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Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
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Hello Dr. Meri Mummy ke baare me batana hai unki age 47 hai or unko nas ki problem hai haatho me or shoulders me pain hota hai. Raat Ko sone k time bhi Dard hota matlb ke jb bed Par letti hai to Dard rehta peeth me jiske wajhse wo so ni paati hai. Or haatho me bhi Dard hota jb koi kaam krti hai to unki haatho ke base swell hojati hai .or koi kaam ni hopata h unse.
I am 31 years old. My left knee ACL Operation before two years but I feel pain back side of knee after operation and know my knee all reports clear but pain is continuous.
I am 18 years old I had knee pain for one month and then I use some ointments and medicines and then it has been cured so who have knee pains or bone pains they eat the calcium vegetables.
I am 30 years age and am having severe back pain and ligament tear in right knee. Kindly assist whether homeopathy can be helpful.
Hi I am 31 years old men, having diabetes and taking supplements, now its 102 (F) and 130 (PP). But I have right shoulder pain for the 10 days for whole days. Is this related to diabetes?
I am having a back ache problem when I stand for 1 hour or more. What should I do to get rid of this pain?
Sir I am feeling mild pain in my lower back on abdominal side after eating hot food and spicy foods and after eating tomatoes. Please provide suggestions.
Hi, I am suffering popping shoulder both shoulder and hip joint I have extreme pain and numbness in my hand and legs when I move my hand that causes loud popping sound and pain, some time my shoulder popping out pls help me.
Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material.
Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.
Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.
In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision
- Local anesthesia is given in the area that needs to be operated
- A biopsy needle is inserted into the fractured space with the help of an X-ray
- The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
- The needle is removed and the incision is covered with a bandage
- Usually the patient is sent home in an hour’s time unless the overall condition is really bad
- There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
- There is also improvement in mobility while doing daily chores
- The pain relief can last up to 3 years after the procedure
- Returning back to normal activities takes about 3 to 4 days after the procedure
When to use this procedure?
Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:
Benefits of using vertebroplasty for managing pain
- Minimally invasive
- Effective way to get relief
- Improves mobility
- Reduces need for long-term use of painkillers
- Stabilizes the spine and prevents further collapse
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