Doctor in Pain Clinic of India
Patient Review Highlights
I am 23 years old I'm suffering from lower backache from 6 months, used lot of medicines suggested by doctors but did not resolve. If I take rest it's reducing ,unable to sit for even 1 hour.
I am suffering from disc prolapse from around 15 days now I sometimes I suffer from pain and sometimes it is completely fine now we are thinking if we should operate on it or not. Actually I want to know the disadvantages of operation or surgery in this case.
Few days back my legs muscle started paining, till now its paining while I do some physical work, or I do play cricket, is it a muscle pull or anything else?
I am having mild to moderate headache that comes and goes from 2 weeks, its more when I don’t get enough sleep. But I have never been a headache patient. Some times pain near eyes. On eye check up, dryness was found. I am getting medicine and drops for it. Bp is 135/85. I am IT software professional and can not concentrate a lot on screens. Head pain radiates but its not too much.
Movement of the head and neck is enabled by the various joints, muscles and ligaments in this region, in the cervical spine. Cervical spine is a part of the vertebral column or the spine. It supports the head and neck in all movements. There are cervical vertebrae, ligaments, muscles, and nerves which ensure this movement happens smoothly. However, given the complexity of the whole structure, head and neck pain are also two of the most common joint pains.
The Neck Bone’s Connected to the Head Bone…
The vertebrae of your neck (cervical spine) support the weight of your head and all its motions, which may not seem like much – until you realize your head weighs as much as a bowling ball. When your neck bones are not positioned properly, the result is tightening of the muscles and irritation of the nerves that connect with your head. Your head and neck symptoms may include some or all of the following:
- Sharp or dull pain or discomfort in your neck
- Stiffness in your neck Pain radiating to the one or both arms and hands
- Inability to turn your head to one side
- Shoulder pain
- Jaw pain
Fortunately, you don’t have to live with head and neck pain – and you don’t have to take drugs to eliminate the pain.
- Posture problems: Not providing adequate support when being seated grows to be a menace. With the changing lifestyle where people end up staring at a monitor, there is tremendous stress on the neck muscles, leading to pain and stiffness. There is also loss of flexibility, leading to a stiff neck and headaches.
- Muscle strain: This can occur due to a sudden movement, either when doing something or as a result of accident (like a whiplash injury). The muscle can be torn or injured and this can result in pain, swelling, and inflammation of the affected area.
- Stress: One of the most common identifier of stress is the constant ache/nagging pain in the back of the neck.
- Disk herniation: When the disk is bulged or moved out of its space due to excessive movement and rotation, the disk gets herniated and the nerve gets ‘pinched.’ This can cause a sharp, shooting pain to the area where the nerve emerges out of that disk. Spondylitis, arthritis, etc., are other chronic inflammatory conditions which can affect the neck and head areas. Side effects: When there is pain in the head and neck area, the whole body function is affected. The movement is limited and affects overall functioning of the patient. This, in turn, affects the overall quality of life.
- Management: Identify the problem with a thorough examination, X-ray, and if required MRI. Ice or heat application over the area for relief of pain temporarily. Improve ergonomics in terms of height of the monitor, seat/chair, etc., so the strain is minimized. Develop an exercise regimen, which gives adequate exercise to the head and neck muscles.
- Manage stress: Be it physical, chemical, or emotional stress, it takes a toll on the head and neck area. Managing the stress (there is no escape from it!) will definitely see the pains and stiff neck go away. Engage in pain management, which is holistic (as above) and does not always resort to medications. Pain management treatment like cervical epidural injections, facet joint RF ablation, myofacial trigger point injection etc helps in relief of pain and there by assisting in good rehabilitation program.
I am a 33 year old woman .intense pain radiating from back to left leg mri shows PID L4/lL5+ posteriolat squashed fragment behind L5 body. Is surgery imperative?
