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Pain Clinic MGM CBD, Navi Mumbai

Pain Clinic MGM CBD

  4.4  (36 ratings)

Pain Management Specialist Clinic

1A, CBD-Belapur, Mumbai Navi Mumbai
1 Doctor · ₹1000
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Pain Clinic MGM CBD   4.4  (36 ratings) Pain Management Specialist Clinic 1A, CBD-Belapur, Mumbai Navi Mumbai
1 Doctor · ₹1000
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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.
More about Pain Clinic MGM CBD
Pain Clinic MGM CBD is known for housing experienced Pain Management Specialists. Dr. Sidharth Verma, a well-reputed Pain Management Specialist, practices in Navi Mumbai. Visit this medical health centre for Pain Management Specialists recommended by 53 patients.

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TUE, THU
04:00 PM - 05:00 PM

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1A, CBD-Belapur, Mumbai
CBD Belapur Navi Mumbai, Maharashtra - 400614
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Videos (7)

How to avoid Spine Surgery?

Hi,

I am Dr Siddharth Verma and welcome to this educational video. The topic of this educational video is, how to avoid a spine surgery. So you have been suffering from some kind of back pain or you have got some injury or maybe you have a mixture of both maybe you didn't have anything but you still are undergoing a spine surgery or you are posted or your thinking or somebody has advised you for a spine surgery and you have seen your friends or relatives suffer because of this spine surgery or maybe the surgery was not successful and you are very afraid now what to do. So don't worry, we are here to help you and an interventional pain physician or spine and pain specialist can definitely help you in this case. And what you need to do is just go to him and tell him that what disease you are suffering from and he will help you. Now, what is the logical approach in how to avoid a back surgery as the title of the video says, first of all, prevention is better than cure so you must stay fit and stay lumber, by saying lumber I mean your back should be flexible. Most of the back injuries, strains, sprains they occur because the person is not very flexible and if you are not very flexible and you have to do even a trivial work like maybe getting a file from a cabinet, lifting a 10 kg load, maybe some gunny bag or small bucket full of vegetables or something like that. This trivial work can lead to a strain, repetitive strain can lead to various issues with your back which can be as trivial as a myofascial syndrome, in which your muscles are affected or as severe as a disc herniation. So in my other video, you can see how I have described various pain generators in the back which you will find on this website or you can visit my website www.pain.org.in ok. But for this video, we will concentrate on how to avoid this. So the first step is prevention, if you can prevent by staying fit, by controlling your weight, by physical activity, by following the correct technique of lifting weights then, of course, this is the first step. Now supposing that you are suffering from a backache, now the second step is early treatment, so if you know that you have been suffering from a backache. I'm not talking about a backache which happens once in a while, but if the back pain is persisting one week has passed 2 weeks have passed and you still having back pain, then don't ignore, then don't think that this will pass or I will get better by the day let us do some work and something like that. Immediately go and seek treatment you visit a spine and pain specialist and talk to him about your problem and I am sure he will be able to sort it out. Now the next step supposing you didn't pay heed to what your doctor said you continue to gain, weight you continue to be lumber, the non-flexible and still you had this kind of pain, of course, you will have this kind of pain and now the problem has increased and magnified and you go to a surgeon one fine day and he suggest an MRI and there is a big bulging disc and it is compressing on your nerves and now your doctor says you need a surgery. So can you avoid the surgery, in many cases, yes you can and in many cases, you cannot? So when you can and when you cannot, it depends on the opinion of your treating surgeon and your spine and pain specialist. So in the cases where your spine is unstable means, there is a bony instability, then definitely you need to have affixation done or in some way, the bony instability needs to be fixed. By bony instability, I mean that your small bone which makes up the spine is not in a straight line. There is some movement which is happening while you flex or extend your back, ok. So if this is not there then in most cases you can avoid an open surgery and how it can be done, it can be done with as trivial a procedure and as transforaminal neuroplasty procedure. Where you just need to come, lie down on your back under an x-ray, the spine and pain specialist will simply give you a drug which will reach your nerve and cause subsiding of the inflammation which is there due to the compression and your pain will be relieved. Number 2 nowadays we have a very nice procedure which is known as endoscopic foraminoscopy or foraminoplasty or endoscopic discectomy. This is a very noble procedure which is done by the spine and pain specialist and in this procedure, what we actually do is we just give a small neck of the size of maybe smaller than a centimetre also. Then we reached this foramen from where this nerve comes out and we actually put in a camera through this small hollow tube, which is of the size of this pen, which is very hollow. The patient stays awake is under local anaesthesia doesn't feel any pain till the point, this hollow canal touches his nerves on his sensitive nerve fibre, he says feels a slide pain and then we put our camera inside the foramen and we see the nerves, we see the disc and we take this material which is compressing on these nerves, we clean it, we wash it. We see very small tissue, this small tissue we see under a big T.V. ok. So we can very accurately take out the tissues which are causing this compression and help you get relief from your pain. So need not go for any open surgery in these cases because in these cases we can help you by avoiding the surgery and going in for this percutaneous procedure which is way less invasive than a surgery. The main difference is being that you don't get any general anaesthesia, you can walk on the same day of the procedure, you can go to the washroom come back stay in a hospital for a couple of days, get a discharge and you can resume your active life then maybe 4, 5 days or so you will be given some precautions but more or less, your mobile, you don't have any loss of work hours and you can be very productive. This is one of the very latest techniques which are the practice nowadays, by the spine and pain specialist. Now another reason why people come to us is not to avoid the first surgery but how to avoid this second surgery because many of the patients have already undergone under 1 surgery and this still have this kind of pain which is left and the treating doctor has suggested them another surgery. Now they don't want to undergo a second surgery, in those cases, many of them provide there is no instability of these bony spines. We can help them by these procedures there is variety of other procedure for more details you can always visit my website and this can be avoided. If you want to know more on how you can avoid your spine surgery or back surgery, then please do visit my website on www.pain.org.in or visit my clinic website on painreliefcentr.in or you can also visit me on my Lybrate website which is www.lybrate.com/doctor/siddharthverma.

