Complex Regional Pain Syndrome Treatment
Treatment of Disc Prolapse
Treatment Of Disk Slip
Epidurals And Spinal Anesthesia Techniques
Treatment Of Herniated Disc
Treatment Of Lumbago
Treatment of Mckinzie Treatment For Spine
Treatment of Muscle Pain Skeleton System
Neck Pain Treatment
Treatment of Neurological Problems
Pain Management Counseling
Rf Neurotomy Procedure
Spinal Cord Injury Medicine
Spinal Deformity Correction Procedure
Spinal Disc Surgery
Treatment of Spinal Diseases
Treatment of Spine Injuries
Treatment of Spondylosis
Transcutaneous Electrical Nerve Stimulation (Tens)
Ozone Injection Treatment
Platelet Rich Plasma Treatment
Radiofrequency Neurotomy Procedure
Epidural And Spinal Anesthesia Techniques
Ozone Injection Treatment
Ozone Therapy Treatment
Patient Review Highlights
Dr. Gautam Das provides answers that are very helpful. Thanks sir
Pain is an unpleasant and distressing physical sensation caused by disease or injury, which induces hurt and anxiety in those suffering from it.
There are many different manifestations of pain, ranging from short term (acute pain) to long term (chronic pain). Other classifications include pain in the internal organs (visceral pain), injured tissue (inflammatory pain), nerves (neuropathic pain), etc.
The reason for the occurrence of pain depends on the cause and kind of pain being experienced. In most cases, pain acts as a warning sign that the body has been afflicted by a disorder of some sort, which may have arisen due to internal sickness or external wounding. Acute pains are generally cured on their own through rest or simple medication. Chronic pains, on the other hand, are more complicated in nature and the treatment requires more elaborate diagnosis.
The mechanism of pain
Pain is an extremely personal and subjective experience and affects each individual to varying degrees. The pain signals, which can arise in any part of the body, travel through the spinal cord to the brain along thousands of specialized nerves and nerve fibres. In the brain, it is processed in the centres associated with anxiety, emotions, memory, appetite, etc. Signals and pain inputs are then returned from the brain to the spinal cord, which may heighten or diminish pain.
In some cases, pain may also be induced by damage to the brain and spinal cord, which happens after a stroke.
A constant barrage of pain signals may cause the cells at the end of nerve fibres to become over-sensitized. This is known as ‘wind-up’ and is one of the most common causes of chronic pain that occurs even though the root of the problem has been identified and treated.
The causes and effects of pain differ from case to case depending on the signals received by the brain and its interpretation. It affects the individual’s day to day activities and if persistent, can also have a harmful impact on mental health and psychosis. Pain is always handled, diagnosed and treated differently in all patients by drawing out the best possible solution to the problem. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
Affecting your entire body, body ache is usually an indicator of a condition that requires your attention for the pain to stop or a reaction of your body's immune system to an infection. Understanding the symptoms and the cause of the pain is the first step towards getting the right treatment for your problem.
The causes of body ache can be any one of these:
- An increase in your body's lactic acid as a result of overused muscles (that you normally experience when you perform strenuous exercises) leads to body aches that are not severe but temporary in nature.
- Temporary body aches can also occur if you suffer from flu caused by the influenza virus and other medical conditions like fever and viral infections, among others.
- A cause of body aches can be the presence of a serious condition such as Lyme disease or pneumonia that brings about major infection affecting your entire body.
- Inflammation of body cells or damage to your body's nervous system in the form of chronic ailments like autoimmune diseases and psychiatric problems can also cause pains and aches to develop all over the body.
What can you do to manage it?
There are simple ways that you can employ to relieve your body aches based on the root cause and these are:
- If the cause of your body ache is the flu, the best way to alleviate your condition is to take a hot bath. The hot water works by eliminating the body pains you may be suffering from. Even a gentle massage can soothe the ache affecting your entire body.
- For body aches that are caused due to overused muscle, you need to apply ice packs for 2-3 weeks on the affected area to bring down the inflammation. Even the application of a heating pad can help in relieving body aches brought on by muscle soreness.
- Shoulder and neck pains can be easily prevented by performing simple exercises from time to time such as shoulder shrugs or head turns. Also, the practice of using wrist and forearm rests can reduce your chances of getting shoulder and neck aches.
- Reducing your stress levels can also help in effectively lowering the instances of body ache. From sleeping on time to meditating for about 20 minutes a day can help in lowering stress. If you wish to discuss about any specific problem, you can consult a doctor.
A slipped disc, also known as a prolapsed disc or herniated disc, is the term given to the phenomenon that occurs when a cartilaginous disc found between the vertebrae in the spine becomes slightly displaced or protrudes, thereby pressing on the nerves in the adjacent areas and causing back pain.
This happens when the soft inner part of the disc, known as nucleus pulposus, bulges out through a weakness in the exterior part of the disc. A prolapsed disc usually occurs in the lower region of the spine and can be of varying sizes. There might even be the development of inflammation around the disc in some cases.
Who is likely to get affected?
Most cases of herniated disc occur in patients between the ages of 30 and 50. The number of men affected is twice as many as the number of women.
