Lybrate.com has a number of highly qualified Homeopaths in India. You will find Homeopaths with more than 29 years of experience on Lybrate.com. You can find Homeopaths online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Chin Reduction Treatment
Weight Management Treatment
Asthma Management Program
Hair Restoration Techniques
Head And Neck Pain Treatment
Treatment of Migraine Treatment
Nosebleed (Epistaxis) Treatment
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Viral Fever Treatment
Submit a review for Dr. Darshana SanghaviYour feedback matters!
My memory power is getting down day by day. I don't know what is happening. Most of the time my mood swings, I am depressed and stressed. I am getting over excited or being calm. I am not able to maintain balance between them. Can you say me the better ways to improve concentration and memory.
How to get back my original black colour hair because it grieyed out my age is 34 please suggest home remedy.
Hi sir my name is narender from vijayawada my problem is heavy backpain my job is marketing im travel daily 70 km on bike I think thats the reason for my back pain please suggest me how to solve my problem.
I had never any problem or pain in my tooth, but I found some blood traces while brushing. Please suggest some good tooth paste or any other advice. Thanks.
I am suffering to teeth problems. My teeth is so pallor and I have a pallor flake in side. I want bright white teeth. Please help me sir.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.