Thank you for watching, have a good day.

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Hi!<br/><br/>So in this video I will be speaking about post-surgical pain management. Welcome to ...

Hi!

So in this video I will be speaking about post-surgical pain management. Welcome to another set of educational video. So what is post-surgical pain? It is any kind of pain happens after surgery. Usually it is limited to few hours after surgery or may be a few days. But problem occurs when it continues for more than 2 months when it is known as chronic post-surgical pain or CPSP. So now what to do with this pain? Don’t worry because we international spinal pain are here to help you. So what we actually do is we take care of the patients who are suffering from chronic post-surgical pain. So how common is this chronic post-surgical pain? It is very common. In around the one study found that in around 20-30% of the patients this pain persist beyond 2 months. Yes in such a large number of patients they have this kind of pain. So what is the possible cause? There are many possible causes many theories and there are some which can be minimize some which cannot be minimize e.g. no matter what you do in patients who have undergone thoracotomy i.e. their thoracic cage or their chest has been cut the incidence is very high it is as high as 40-50%. Then almost every 5 patients out of 10 will have this kind of pain. So what can we do to manage this kind of pain and what can we do to prevent this kind of pain? Apparently there are many things which we can do and to manage these kind of pain you have to consult if it occurs you need to consult spinal pain specialist who can help you with this kind of pain. To prevent it you need to talk to your anesthesiologist and your surgeon. So that they can help you and take the best precautions so that they can prevent this kind of pain. So now what happens if you already develop this kind of pain? So when you go to spinal pain specialist so what he does actually is examine the possible cause of this kind of pain. Obviously you have already gone to your surgeon and there is no surgical cause which can be found which is a very definition of this pain because it is non-surgical cause related pain. So the pain is still persisted but the disease has healed the wounds have healed but the patient is still having pain or you still have having pain. So in these cases often there is something which is known as neuropathic pain which has sat in that means your body is everything is perfectly fine but the nervous system either the nerves which carries pain sensations or the brain which perceives this brain sensation has a problem. So now what to do with this type of problem? First we need to identify what is the possible problem and then we need to treat this cause. If the nerves are the causative factor then there are various techniques like radio frequency modulation, stimulation or the dorsal root ganglion stimulation. We can use various techniques to help you and to help these nerves carry proper sensations. Okay! Or the second possible cause is if your brain is responsible in that case we have many drugs which are available which act on the brain and reduce or eliminate these kind of sensations. So if you have undergone any type of surgery and 2 months have passed and your doctor says that you still have pain but there is no disease you have cure out of your disease and you are feeling that you are still have pain so don’t ignore it and don’t get distress don’t get you can say depress. Just visit spinal pain specialist or and evasion pain physician and I’m sure your pain will be sorted.

