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Treatment of Neurological Problems
Neck Pain Treatment
Platelet Rich Plasma Treatment
Treatment of Spondylosis
Treatment Of Disk Slip
Treatment Of Herniated Disc
Treatment of Spine Injuries
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Treatment of Muscle Pain Skeleton System
Radiofrequency Neurotomy Procedure
Epidural And Spinal Anesthesia Techniques
Treatment of Spinal Diseases
Ozone Therapy Treatment
Spinal Disc Surgery
Ozone Injection Treatment
Treatment of Mckinzie Treatment For Spine
Spinal Deformity Correction Procedure
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Thanks to Dr Gautam Das that the headaches treatment he gave me has given brilliant results. Many people gave very positive feedback for him. In the past i consulted so many doctors, but nobody was able to help me with my headaches, but he has helped me immensely. The overall atmosphere in the DARADIA Clinic is very soothing and the have all the facilities for the patients.
I feel strange that I am suffering from muscle pain. He is very professional and is a really patient listener. I was in too much pain but because of his physiotherapy, i have got relief. Our family physician personally recommended Dr Gautam Das. They took very nice care of me, i never felt that I am in a Daradia Clinic.
Dr. Gautam Das provides answers that are very helpful. Thanks sir
It is important for you to know about degenerative disc disease (DDD) and spondylosis. Spondylosis is an umbrella term for spine pain, which occurs because of degenerative conditions. Spondylosis refers to several conditions. They include spinal stenosis, which is the abnormal narrowing of the spinal canal, leading to leg pain, degeneration due to DDD and degenerative arthritis or osteoarthritis involving the spine. It may also include cervical osteoarthritis or neck arthritis.
Spondylosis is a common condition, which is age related. The joints and discs present in the neck are specifically affected as a result of this condition. It commonly develops on account of the wear and tear of the cartilage and bones present in the neck. This condition, in spite of being common, worsens with age. In many patients, symptoms are not observed externally, but pain and muscle spasms are experienced.
Many people with spondylosis do not undertake treatment in spite of suffering from the symptoms and pain. In case the symptoms are prevalent over a long time and tend to worsen, you have several modes of treatment to choose from. They may include medicines, corticosteroid injections, physical therapy and even surgery in some extreme cases.
How does DDD or spondylosis occur?
DDD is a spinal condition. It is caused due to the breakdown of the intervertebral discs. With ageing, the spine starts to show signs of wearing and tearing. This happens on account of the discs drying out and shrinking. All these age-related changes are responsible for arthritis, spinal stenosis and disc herniation. Because of these factors, pressure is likely to fall on your nerves and spinal cords, which may further cause back pain. DDD or spondylosis also develops on account of these factors.
Treatment for DDD and spondylosis
There are various modes of treatment, which are available for you to choose from in order to get relief from the symptoms and pain associated with DDD or spondylosis. It can be medicines. You may be prescribed typical painkiller medications, such as non- steroidal anti-inflammatory drugs or NSAIDS, muscle relaxants, oral steroids,etc, It can be physical therapy like ultrasound and massage, transcutaneous electrical nerve stimulation (TENS) etc. When above modalities fails interventional pain management may do miracles. There are few interventional procedures like epidurals, Rami communicantes fibre RF, or some intradiscal procedures. Rarely these patients needs surgery.
Every mode of treatment has got its own benefits, but has its limitations as well.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The sciatic nerve spreads down the spine till the legs. The pain in this nerve can feel like sparks running down your back of leg from buttock area. Anything that puts weight on or aggravates this nerve can cause pain that shoots down the back of one butt cheek or thigh. The amount of pain can increase gradually. Sciatica may feel like a gentle ache, a sharp sensation or extreme uneasiness. Sciatica can bring feelings of shivering, numbness and weakness.
Some of the most regular symptoms of sciatic pain include:
- Pain in the buttock and/or back of leg when sitting or walking
- Hip pain
- Burning sensation in the leg
- Numbness or trouble moving the leg or foot
- Shooting pain that makes it hard to stand up properly
The most common causes of sciatic pain include:
- Lumbar spinal stenosis (narrowing of the spinal channel in the lower back)
- Degenerative disk disease (breakdown of discs, which go about as pads between the vertebrae)
- Spondylolisthesis (a condition in which one vertebra slips over another)
- Piriformis syndrome
- Muscle spasms
How to treat:
Visit doctor early, have a proper diagnosis. As you can see that several diseases can cause sciatica, diagnosis is very important before starting treatment. Outline of treatment:
- No exercises during acute painful condition. No absolute rest is also needed. Do normal daily activities.
- Medications to relieve nerve pain, like pregabalin etc.
- Interventional pain management is the best way to confirm the diagnosis, relieve pain, and cure the condition.
- Surgery is rarely needed.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it ‘the vicious cycle of pain and sleep’ as pain affects your ability to sleep and lack of sleep makes the pain even worse.
Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.
The following are the primary sleep disorders associated with chronic pain:
- Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
- Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
- Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night’s sleep.
- Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren’t sleeping.
Some of the causes of sleep disorders due to chronic pain are:
A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night’s sleep are:
- Limiting caffeine intake
- Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
- Practicing meditation and other relaxation techniques
- Pain killers or sleeping pills can be administered, but only with the doctor’s advice.
- Hot water fomentation over painful area during night, for better sleep.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Our body is composed of many elements that carry out emotional and physical functions that are usually in sync with one another. It is important for these organs and other elements to be in sync for good health. All nerves are connected to the brain and are responsible for sending important signals throughout your body. Therefore, even one pressed nerve may send you warning signals such as pain to the body. It is advisable not to overlook these signals. Damage from a pressed nerve might be minor or extreme. It might bring about persistent and chronic issues. Therefore, the sooner you get a treatment for nerve compression, the more relieving experience you will have. In a few cases, you cannot reverse the damage caused by a pressed nerve. However, treatment does relieve you from the pain in most cases.
Nerves are the most vulnerable at spots in your body where they go through narrow spaces and have very less tissue to protect them. These are the places they are more likely to get pinched. A number of the causes may include:
- If the nerve is pressed between tissues, for example, your tendon, ligament or bone.
- Nerve compression in your neck or arm may likewise bring pain in zones, for example, your elbow, hand, wrist or fingers.
- Aggravation or weight on a nerve root leaving the spine may bring about neck or low back pain.
- In case a disc tears, it is known as a herniated circle that can put weight on a spinal nerve.
Some of the common symptoms of pinched nerves are:
- Pain in the region of pressure, for example, the neck or low back
- Transmitting pain, for example, sciatica or radicular pain
- Blazing sensation
To what extent you are affected depends on individual to individual. Treatment fluctuates, based upon the seriousness and reason for the pinched nerve. You may find that you benefit from just resting the affected area and by maintaining distance from any exercises that may cause you harm. If side effects endure or torment is serious, it is best to consult a specialist. You may require one or more types of treatment to contract swollen tissue around the nerve.
Treatment may include:
- NSAIDs - Non-steroidal inflammation mitigating drugs (NSAIDs, for example, headache medicine, ibuprofen, or naproxen) may diminish swelling & helps in certain situation' but it do not work in most of the time and must be avoided.
- Oral corticosteroids - These are utilized to lessen swelling and agony, used in certain specific situations.
- Opiates - These are utilized for brief periods to lessen extreme pain.
- Co-analgesics - These are the main medicines for nerve pain. Carbamazepine, Pregabalin, Duloxetine etc medicines are best medicines for these situations.
- Interventional Pain Procedures - They are the most cost effective and non invasive methods for pain relief as recommended by the WHO. Your pain will be taken care of by the interventional pain physician or the pain specialist.
- Surgery - Surgery might be required for more serious issues that do not react to different sorts of treatment.
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?
- 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.
- 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.
- 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.
- Platelet Rich Plasma Injection - 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.
- Surgery - Surgical procedures for treating knee pain include partial or complete knee replacements.
Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-
- Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
- Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
- Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
- Opiates, for example, hydrocodone, for pain relief
- Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
- Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
- Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
- Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
- Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
- Exercise routinely to help you recover quickly.
- Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
- Interventional Pain Management: It is a highly effective treatment for back and neck pain.
- Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest must be avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
- Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
- Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.
The shoulders are the strongest and the most often used areas of the body as they are connected to the neck, chest, hands and elbows. Therefore, it should not come as a surprise that shoulder pain and wear and tear of this area, including the rotor cuff and bursa, is also quite common. The shoulders may face plenty of wear and tear when it comes to the ligaments, tissue and other such elements. The shoulder joint may also get injured with repetitive actions that are involved in the life of a sportsperson, a carpenter, a painter and other such professionals.
There are a number of ways in which one can deal with shoulder pain. Here are the best measures that you can take in order to deal with the same.
- Increase the range of motion: One should increase the range and variety of motions so that the stiffness and soreness that primarily comes from repetitive actions, may be avoided. If you are only lifting materials, then you may also want to swing the arm at regular intervals to increase the blood flow and exercise the various nerves. Also, this will help in giving rest to the affected region of the shoulder. Rehabilitation therapy can help in introducing one to a range of motions that will give rest to the affected area and bring in new positions.
- Perform strengthening exercises: One of the best ways to keep pain and stiffness at bay is to create plenty of core strength in the muscles and joints of the area. You can try out various exercises as per the physiotherapist and the physical therapy exercises so that you can build strength. This will also help in keeping the pressure off of the affected area. You can add some weights to the exercise routine so that there is extra strength built up in the process.
- Do aerobic exercises: Aerobic exercises are known to increase the blood circulation to the area. The tendon and the bursa in particular benefit substantially from this kind of exercise. This will also bring the soreness down so that the pain and stiffness do not affect you.
