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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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Patient Review Highlights
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
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.
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!
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.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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.
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:
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.
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.
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.
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.
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.
Relaxation Techniques: In combination with the abovementioned 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.
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.
Interventional pain management. When every other options has failed, interventional pain management, like neuro-modulations, nerve blocks, spinal cord stimulation can do miracle in relieving pain.
Whether it is the dipping winter temperature, chilling effect of the air conditioning or a lower temperature caused due to rain, we complain about the body pain. It is quite normal when our body experiences lower temperature than it is comfortable with, various forms of aches crop up, esp. if you already have a condition or have been physically hurt.
Winters are typically associated with several types of body pains. Particularly, we’ve seen higher incidences of nerve – related pain, joint pains and vascular pains during the season.
Manage your pains by following these 6 tips:
1. Keep yourself warm: Needless to say, it’s extremely important to keep yourself warm when its gets uncomfortably cold. Clinical research has shown higher incidence of nerve – related, vascular pain and joint pains if your body is exposed to low temperatures for long periods. This is especially true if you are 60+ in age. So, dress appropriately with body warmers, sweaters and jackets
2. Keep yourself physically active: A colder weather reduces average activity levels. An average person walks up to 1,000 lesser steps when its cold. To avoid pain in knees and other joints, it’s especially important to keep up activity levels. Try and take out time for walking in the afternoons or evenings, even if it is inside your house or office.
3. Take care of your diet: It is important to ensure that your intake of Vitamin D, Calcium and Vitamin B complex is adequate. Make sure that your diet remains rich in dal, green leafy vegetables (Vitamin B complex), milk (Calcium) and cheese and egg yolk (Vitamin D).
4. Get enough exposure to sunlight: Lesser exposure to the sun causes Vitamin D deficiency during winters, which can result in fatigue, lethargy and general body pains. Make sure to get at least 15-20 minutes of sunlight exposure, ideally in the mornings around 9am to 10am.
5. Avoid the wrong foods: Actively manage your diseases like diabetes and hypertension to stay pain free. If you suffer from diabetes, make sure that you do not overeat foods with high glycemic index. If you suffer from hypertension, it is important to keep away from spicy and oily foods.
6. Get expert advice: Visit your pain specialist if your pains continue for more than 2 weeks. Be regular with your prescribed pain medications, but strictly avoid self-medication or overuse of painkillers.
How should you approach pain caused due to sports injuries?
Sports injuries can happen to any person who engages in sporting activities. These affect full-time athletes as well as those who partake in sports and exercising on an occasional basis. Most sports injuries are acute and affect the muscles and skeletal system. Usually, they are not chronic unless caused by a grave accident or left untreated.
The most common types of injuries caused due to sports are as follows:
Treatment of sports injuries depends on a number of factors such as the type of injury, part of the body affected, the intensity of the pain, and the patient's age and medical history.
Accordingly, the most common ways of approaching the pain caused by sports injuries are:
1. Immediate remedies
Several quick aid, home remedies are used to treat pain that is caused by minor injuries to muscles, such as sprains and strains. It involves alleviation of pain through rest, using ice packs and hot water bags, wearing supports and elastic compression bandages.
Many medicines such as painkillers and anti-inflammatory pills, creams and sprays effectively reduce pain caused by sports injuries. In extreme cases, morphine and codeine are also prescribed.
3. Physical therapy
A number of injuries can be treated and cured through certain exercise and workout routines. These aim at stretching and strengthening the affected area to provide pain relief through increased flexibility and muscle activity.
Various substances and chemical compounds can be injected into the injured area which works on the affected ligaments, tendons, and cartilage to reduced inflammation and relieves pain.
5. Surgical procedures
If the injury is too severe and the pain too intense, the best option for treatment is surgery. This is generally resorted to in case of damage to the skeleton in the form of broken bones and cracked ribs.
Devising the exact treatment method requires a thorough examination of the injury. Diagnosis can only be provided after taking into consideration the many factors that affect treatment. The method of treatment varies from case to case and consequently, the recovery time also differs. In case you have a concern or query you can always consult an expert & get answers to your questions!