Thank you for watching this video and you can also visit my Lybrate website on www.lybrate.com/doctor/sidharthverma. Thank you!

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Few tips to prevent Back Pain


Hi,

I’m Dr. Sidharth Verma and I will tell you in this video, about back pain and what to do if you have back pain. So, the back pain is fairly common and it affects most of us at some point in our lifetime. So, if it starts having pain in your back. By back, I mean upper, middle, or lower back. what would you do? If you have a pain for 2 to 3 months, then you did not go to the doctor immediately, you can also follow some simple steps and this can help you in getting relief from the back pain. These steps are first of all you should analyze whether have had any injury. Because injury means that there must be some sprain or strain or maybe some ligament tear or which has resulted in this pain because is a protective mechanism of the body. So, a body is trying to tell you there is something wrong somewhere so you have to pay attention to it. If you have a short-lived pain with the  injury then I strongly recommend that you should go to a doctor and get yourself examined.

This is especially true if you’re having other symptoms also like you are having some tingling or numbness or weakness or maybe some urine disturbances or maybe some other symptoms like severe pain which is intolerable. However if there is no history of injury and you are having a back pain which you think may be due to some stress or some strenuous exercise or you are not sure of due to what reason it’s happening then you may follow the steps which I will tell you and you can have a good amount of relief from your back pain. So, The first step is, we make a great mistake of resting as soon as we have back pain, so, by resting, I mean that we will often call our office and tell Okay I am not coming for 5, 7 days and maybe I will not even drive, not move. So, we immobilize ourselves but however this is not required in most of the cases as if the pain is muscular, it is likely to even worse by your immobilization or you’re giving a total rest to your back. So what to do if not to do a complete resting? So the first and foremost thing which you need to do is to correct your posture or your activity which has led to this back pain. So You can start by analyzing your daily posture, you can start with analyzing with our daily work, you can start by analyzing your diet if you are overweight you can start by analyzing your weight and then you can probably have a relief from this bask pain as well as preventing the worsening of your symptoms. Another possible thing which you can do or try at your home is and it’s very simple, you can improve your sleeping bed or where you sleep in the night. Often, I have seen patients that, they sleep on greatly cushioned bed and as soon as they lie down the mattress just compresses and they fell very fluffy and very nice, but it is not good for your back.your mattress should be hard enough, so, that it is now easily compressed and when you lie down on it. You can easily lie on it comfortably but it should not be very compressible.

