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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Hip Replacement Surgery
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
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I am 30 year female I have back pain last one year. I was done exray but its normal. Please suggest me.
I have muscle twitching over medial side of thigh and over thumb, and burning sensation over back and limbs since 3 months. Is this related to anxiety, how to get relieved from this?
I have pain in my legs. I don't want to sleep I feel feverish but when I check for it, nothing is there and loads of headache too.
I am suffering with Intense back pain and mouth pain along with extreme gas in stomach with stomach pain. What could be the problem. This pain causes me to wake up in night sometimes and I stay awake for hours.
Hello doctor my question to you iz about my knee pain. My knee pains a lot wen I climb stairs or wen I do my household work my right knee pains very badly.
My son is 6 month old Dr. has recommend me to do his blood test. Test states that haemoglobin 7.4 P.C.V 25.1 M.C.V. 57.2 M.C.H. 16.9 M.C.H.C. 29.5 which says that all these are below normal range is there any side effect for the same and how can I bring back these to normal range.
My brother has a problem in left knee, but doc says its fine, but ge can not run properly. please help me.
I am make 76. Diebetis since 34 years ptca done 10 years back. On beta blockers & blood thiinners sine 12 years. Now suffering from back pain since one month. Also constipation. Inuilin human mixtard twice a day 30 units morning 25 unit at night suggest medicine for back pain & constipation.
I have low back pain, specially in the right side the pain is there and slowly its coming down upto my ankle. Kindly tell me the best treatment to get rid of the pain.
Dear sir .I have sometimes feel spinal cord pain during when I wake up. So please suggest to get rid off from same problem.
I just sprained my back real bad today morning in the gym while doing jumping squats. Its so bad I can not move/sit/walk. The sprain is on my lower back right at my waist above the hip. Please help.
I have pain in my hand and feet Please give me an answer and help me I have related with a poor family.
He is suffering from gout from last 20 years he has shown it to many of the doctors from allopathy, homeopathy and even from ayurvedic but the result is zero. What should he do now?
Because of joint pain, not able to walk properly. Even not able to keep the legs straight. Any suggestion or any advice regarding medication?
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.