My hand is shaking and I have back pain. Loss of legs and stroke disability. I take blood test and ultrasound scan my report is blood test is alkaline phosphatase level in 169 alanine transmission-40 uric acid-7.3 calcium-9.2 proten-7.18 albumin-4.36 cholesterol-127 trigyerides-127 thyroxine-4.3 and get ultrasound scan to my kidney and overly and other organs partially visualized and liver is fatty and enzymes is mild increased any bone problems how to solve the problems I have some have already take psychiatric medicine using in quetiapine 275 mg using 5 years any long term side effects of this drug.
Age 86. Accident happens & Compressive Fracture happens to back side. Doctor suggested the use of belt compulsory. Chronic liver disease And Calcium Tablets and Spray. But didn't got better result. Suffering Pain hardly. What is the another way to feel better to patient. Give me a best solution.
Sciatica pain arises due to compression or injury to the sciatic nerve, which is the single largest nerve in our body. It consists of individual nerve roots, which branching out from the lower back (spine) to the back side of each leg. It supplies the sensation to the leg structures and power to the muscles of the legs. The origination of the sciatic pain lies in the lower back of the body and radiates down the buttock to the sciatic nerve.
Causes of the sciatica pain
- Herniated disc (also known as PIVD/DISC bulge) : Most common cause of low back pain and radiating leg pain could be a herniated disc in the lower back of the body.
- Spondylosis: Spondylosis in the lower back would also be a reason for the development of the sciatica pain.It can cause reduction in the size of the gap though which the nerve exits.
- Muscles and ligaments: In some cases spasm of the muscles in lower back may cause sciatica pain. Other causes are a spinal injury, degenerative disc disease, infection in and around the lower back. The pain would worsen, if an individual is in an occupation where he or she has to stand or sit for hours at length without physical activities. The lifting of heavy things would strain the sciatic nerves as well.
How to identify sciatica pain?
Sciatica pain varies from infrequent aching pain to a constant throbbing pain travelling down the lower back. So initially it is difficult to detect whether it is sciatic pain or not. But when the constant pain in the lower back leads right down in the leg, most of the times till the toes and foot, it is really time for an individual to get in touch with a doctor. The pain can give a burning or pricking sensation, sometimes very severe, making it difficult for the person to stand up or walk properly. Along with the pain, one can feel fatigued. If left untreated, it may cause permanent damage to the nerves and spinal cord (Rare). Treating it early is very important to prevent long term problems.
Treatment for sciatica pain
Sciatica can be treated in both surgical and non-surgical way. The non-surgical pain treatment would include physical exercises and oral medications along with natural treatment.
- Medications: Painkiller medications prescribed by the doctor can be used to reduce sciatica. Medicines like aspirin, non-steroidal, mild opoioids or oral steroids can help reduce the pain.
- Pain Management Steroid injection: Epidural steroid injection acts faster as it is injected in the affected area, thus providing relief from the pain quickly. This is done when other non surgical treatments are not working. This helps in avoiding surgery in almost 80% of the cases.
- Exercise: Early morning exercises can be quite helpful. Surgery : Surgical treatment is required rarely as sciatica tends to respond well with non-surgical treatments. If the pain continues for over a month despite treatment, or patient is having some serious complications like loss of bladder and bowel function, surgical treatment will be considered.
- Percutaneous Endoscopic Discectomy: The surgical treatment named Percutaneous endoscopic disc discectomy and foraminotomy constitutes a large part of interventional pain physicians and it has evolved considerably in terms of surgical technique and instrumentation. Percutaneous endoscopic discectomy is a relatively new technique for removing lumbar disc herniation. It involves using an endoscope to visualize the disc removal. The discectomy is performed from under local anesthesia and sedation using specially developed instruments. The advantage of percutaneous endoscopic discectomy is that the disc is approached posterolaterally through the triangle of Kambin without the need for bone or facet resection thus preserving spinal stability. The procedure is day care and is done under local anaesthesia. Minimally invasive surgical options like endoscopic discectomy are boon for patients as they avoid any cut or sutures on the skin.
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