Although the root cause of this problem is not yet known, there are a number of factors that may trigger it. These factors include working at a job that requires a lot of lifting, an occupation that involves remaining in a seated position for a long time, weight-bearing sports, obesity, smoking habits and increasing age.
Effective ways of treating the problem
The different methods that are commonly used to treat the problem are:
- Medications - There are many different kinds of medicines that are effective in providing relief. These include painkillers, muscles relaxants, anti-inflammatory pills, etc.
- Spinal injections - A number of spinal injections are used to treat slipped discs. The injection is done at the opening where the inflamed nerve roots are found and reduces pain, swelling and irritation in the area.
- Radiofrequency ablation - This procedure makes use of an electrical current produced by radio waves to reduced pain and sensitivity in the affected area.
- Ozone discectomy - As opposed to the surgical removal of the prolapsed disc, this new process makes use of an ozone-oxygen mixture that is injected into the spine to treat the problem. Many international studies have proved its superiority to traditional methods and surgeries.
Those affected by this problem are advised to keep exercising and continuing with their everyday activities as best as possible.
Back pain is one of the most common debilitating disorder in the world today. The pain affects 90% of people at some point of their lives. Human back comprises of various structures (see figure) which are nerves, bones, muscles, ligaments, and tendons, any or all of which can be a source of pain. Once back pain occurs, it may become chronic (more than 4 weeks) and you shall need to consult a pain physician for relief and accurate diagnosis.
Since prevention is always better than cure, you can save yourself from having back pain if you follow these basic tips:
Regular Exercise in Correct Form: Regular exercise is important to maintain proper muscular strength of the back. Human back is supported by several big muscle groups (see figure). They serve two functions - one is to facilitate the posture and movements of the back itself and the other is to help movements of the rest of the body appendages (arms, head, pelvis and legs).The health of these muscle group is important to take stress off the spinal bones and maintain proper function. Most of these muscles are red muscle fibers as they need to maintain their activity for prolonged periods of time. Just to give you an idea - your biceps (arm muscles) have to work only when you bend your arm. But your back muscles have to function all the time - whether you sit, walk, stand or even sleep. But the point is what kind of exercises are good for your back? The best exercises for back include body weight low impact aerobics like brisk walking, swimming, stationary bicycling, extension exercises and yoga. What is important to remember while doing these exercises if that you need to be gentle in your movements and achieve correct "form" - this is possible if you can ask someone (preferably a trainer) to observe and point out whether the back stays straight during the exercise. It has been seen that arching and excessive bending is associated with injury to the back while exercising.
Stay Hydrated and Eat Natural Nutritious diet:The inter vertebral discs contain 70 - 80% water. The muscles and tissues have 60% water content. Therefore, it is important to stay hydrated. In addition, you must eat a nutritious diet consisting of green leafy vegetables, good protein source and just enough carbohydrates. Deficiencies of essential nutrients like Vitamin D can result in diseases like osteoporosis. Another important aspect is to maintain body weight within healthy limits. This is very important as increased belly fat is linked to increased back pain due to mechanical factors.
Lift objects correctly and maintain proper posture: While lifting objects, keep them as close to body as possible. Do not slouch or bend excessively while lifting. Just keep your back straight at all times. You may bend your knees a little if required (see figure). Think before you lift and get help if needed.
While working, you must not sit for more than 45 minutes at a stretch. Walk for two minutes, go to a colleague's desk and say hi or even just drink some water or visit the washroom. Humans evolved as hunter - gatherers and our bodies are more adapted to walking / standing than to sitting for prolonged periods. Those of you who travel more and have to sit for long periods of time also need to follow above tips - avoid prolonged sitting in same posture.While exercising, improper position can do more harm than good. Therefore, proper form and posture is a must.
Bonus tip: Avoid cigarette smoking and those who smoke cigarettes to decrease your chances of having degenerative disc diseases leading to chronic back pain early in life.
Post pregnancy, you may experience pain due to multiple reasons. However, such pain might subside within a few weeks, but still it is advisable that one should be prepared prepared for all kinds of discomfort post pregnancy, such as the pain you endure while breastfeeding or the epidural pain. If you have undergone surgery, then there may be pain due to surgical incisions as well. One should keep herself hydrated all throughout and be patient while trying to deal with such post pregnancy pain.
Managing pain depends on the type of pain you are experiencing. Below is a summarized account of the different types of pain one might go through and how to come out of it.
- Incisions: In case the delivery occurs by the caesarian procedure, you might have to endure pain from the incisions. The pain generally lasts till all the incisions heal, so you will require pain medications to get relief from the pain.
- Uterine contractions: The uterus needs to return to its normal size after the delivery. The pain from these contractions tends to increase with subsequent pregnancies. Like incisions, pain medications will be administered to help you get relief from the pa
- Vaginal dryness: A woman’s vagina tends to be dry while she is breastfeeding. This can cause pain if you want to indulge in sexual intercourse. In this regard, lubricants (preferably water based) are a good way to treat vaginal dryness.
- Engorgement of the breast: When a woman starts lactating, her breasts tend to become fuller and thus, cause minor but persisting pain. A breast pump (used to extract milk from a woman’s breasts), in this case, can relieve you of such pain.
