces. As a result of which, the hip joint becomes weak and is unable to withstand the weight of the entire upper body and gives rise to extreme pain.

4. Bursitis - A sac-like structure cushioning the muscles and bones around the hip joints, filled with some sort of fluid is known as bursae. The inflammation of bursae is a condition called bursitis, which results in extreme pain in the hip joint.

5. Gynecological issues - Pregnancy leads to excessive pressure on the hip joint due to weight gain and growth of the lining of the uterus, resulting in pelvic tenderness. Both of these factors induce a feeling of pain in the hip joint in a pregnant woman.

Related Tip: Why Do Women Face Joint Pain Problems More than Men??

3796 people found this helpful

How to Deal with Back Pain

MD, FIPP
Pain Management Specialist, Kolkata
How to Deal with Back Pain

Whether you're old or young, male or female, having a backache can be a real pain! A number of factors ranging from osteoarthritis to muscle strains can be attributed to back pains. No matter what the cause of a backache, a combination of core strengthening exercises, activity, and physical therapy can help lessen the pain.

A backache can be caused by something as simple as bending the wrong way. Hence, the first step towards dealing with a backache is to pay attention to daily movements. If you have to lift something heavy off the floor, bend your knees and let the weight of your load fall on your legs instead of it falling on your back. Here is more on how you can fight back pain with a bit of effort:

1. Light exercises
Simple, light exercises are the most effective ways of dealing with back pain. The key to exercising your back is moderation and knowing your limits.

2. Brisk walk and yoga
Regular brisk walks and yoga exercises that strengthen and stretch back muscles are effective ways to reduce and prevent back pain.

3. Right posture
Exercise can also help reduce excess weight that in turn helps reduce backaches. Slouching not only causes a hunch back but also aggravates back aches. Hence, maintain a right posture to take the pressure off nerves and lower back pain.

4. Proper posture while sleeping
A good night's sleep can also help soothe inflamed back joints and repair strained muscles. Pay attention to your mattress and ensure that your back is flat when you lie on it. Sleeping on your side can also help deal with the back pain. Consider resting your neck on a pillow, to keep your spine aligned while you sleep.

5. Hot & cold therapy
Experiment with hot and cold therapy before picking one of them to deal with your back pain. While applying ice packs on your back can help reduce inflammations, hot packs work better to reduce cramps and muscle spasms. Whether you use a hot pack or a cold pack, do not leave it on for more than 20 minutes.

6. Natural supplements
Natural supplements such as flaxseed oil, calcium, magnesium and vitamin c are helpful when dealing with back pains.

For short-term relief, you could also try over the counter pain relievers. However, do not let this become a long-term habit, as your body could get dependent on it. Other potential side effects could include stomach and liver problems. Hence, if your backache does not subside on its own, it is best to consult a doctor before treating it yourself.

3775 people found this helpful

A Guide to Dealing with Fibromyalgia

MD, FIPP
Pain Management Specialist, Kolkata
A Guide to Dealing with Fibromyalgia

Fibromyalgia is a chronic condition marked by constant flu-like symptoms such as fatigue, headaches, insomnia and joint pains. However, the disease has no visible symptoms. There are also no known causes for the disease. While some believe stress to be a trigger for fibromyalgia, other theories suggest that physical and emotional factors such as a prior illness lead to the onset of this disease. This leads to fibromyalgia patients being often misunderstood and misdiagnosed. Almost 80% of fibromyalgia patients are women. While the disease is not lethal, it can make daily life difficult.

The criteria for fibromyalgia were established only in the late 1900s. In addition, the symptoms of this disease present themselves differently in each patient. This makes diagnosis very difficult.

  • Constant pain all over the body is the most common symptom of fibromyalgia.
  • You may also feel constantly tired, and unable to get a restful sleep.
  • Some fibromyalgia patients also suffer from depression or anxiety and an irritable bowel syndrome.
  • Fibromyalgia patients may also feel hyper sensitive to cold or heat, and feel numbness in fingers and toes.

Fibromyalgia has no known cure, and like arthritis, treatment for this disease addresses its symptoms. Most treatment programs include a combination of drugs, physical therapy, and behavioral techniques.

Pain relievers or anti-inflammatory medication and antidepressants are the two types of drugs administered to fibromyalgia patients. However, these should not be counted on as a long-term solution, as the side effects of these medicines can cause additional problems. Therapeutic massages and chiropractic manipulations can also help ease the pain. Along with this, it is also important to rest and relax. This helps reduce stress which often triggers fibromyalgia symptoms.

To get a better night's sleep, try going to bed and getting up at the same time every day. A warm glass of milk or chamomile tea just before bedtime can also help induce sleep. As far as possible, avoid taking sleeping tablets, as the body can soon become dependent on these.

Though you may constantly feel tired, increasing the day to day activity levels can have a positive effect on your health. Consider adding low-intensity activities such as walking, cycling, yoga or dancing to your daily routine. Complement these with a well-balanced, nutritious diet that includes lots of fruits and vegetables. If you or a loved one has fibromyalgia, bad days may not be prevented. But with treatment, they can be controlled.

Tip: Indicative signs of testicular torsion?

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