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Dr. Preeti Doshi - Pain Management Specialist, Mumbai

Dr. Preeti Doshi

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Anaesthesiology, FRCA

Pain Management Specialist, Mumbai

34 Years Experience  ·  1500 - 2000 at clinic  ·  ₹300 online
Dr. Preeti Doshi MBBS Bachelor of Medicine and Bachelor of Surgery, MD - A... Pain Management Specialist, Mumbai
34 Years Experience  ·  1500 - 2000 at clinic  ·  ₹300 online
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In a pain clinic, we generally advocate multimodal and multidisciplinary approach to get the best...

I am Dr. Preeti Doshi. I am the in charge of pain clinic at Jaslok Hospital and Research Centre, Mumbai.

In a pain clinic, we generally advocate a multimodal and multidisciplinary approach to get the best possible outcome. These patients can be offered multiple different modalities to get the best possible outcome.

So, we start mainly with pharmacotherapy in the form of various drugs as appropriate for the type of pain that the patient is present with. Besides this, we also got a spectrum of intervention right from basics to the advance intervention which can be offered to the patients as appropriate for their particular pain syndrome.

So, here we target the nerves or the pixies which are responsible for causing this particular pain and the interventions are done ideally under image guidance and nowadays we definitely prefer to offer interventions under image guidance in form of fluoroscopic or ultrasound guidance. This is to reach the target precisely with minimum side-effects. We also have physical, psychological and occupational therapies and several other complementary therapies.

Overall we can achieve the best outcome if we combine more than one modality depending on individual pain syndrome. So, the most common interventions that we perform as pain specialist are directed towards the spinal pain such as low back pain in which we most commonly perform transforaminal epidural injections under guidance or facet joint injection in form of medial branch diagnostic block or frequency ablation. And these are all performed under local anesthesia and on day care basis.

So, these patients can go home within a couple of hours after these procedures. Besides this, we also have several other options as required for the patients with failback surgeries, we perform a procedure called Epidural Adhesiolysis because they are found to often have fibrosis and scarring around the nerves after having undergone spinal surgery. If the patient fails to respond to the conservative line of management and they have severe pain, we also have the option of advanced pain therapies in the form of neurostimulation or intra-thical drug delivery system.

They have a good success rate with a good evidence in literature for the use in common clinical practice. The complications are very rare if it's been performed with all the due precautions. However, there is the remote possibility of infection occasionally or hematoma or nerve injury and the patient have to be explained about this but these are extremely rare performed by an experienced operator with all due precautions.

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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Preeti Doshi
Dr. Preeti Doshi is a popular Pain Management Specialist in South Mumbai. She has had many happy patients in her 18 years of journey as a Pain Management Specialist. She has completed MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Anaesthesiology, FRCA . You can meet Dr. Preeti Doshi personally at Jaslok Hospital in Dr G Deshmukh lane, Mumbai. Book an appointment online with Dr. Preeti Doshi and consult privately on Lybrate.com. Dr Doshi's practice philosophy is to blend medical innovation, evidence based medicine and compassion to cater to each patient's individual requirements. She strives to improve functionality and enable patients to resume an active lifestyle. Dr Doshi believes that the treatment of pain is not only a physical issue, but also has an emotional component. She offers patients the personal time and care that is needed to thoroughly evaluate their pain and provide them with the most appropriate treatment. She outlines an individualized therapy after thorough patient evaluation which is instituted in the safest and efficient manner based on scientific and literature-based evidence. She has performed thousands of pain interventions till date ranging from simple nerve blocks to highly complex and advanced implantable pain therapies to the satisfaction of her patients. Her center has excellent multidisciplinary expertise to provide the optimum outcome to the much demanding advanced therapies.

Info

Education
MBBS Bachelor of Medicine and Bachelor of Surgery - Topiwala National Medical College & BYL Nair Charitable Hospital - 1985
MD - Anaesthesiology - Topiwala National Medical College & BYL Nair Charitable Hospital - 1990
FRCA - Royal College Of Anaesthetist UK - 1995
Languages spoken
English
Hindi
Awards and Recognitions
FIPP USA
Past VP ISSP
Professional Memberships
World Institute of Pain (WIP)
International Association of Study of Pain (IASP)
International neuromodulation society
...more
TNS
ISSP- Indian Society of Study of Pain- Life Member

Location

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Jaslok Hospital

No.15, Dr.G Deshmukh Marg, Pedder Road, MumbaiMumbai Get Directions
1500 at clinic
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Bhatia Hospital

Tukaram Javaji Marg, Old Chikalwadi, Tardeo, Grant Road WestMumbai Get Directions
2000 at clinic
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Wockhardt Hospital

1877, Doctor Anandrao Nair Marg, Near Agripada Police Station, Mumbai Central EastMumbai Get Directions
1500 at clinic
...more
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Multimodal And Multidisciplinary Therapy For Postoperative Pain Management

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Anaesthesiology, FRCA
Pain Management Specialist, Mumbai
Play video

I am Dr. Preeti Doshi. I am the in charge of pain clinic at Jaslok Hospital and Research Centre, Mumbai.