- Back pain: Pregnancy related stress and strain can often lead to back pain. This back pain usually stems from holding the baby and breastfeeding it. If it so happens, you can consider changing your posture while breastfeeding and taking warm baths twice a day to get rid of the backaches.
- Joint pain: There may be pain in your joints such as the one in your wrists, hands and feet. This usually occurs due to all the chemical changes that your body undergoes during pregnancy. Pain medications and stretches can help ease this sort of a pain.
- Pain in the legs: Post pregnancy leg pain is caused because of all the fluids that are administered intravenously. Once the content of fluids in the body reduces, the pain tends to subside. However, any sign or symptom of blood clots or visible redness in the legs might warrant medical attention at the earliest.
- Headaches: This is the most common type of pain that can result from a pregnancy. Headaches are caused due to hormonal imbalances, insomnia and stress that you may experience. It is advisable to not take any pain medication in this regard as painkillers can interfere with your bodily hormones even more, given that headaches are usually not something to worry about. Drink plenty of water and try to get ample rest; this should take care of the pain automatically.
Arthritis is painful inflammation of the joints caused by excessive amounts of uric acid in the blood. This causes friction in the joints and may cause inflammation among muscle tissues. This is a very painful condition and may even be debilitating for many people. One of the methods used to provide relief from arthritis pain is the hot and cold therapy. Let’s have a look at it in detail.
How does hot and cold treatment work’s?
The hot and cold treatments work on various joints or muscle areas and are very effective in lowering pain as well as providing more mobility to the affected areas. Both these therapies try to enable the healing forces within the body and hence improve on the conditions which cause arthritis pain.
Heat treatment therapy: Heat therapy uses the principle of the expansion of material when warmer. If heat is applied to an affected area, it dilates the blood vessels, improves and stimulates blood circulation and also reduces muscle spasms. Heat treatments are very effective in soothing stiff joints and tired muscles as they encourage the flow of blood to the areas being treated. Some of the options available for heat treatments would be:
1. Heats patches that are disposable
2. Heating belts made for specific parts of the body
3. Moist heating pads
4. Simple hot water in a tub
5. Paraffin wax and Mineral oil
6. Hot oil massages
7. Warms showers or baths
8. Warmed towels or clothes used as a hot compress
Cold treatment therapy: Cold uses the very opposite principle of heat therapy to provide pain relief to arthritis patients. Cold has the properties of being able to constrict blood vessels and slow the flow of blood, thus resulting in numbing the area and reducing pain. Cold treatment is also very effective in reducing swelling as it can fight inflammation very effectively. It is mostly useful in cases of acute and chronic pain and is a very good pain reliever. Some of the options available for cold treatments would be:
1. Cold compress by using ice in a waterproof bag with a towel covering it to protect the skin.
2. Buying a medically manufactured ice pack or bag
3. Buying ice gel packs from the medical store which can be frozen and then used
4. Making ice packs at home by mixing water with rubbing alcohol and then freezing it
5. Taking ice bath by pouring ice into the bath tub. If you wish to discuss about any specific problem, you can consult a doctor.
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
- Mixed with the burning
- The pressing
- The slashing
- 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-
- The tricyclic antidepressants
- Anticonvulsants medicines can be helpful.
- Intravenous medications
- Lignocaine and Ketamine
- Deep brain stimulation
- 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.
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.
- Dislocation: Dislocated disc of the neck or shoulder due to an accident would cause severe pain in the affected area.
- Fractures: Fractured collarbone or the upper arm bone may result in chronic pain.
- Tendonitis: This occurs due to the over usage of the arms or neck or strains due to over exertion like in sports.
- 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.
- MRI: Magnetic Resonance Imaging or simply the MRI reveals the detail of nerve-related issues along with the problems in the ligaments and tendons.
- 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.
- 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.
- 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.
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:
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Ice packs: Cold compress and cold therapy would definitely help in numbing the area and providing temporary pain relief.
- 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.
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.
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.
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:
- 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.
- 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.
- 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.
- 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.
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:
- 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.
- 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.
- 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.
'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:
- 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:
- 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:
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.
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.
- 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.
- 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.
- 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.
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.
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.
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:
- Acute: Pain lasts for less than three months.
- Recurrent: Acute symptoms reoccur over time.
- 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:
- Manual therapy, which includes direct spinal manipulation aimed at improving the mobility of joints and soft tissues
- Strengthening and flexibility exercises
- Education about what do and what not to do
- Training for proper sleeping positions, lifting, bending, and sitting as well as for working at home and at work
- 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.
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:
- 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.
- 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.
- 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.
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. If you wish to discuss about any specific problem, you can consult a pain management specialist.
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:
- A warm shower or bath in the morning - this will ease morning stiffness and get you ready for exercise.
- Apply a heating pad on the sore/stiff areas for up to 20 minutes - Use optimal, bearable temperature to avoid skin burns.
- 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.
- 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.
- 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.
- 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.
- 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.
- The affected joint can be submerged in a container of ice and water.
- 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.
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. If you wish to discuss about any specific problem, you can consult a pain management specialist.