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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.

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MON-SAT
03:00 PM - 08:00 PM

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Building Number. 1, Ground Floor, Kandari Colony, Landmark : Opposite Chate Classes Lane & Adarsh Hotel, Opposite Hotel Orchids
Chembur East Mumbai, Maharashtra - 400071
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Doctor in Pain Clinic of India

Dr. Kailash Kothari

MD - Anaesthesiology, MBBS
Pain Management Specialist
Get ₹125 cashback on this appointment (No Booking Fee)
85%  (34 ratings)
26 Years experience
1200 at clinic
₹300 online
Available today
03:00 PM - 08:00 PM
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Specialities

Pain Management

Pain Management

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

"knowledgeable" 2 reviews "Very helpful" 3 reviews

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4 Causes Of Sciatica Pain And Its Treatment!

MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
4 Causes Of Sciatica Pain And Its Treatment!

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 

  1. 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. 
  2. 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. 
  3. 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. 

  1. 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. 
  2. 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. 
  3. 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. 
  4. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3970 people found this helpful

I am 47 years old l have headache. From 7 years. I take tab half vasograin & sinarest l p.

MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
I am 47 years old l have headache. From 7 years. I take tab half vasograin & sinarest l p.
Looks like migraine, You need to continue these tablets and may need to add beta blockers to prevent and reduce repeat attacks. U need to consult pain clinic near by.
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I have back pain from last 6 months. Sometimes it is less panicky and sometimes more. Due to it I have problem in bending and moving up and down. I also can not lift weight. Pain occurs in lower back joint.

MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
I have back pain from last 6 months. Sometimes it is less panicky and sometimes more. Due to it I have problem in ben...
It is becoming chronic, you need to investigate, X-ray and mri are important to reach diagnosis. Better rule out slip disc and treat early. U need to consult near by pain clinic.
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Dear Sir, I'm 25 years old suffering from slip disc l5-S1 from last three year, I take many treatment through allopathy ,homeopath & Ayurveda and continuing yoga practices. I cured from pain, but now i'm feeling numbness in my left heap & leg. One more problem i'm feeling disorder in my sex power (stay Power. Please give suggestion what will I do. I am family member are forcing to me for marriage. What will I answer them.

MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
Dear Sir, I'm 25 years old suffering from slip disc l5-S1 from last three year, I take many treatment through allopat...
You don't have to worry about sex power. Worry is weakness. You need to take MRI and probably you will get cure by procedure called endoscopic discectomy which we perform at our Center. This is button hole day care surgery without stitches.
1 person found this helpful
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I am having head ache and I think it is happening due to stress.Please suggest me something for that.

MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
I am having head ache and I think it is happening due to stress.Please suggest me something for that.
The headache can be stress induced. The best thing is to relax and do few minutes of meditation. If it’s bad than you may take pain killers. In case headache persists more than 3-4 weeks you need to consult pain physician who can guide you with proper diagnosis. Hope this helps.
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My back of the neck feels tight and mostly in the morning, it's not that it pains a lot, but it feels uneasy n also makes the head heavy and disturbs sleep .When I press it on certain points ,the pain or tightness lessens. I had neck cervical 4 -5 years back .So should I go for neck x-ray to check for the same and which points. As I have muscular dystrophy or suggest otherwise.

MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
My back of the neck feels tight and mostly in the morning, it's not that it pains a lot, but it feels uneasy n also m...
Morning stiffness and neck pain can be explained by cervical muscle spasm, or cervical spondylosis. X-ray and Mri are good option. I would suggest that you should consult pain clinic near by who will be good in diagnosis and treatment if such chronic pain conditions.
1 person found this helpful
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I am in 39 year female last couple of weeks I have head, jaw, neck, shoulder pain and dizziness, I have taken pain relief tab and myospaz tablet also but not relief.

MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
I am in 39 year female last couple of weeks I have head, jaw, neck, shoulder pain and dizziness, I have taken pain re...
The commonest cause is cervical muscle spasm and trigger points. The pain may radiates to areas you mentioned. But occasionally it may be other issues in neck and face. You need examination by pain specialist in your city so they can pin point your cause of pain and treat accordingly.
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My father had accident and the right hand is not working properly. The L3 nerves is got damaged. We have checked with the CMC vellore Dr. So that they had done the operation but its not work and now he has been suffering from the nerves problem since 8 years before. The pain is continually 24 hrs. He is taken some painkiller like gapapinSR 150, Amixide H, neurobion, etc daily. And it can be harm his liver also. So what we do? If we do not give medicine he can not bear the pain. please suggest.

MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
My father had accident and the right hand is not working properly. The L3 nerves is got damaged. We have checked with...
Looks like he is having neuropathic pain and may be CRPS - I (a condition where there is nerve damage and pain after that. There are few treatments like lumbar sympathetic blocks, ketamine infusion and spinal cord stimulation to treat this. You also need to optimise the drug dosages as sometimes improper dosage may not be successful in relieving the pain.
1 person found this helpful
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I had a lot of back pain and consulted a physiotherapist. He stated that my spine is not aligned and will need correction. So he did some procedures like heat therapy and another machine that gave small currents on my back and then some manual correction in which he was pulling my neck. Anyway I went for one sitting and since then I feel very dizzy when I sleep on my back. Im fine while standing or laying sideways. Is this normal and what should I do to not be dizzy?

MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
I had a lot of back pain and consulted a physiotherapist. He stated that my spine is not aligned and will need correc...
If it's an acute pain (4 weeks or less) you should get better with medicines and physio. If it's not resolving or increasing beyond this point, you may have to show the spine and pain specialist, do some tests like X-ray/ MRI and treat it early for complete cure. Hope this helps.
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