- Try heat and ice therapy: You can use ice packs to soothe the inflammation in the affected area. This is usually recommended for acute pain and new injuries. Similarly, you can use heat packs and hot showers to soothe chronic pain as and when the same returns. However, you should be careful so that the scalding temperature does not leave burns and marks.
- Medication: You can also have painkillers as well as gels and ointments that can be used for topical relief. These must be taken with a doctor’s prescription.
Chronic pain is one that lasts for a long time or might even last a lifetime. It could either be seasonal - that you would experience only in winters, or it may persist throughout the year. There are many ways to cope with or get rid of chronic pain. Mentioned below are ten ways in which you can deal with chronic pain:
- Meditation: Meditation and deep breathing can help ease pain and strain on the muscles. Concentrating on the breath, overlooking your thoughts, causes the body to unwind. While you can learn to meditate by yourself, taking a class is a better idea.
- Lessen stress in your life: Negative sentiments like depression, uneasiness, stress, and outrage can make the body more sensitive to pain. By figuring out how to take control of anxiety, you may discover some relief from pain.
- Help get rid of pain with the natural endorphins from exercising: Endorphins are cerebrum chemicals that enhance your mindset while blocking pain signals.
- Exercise has another pain decreasing impact - it reinforces muscles, preventing re-damage and further pain. Furthermore, practice can hold your weight down, decrease heart problems and control glucose levels - particularly critical if you have diabetes.
- Cutting down on alcohol: It is not easy to rest with pain and liquor can aggravate pain issues. In case you are living with chronic pain, drinking less or no liquor can increase your pain improvement process.
- Join a care group, meet others living with chronic pain: When you are with individuals who have chronic pain and share what you are experiencing, you don't feel alone. You additionally gain advantage from their knowledge in adapting to the situation.
- Try not to smoke: Smoking can intensify pain flow issues and increase danger of heart or respiratory diseases
- Track your pain level and exercises each day: To treat the pain, your specialist needs to know how you have been feeling between visits. This will help in prescribing the right kind of exercise so that your muscles get their strength. Keeping a log or diary of your everyday "pain score" will help you track it. Towards the end of every day, take note of your agony level on the 1 to 10 pain scale.
- A sound eating routine: A nutritious diet is essential from multiple points of view - supporting your digestive system, reducing the risk of heart diseases, keeping your weight under control, and enhancing glucose levels. To eat a low-fat, low-sodium diet, these are important: new leafy foods; cooked dried beans and peas; entire grain breads and oats; low-fat cheese, milk and yogurt.
- Discover approaches to keep yourself occupied: When you concentrate on pain, it worsens as opposed to getting better. Rather, discover something you like doing - a movement that keeps you occupied and thinking about things other than your pain. You will not have the capacity to maintain a distance from pain, but rather you can take control of your life.
- Visit a doctor to make a diagnosis: Self-treatment is always dangerous. Have a diagnosis from a pain physician and treat it early.
Lower back pain is a household condition in today’s times. It has become a concern to reckon with, thanks to all the different job descriptions which require sitting for long stretches in front of desks and computers. This automatically puts a pressure on our lower back, resulting in lower back pain.
Lower back pain is actually a pain perceived in the lumbar region, which is situated below the ribcage. The spinal muscles, tendons, nerves and bones located in the lumbar spine experience severe pain which is referred to as lower back pain. Some of the major sources of lower back pains are:
- The ligaments, joints or bones get damaged
- Degeneration of the inter vertebral disc
- Irritation in the long nerve roots which start from the lower back and extend to the legs can cause pain
- Strain on the lower back muscles
Although with adequate rest lower back pain heals over time, seek advice from a doctor immediately if you have the following indications.
- Sudden fever or a feeling of chill all over your body
- Sudden weight loss
- You experience weakness in legs
- A problem in metabolic activities or improper functioning of bowels. You may feel unable to control your urine or have difficulties in bowel functions
- A persistent and severe pain in the abdomen
Factors that put you at risk
- If you are overweight
- Maintain bad postures while sitting or standing
- Follow unhealthy lifestyle habits such as excessive smoking or drinking coupled with a bad diet
- Lift heavy items/weights in your work
It is advisable to consult a doctor, if the lower back pain persists for a prolonged period. But if you have occasional bouts of pain, there are certain home remedies which you may follow:
- For a temporary pain relief, use a heating pad on the affected area. You may also take a warm bath.
- Do light exercises and yoga helps to prevent back pain. One thing you must remember is that you must exercise according to your body weight and postures.
- Medications can be used when pain affects daily life Interventional pain management like facet joint injection, SI joint injections, trigger point injections, epidurals helps in difficult situations when other options have failed.
Finally, bring in some change in your lifestyle, if you never want to experience any kind of lower back pain. Make exercises an indispensable part of your daily life, cut down on alcohol and quit smoking immediately. To top it all, try to follow a healthy diet.
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.