This is important because you lie down your body and your mattress should be able to maintain the normal curves. Your back has normal curves so if you can maintain them while you are lying down you will be good and fine. Another common thing which you can do is to increase your water intake. If you are having a less water intake, then, you are dehydrated. You have more chances of worsening your back pain. Now come to some common painkillers which usually people take in their homes or in their offices or their workplaces if they have this back pain. These painkillers are drugs which actually meant to give you short-term relief from your pain and they should not be taken for a  prolonged period of time without medical advice. Although they are available over the counter, that means they are available to you without a prescription but you should better avoid them because excessive use may lead to harm and this may affect your systems like the renal systems and that is the kidneys or the hepatic system. So, what kind of painkillers can you possibly take? You can start with the paracetamol or crocin and the dose should be 650mg once a day. The role of this paracetamol is now very questionable and some people have advised that since it will not help in the long run. So, it should be better avoided. Another common drug which people take is are some sprays which consist of a drug known as declo-finnick the common brands names are Bellini, dr.gel, or dynapower, so, they actually defuse through your muscles or through your skin and then they reach your muscles and the surrounding tissues and they help to decrease the inflammation and help you relief from your pain. Another thing which you can try is if there is a strain or sprain or something. In acute condition like if you had an injury today and then you can apply cold on the region and if you had this problem say 3,4 days then you can try applying heat and this helps you to recover and there are certain things which you should take care of these things are there then you should immediately seek medical advice. These things are also known as red flags, so if you are having back pain and you are having any of these things then you should go immediately to the doctor. These include a fever and neck rigidity, that is stiffness in your neck muscle, any nausea, vomiting, any weakness in your lower limbs or any part of the body. If there is any urinary symptom or bladders symptoms we also call it and as well as any difficulty in passing the stools so if you if there is any seizure that is if the patients are having seizures then also you should immediately try and visit the nearest doctor. Now if you don’t do that then there are chances that the condition will increase and it will result in maybe increased damage over a period of time. To know more you can visit library website on www.lybrate.com/dr.sidharthverma, and you can also visit my website at pain.org.in. Thank you.

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Few daily habits to get rid of Back Pain<br/>Hi I am Dr. Sidharth Verma and today I will tell you...

Few daily habits to get rid of Back Pain

Hi I am Dr. Sidharth Verma and today I will tell you about Back Pain and how to prevent back pain. So back pain is, one of the most common pain which hampers the activities of mankind and it is so common that all of us will suffer from it at some point in our lifetime.

So how can you prevent that?

You can very easily prevent back pain and most of the cases which we see in our daily practice are due to lifestyle disorders and some other factors. So as far as lifestyle is concerned. Humans, when they evolved and became erect, so their back pain is the cost they have to give; and as the back is made of very small, small bones which are known as vertebrae. This is a model of the human back, you can see there are small, small bones which make up the back and there are a lot of small intervertebral discs in between. These are the structures that provide cushion and hold the vertebrae and there are a lot of small, small joints and many nerves and structures which are coming out, therefore, the back is a very complex structure and if you do not maintain it properly then you might have back pain. Now, this is all complicated stuff. Furthur, I will tell you how to easily prevent it.

First and foremost is which you can do from day 1 is maintain adequate hydration. Human body is 70% water, and if you see the back, The back has intervertebral discs and they are 90% water. So if you are not hydrated well then you will probably have more problems.

Number 2 is to control your body weight. So it has been seen that in patients or in persons who are obese, this problem occurs more. That is, they have more back pain. The causes are many but you should try to control your weight this will result in lesser back pain.

Number 3 is proper posture while you are you are doing your jobs or in your workplace or while you are driving or you are travelling. By proper posture, I mean that you should always sit with your back straight, and not hunching forward. This is one of the techniques.

Number 4 you should avoid sitting for long period of time without taking a break. This will help you to redistribute the weight of the back to different muscles and this will avoid fatigue, thereby resulting in lesser incidence of back pain.