What are the Different Kinds of Arthritis and How to Treat Them?
Arthritis is a very common medical condition that affects a lot of adults as they age. It occurs due to inflammation of the joints, which can be caused by a number of factors such as aging, injury or infection.
There are over a hundred different kinds of arthritis that cause various sorts of problems to those affected. However this condition can be broadly classified into two major types, which include the following:
1.Osteoarthritis - Also known as degenerative joint disease, osteoarthritis is the most common kind of chronic condition to affect the joints. This occurs when the cartilage that surrounds the joint wears away and allows the ends of bones to rub against each other causing immense pain and is often accompanied by inflammation and swelling. The primary cause of osteoarthritis is aging and occurs mainly due to pressure on the joints from lifting heavy weights.
2.Rheumatoid Arthritis - This is the most common type of arthritis that occurs due to joint inflammation. It is an autoimmune condition, which means that it is caused by a dysfunction of the immune system that leads to inflammation of the joints. Chronic inflammation causes joint deformities and even the development of rheumatoid nodules on the skin around the joint. Two-thirds of patients affected by rheumatoid arthritis are women.
Depending on the nature of the condition and the age and medical history of the patient, diagnosis, and treatment of arthritis varies. Although there is no permanent cure for arthritis, especially the type caused by aging, a number of remedies exist that provide relief from pain.
Some of the common methods of treatment for arthritis are:
- Medication - Some medicines provide relief from the pain of arthritis if it is not too severe. These include painkillers, anti-inflammatory pills, sprays, and ointments, etc. In case of high-intensity pain, codeine is often prescribed.
- Stem Cell Therapy - This method involves drawing platelets from the patient's own blood and injecting it into the inflamed parts of the joint in order to repair damaged muscles and alleviate pain.
- Injections - A number of anti-inflammatory substances and lubricants can be injected into the affected joints to decrease pain. Ozone gas injections are an example of this.
- Surgery - In extreme cases, surgical procedures are resorted to for treating arthritis. However, successful surgery cannot always be guaranteed and it comes with its own set of risks.
Fibromyalgia is a disorder that causes widespread body pain along with sleep deficits, memory loss, mood problems and fatigue. Symptoms may be triggered after a surgery, physical trauma, infection, or stress. Women are much more vulnerable to this disease than men. Many people affected with fibromyalgia may have suffered from headaches, backaches, depression, anxiety, tension, temporomandibular joint disorders and irritable bowel syndrome.
Most of these patients have undergone multiple consultation with various doctors and undergone many tests, but no diagnosis could be made. These patients are often ignored by doctors and family members as always "complaining of pain".
Symptoms of Fibromyalgia
- Extensive Pain: Pain related to fibromyalgia is often depicted as a dull pain that lasts for at least three months. Pain can involve any body part like back,neck, chest, arms, legs. Patients have pain in multiple areas of body and painful areas change over time.
- Fatigue: Patients afflicted with this disorder feel tired even after sleep. Such people are reported to sleep for longer hours than normal people, but their sleep often gets disrupted due to sleep apnoea and restless leg syndrome.
- Cognitive Difficulties: These patients find it difficult to concentrate at work and also suffer from memory deficits in daily activities.
Diagnosis of fibromyalgia There are no specific test to diagnose fibromyalgia. Diagnosis is made by a doctor specialised in Pain Medicine using clinical methods based on symptoms and examination. Blood tests like Haemogram, Thyroid function test, RA Factor, ESR are done to rule out other diseases which can cause similar symptoms.
Treatment of fibromyalgia
- First step in treating these patients is to accept their problem and discuss with patient and family members regarding the presence of such disease entity.
- Lifestyle changes like active involvement in cardiovascular exercises, swimming, yoga, meditation are important to control symptoms.
- Conventional painkillers do not work in these patients. They requires special medications prescribed by a pain specialist for control of symptoms.
- Counselling of patient is beneficial for associated depression. Sometimes these patients need interventions/injections.
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.