In a pain clinic, we generally advocate a multimodal and multidisciplinary approach to get the best possible outcome. These patients can be offered multiple different modalities to get the best possible outcome.

So, we start mainly with pharmacotherapy in the form of various drugs as appropriate for the type of pain that the patient is present with. Besides this, we also got a spectrum of intervention right from basics to the advance intervention which can be offered to the patients as appropriate for their particular pain syndrome.

So, here we target the nerves or the pixies which are responsible for causing this particular pain and the interventions are done ideally under image guidance and nowadays we definitely prefer to offer interventions under image guidance in form of fluoroscopic or ultrasound guidance. This is to reach the target precisely with minimum side-effects. We also have physical, psychological and occupational therapies and several other complementary therapies.

Overall we can achieve the best outcome if we combine more than one modality depending on individual pain syndrome. So, the most common interventions that we perform as pain specialist are directed towards the spinal pain such as low back pain in which we most commonly perform transforaminal epidural injections under guidance or facet joint injection in form of medial branch diagnostic block or frequency ablation. And these are all performed under local anesthesia and on day care basis.

So, these patients can go home within a couple of hours after these procedures. Besides this, we also have several other options as required for the patients with failback surgeries, we perform a procedure called Epidural Adhesiolysis because they are found to often have fibrosis and scarring around the nerves after having undergone spinal surgery. If the patient fails to respond to the conservative line of management and they have severe pain, we also have the option of advanced pain therapies in the form of neurostimulation or intra-thical drug delivery system.

They have a good success rate with a good evidence in literature for the use in common clinical practice. The complications are very rare if it's been performed with all the due precautions. However, there is the remote possibility of infection occasionally or hematoma or nerve injury and the patient have to be explained about this but these are extremely rare performed by an experienced operator with all due precautions.

5 people found this helpful

Hot And Cold Therapy - How It Can Help Manage Back Pain?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Anaesthesiology, FRCA
Pain Management Specialist, Mumbai
Hot And Cold Therapy - How It Can Help Manage Back Pain?

Lower back pain can be one of the most physically debilitating things that can affect you and limit your mobility. Even if the pain isn’t that acute, it could still signal something deteriorating in your lower back. While oral medications, topical creams or sprays can help in reducing pain, there are other effective remedies you can try on your own. These will be handy when you have no medications at hand. One of these is the hot and cold therapy.

Heat therapy for lower back pain

Heat works well with lower back pain as it can dilate blood vessels and improve circulation within the tissue. This will help in circulation and also result in lowering the pain. Heat therapy will also loosen up other muscles in the area and help soothe sore areas which have been taking the burden along with the lower back muscles. Some of the techniques that can be applied are:

  • All day heat wraps: These are specially manufactured belts or wraps which wrap around your abdomen and keep tightness and pressure on your lower back as well as supplying heat.
  • Electric heating pads: These are mechanized heating pads which generate heat with electricity. You can place them under you back and then either sit or sleep with it positioned behind you. However, ensure that you don’t keep these for too long as they could burn your skin.
  • Hot Compress with towels or hot water bags: Use a clean towel and heat it over a conductive surface and apply it on your lower back. You can also use hot water bags for the same purpose.

Cold therapy for lower back pain
Cold therapy uses the principle of constriction of blood vessels as well as slowing circulation. This will help numb the area and thus help relieve the pain. Some of the ways these can be administered are mentioned below.

  • Ice towel: In this method, soak a towel in ice cold water, wring it to dry it and then apply on your lower back. This will numb the pain without transferring the sting of the cold or damaging your skin.
  • Ice packs: Put about half a kg of ice in a plastic Ziploc bag and pour water over the ice to just about cover it. Push out the air out of the bag and then lock it. Use this ice pack with a towel to ensure that you back doesn't get wet.
  • Ice gel packs: These are ready made packs, which can be bought from medical stores and kept frozen to be used whenever you need it in order to relieve lower back pain.

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

6 people found this helpful

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