Number 5 is selecting ergonomic furniture. Ergonomic furniture means which is designed for your body. If you go to the market usually the furniture and the kind of furniture you will get is designed more or less for a similar kind of individual maybe 5 ft 5 inches height or maybe who is sitting for a few hours. However, in actual practice, if you see that nobody is the same so everyone is different and hence you will need to have ergonomic furniture which will be specifically designed for you or there is kind of furniture available which has lots of keys or levers with which you can adjust the height, for example, the chair or the table where you are going to sit or at your workplace, you can get it all adjusted. And it may seem very difficult but if you actually start doing it is very easy. Most of the chairs which we use in our offices, they are rolling chairs which have adjustable levers and height as well as the seat quality and backrest all of it can be adjusted. Similarly the height of the tables can also be adjusted in many cases, if not all. So you can have these ergonomic furniture and this also will help.

Another factor which is responsible for majority of back pain, is unaccustomed activity. By unaccustomed activity I mean, that if you are not used to a particular activity and you do it once then probably you will have some problems. Say for example there is a folder which is kept at a height and you want to fetch it and you stretch your hand and you stretch it so much that your back muscles and your full arms, hand has to stretch so much which is unphysiological. So in these cases, it may result in micro injuries or macro injuries and this may result in back pain. Another common example can be, while lifting heavy loads. So in our routine structure, most of the people are sitting or doing jobs which do not involve lifting of heavy loads. So if you lift some heavy load on one particular day say for example, I got something to install in my house and when that thing comes and I lift it and I try to fit somewhere then that is unaccustomed for me because I am not doing it every day. So this may result in unaccustomed stress and sprains and strains to my back and this may result in back pain. So these are how you can prevent it.

Another very common cause is sleeping on very soft mattress or sleeping for inadequate amount of time. Some people have a habit of surfing mobile phone for a long period of time and they sleep on their table chair maybe on their bed with unphysiological postures. So these will result in increased incidents of back pain. Another common cause which you can prevent is while travelling. So if you are travelling and you are driving a car for example you should adjust your seat so that your back is always upright. And while taking the support, many people ask me if it is helpful to use fancy supports that are available for the car seats. The answer is no. They will not help you. In most cases, they are just fancy items and they will not help you. However, straightening your seat will help you a lot. If you straighten your seat to a point where you are sitting independently and you are seeking only the lower back support from your seat and you are sitting on your own then probably the chances of you getting back pain are less.

Another common thing which you can apply when you are travelling is do not drive for extended period of hours like, I have seen people who drive for maybe 6 hours at a stretch so if this is done occasionally or frequently then it may result in back pain. So if you can avoid and take a break maybe around 45 minutes to an hour every 45 minutes or an hour you can stop and walk around maybe for one or two minutes or you can get out of your car or you can just get down and have a break then you can continue driving so you can drive in bits and bytes then you can travel long distances also. But please be sure to take a small break at least so that your back is not strained unnecessarily.

Another common reason why people come with this back pain are these motorcycle riders or scooter riders who are travelling these long distances throughout the day. What they often do is that they carry these bags. So they carry these bags and backpacks and they funnily carry it on one shoulder. So it will be like a strap and they will carry it on one shoulder and they will do this throughout the day and then after one month or two months they will start having a pain on one side. So this one-sided stress is one of the reasons why people have back pain. If you are not driving a vehicle, then also if you are carrying a load or a backpack or if you are a student or if you are an office goer who has to carry these laptops. Because I have often seen these laptops come in suitcases or briefcases and obviously you have to carry them with one hand. SO it is better to switch from these one handed or one sided carrying devices to devices or bags which are distributing the load equally to both shoulders and back. So that the load is distributed and there is no asymmetrical stress that is the back, on one side, is not stressed unnecessarily.

Another common reason for people who travel a lot is that their legs are not properly placed. So, in addition to the back of the seat, the height of the seat also plays a role. In majority of vehicles however, the height is not an adjustable portion. So the one thing you can do is, you can go forward or you can go backwards that is towards the steering and away from the steering. This mechanism is available for most of the cars or most of the vehicles and with the help of this, you can have enough distance between the steering and your body so that your thighs are touching your seat till the point they can leave the seat that is until the maximum point they should be able to touch the seat. So this will again be helpful to reduce the stress on the back.

Another common cause of back pain is the lack of exercise. For exercise, I don’t mean well I don’t advise that you should go to the gym and lift weights or something like that. But by exercise, I mean exercises like walking. Even simple walking is one of the best exercises for back, swimming or even cycling, or even exercises for your abs. You may underestimate the importance of the exercises for your abs but you should know that abs they support the back to a great extent and weak abs or abdominal muscles are the common causes of back pain in healthy adults.

Other than these, there are causes like nutritional causes. By nutritional causes I mean the deficiency of specific nutrients in your diet. This may be deficiency of Vitamin D .This is one of the most common deficiencies which I see in my practice that most of the people who come to me with these deficiencies they are normal healthy individuals otherwise but due to some reasons, they have this Vitamin D deficiency. Many of them are non-vegetarians so it is a myth that you cannot have Vitamin deficiency if you are a non-vegetarian. So you may have deficiency of Vitamin D, which is necessary for the calcium metabolism and in the deficiency of this Vitamin you are more likely to have weak bones and this pain.

In elderly individuals, however, you may have other causes of weak bones and they may also lead to this back pain. So last but not the least, we have population which is ageing now. So we have more number of people who are above 40 years of age. In these people there are conditions known as degenerative conditions which is, due to age, the body starts degenerating. So if you don’t use your body properly, it will start to degenerate. In many people, who are using the body properly also, due to genetic reasons, and environmental factors, it starts to degenerate. So in these patients there are lot of conditions that develop, and these may affect the intervertebral discs, the joints of the back, the muscles, as well as the ligaments. So these conditions can lead to the back pain in this age group, the elderly age groups that is. So these are the common causes and if you are careful enough, you can easily prevent them and help yourself to prevent your back pain. Prevention is always better than cure, so I will strongly recommend that you take my advice and follow these steps, and you are less likely to have back pain.

To know more, you can always visit my Lybrate website on www.lybrate.com/drsidharthverma or you can also visit my website www.pain.org.in. Thank You.



 

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Pain Management for Chronic Back Pain

Pain Management for Chronic Back Pain

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Pain management for Chronic Pain

Hi, I am Dr Siddharth Sharma. I am an interventional pain specialist and I treat patients who are suffering from chronic pain.

Chronic pain as you know is any kind of pain which is more than 3 months of duration or 12 weeks of duration. I am often asked about back pain and its surgical treatment. Patients come to me who has been advised open surgery and they want to avoid it and they ask me whether we can avoid it or not. So yes we can avoid the surgery almost in 90% of cases but there are certain conditions where surgery must be done and these are medical emergencies. However, in the majority of cases, we are able to prevent the surgery from happening that is patient is relieved without surgery so if you have been advised any surgery from your back pain which is you are very concerned and you don't want to get operated so please seek an opinion from pain management specialist.

So what the pain management consultant will do he will just try to find it where the pain is coming from and treat you accordingly. So our back is the structure which is made up of bones known as vertebrates and muscles and there a small nerves which are coming out of the spinal cord. Now I will show you a model so this is how the lower back looks like you can see the Bone part. So this model shows the Bony part of the human lower back. So if you see these are small bones which are forming this back and you can very well see her probably that this yellow portion is nerves which are coming out of the spinal canal and these nerves if they are compressed, leads to pain and this pain may go to distribution area of nerves which may be back, lower back, hips, leg, calves or even toes and this may also lead to symptoms like tingling numbness and likewise. So the back pain has always been a puzzle for doctors and to relieve the patient from the symptoms doctor they started dissecting and seeing why this pain is actually happening and since the possible causes are compression of these nerves it was thought that if we somehow release that pressure then probably the pain will be relieved. So the surgery started happening and the purpose of surgery is to decompress nerves to take the pressure of these nerves and relieve the patient possibly from his or her pain. However, this surgery necessitated cutting and going through the back muscles and then readjusting the bones and then retracting and itself cause so much of trauma that post surgery patient started having other symptoms as well. So probably that level may be a little better but maybe on other side or maybe on one level up one Level down problem started happening. Similar thing started happening with screws fixation and so.

Therefore the results if you see the data the results are not very encouraging that's why probably there is fear of surgery in the patient because they have seen their relatives or maybe there known people that are suffering from back pain undergoing some surgery and they recovered somewhat but probably there just started with some other problem or maybe the same number of problem started with and number of days whatever. For non-surgical treatment there are variety of treatments available nowadays there are interventional pain physician or pain specialist that can provide you with advanced option which are Minimal invasive which cause minimum damage to your body to the back to muscles because they are not involved when you're cutting or any suturing or anaesthesia so it is very advanced procedure and give very good pain relief in majority of patients. However, the indications are very clear cut and we cannot do these procedures in each and every patient so it's better if you consult an interventional pain physician and he will see evaluate and tell you that whether you are suited for the procedure or not. To name this procedure there can be as simple as simple epidural injections in which we inject a steroid. At once I tell the name steroid people start thinking that it will be harmful to the body but it will not be the case because this is a very small dose of steroid which is directly directed near the route so that the inflammation subsides and there is relief from the pain.

Also the another method is to decompress the nerve with the help of percutaneous procedures. Percutaneous means the patient is awake under the local anaesthesia while these procedures are done we reach this panel at the intervertebral disc base with the help of the needle then we can take it out take the disc out and we can with the help of radio frequency current we can seal the region actually. And this will result in decompression of the nerve and relief from the symptom. However, the indications are very clear cut and you need to go to your interventional pain consultant. He will see if you are fit for those procedures and guide you for these procedures. Another important thing that is common is to post surgery pain. So if you have gone any back surgery and you still having pain then you must visit your interventional pain physician you must go to him and he will check and try and find out the possible cause for pain. It is also possible that before surgery you have a different kind of pain, after surgery you have a different kind of pain then your physician will often be able to diagnose and give a diagnostic procedure if required or maybe give you a curative procedure as required. So this was about the back pain.

For more information, you can visit my life rate website on www.lybrate.com/doctorsiddharthsharma.

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Pain can be musculoskeletal like back pain, shoulder pain or knee pain. Watch out to identify you...

Pain can be musculoskeletal like back pain, shoulder pain or knee pain. Watch out to identify yours.

I am Dr. Siddharth VermaI deal with patients suffering from chronic pain. Chronic pain is any pain which is more than 12 weeks or three months in duration and if a patient is suffering from chronic pain they require special treatment and they require physician specially trained to treat the people who have chronic pain. So this pain can be musculoskeletal, then it may be back pain or the pain of the knee. There are various structures in the back which can give rise to the pain.

I'll tell you more about it if you see our skeleton, this is a model showing the back of a human and as we can see these are the vertebral bodies or the small bones which make up the human back, and these the yellow things, these are the nerves which are coming out of the small holes which are known as the foramen.And what you see here between these two bones is a disc and this is a portion of these two bones because when a person moves he actually bends, rolls place then all this moment like this. It occurs on this joint as you can see and this disc this help us to maintain this mobility.So now what happens is with growing age this can become bulging like you can see this red buzzing portion this compresses on this root which is coming out of here. This is what may lead to the pain there may be other mechanisms also and it is very essential that qualified pain physician actually evaluates you. If you have any back pain and then physician treats you accordingly.

So there are various equipment options which are available and ranging from drugs. So you can start with drugs and go to injections in the nerve roots and then we can further do pinhole surgery. It is like we can go through the needle to that and then gradually release the patient of his or her pain.Similarly, like back pain is the treatment for those suffering from knee pain. As we can see it's also 2 bonus and then instead of the disc we have this cartilage which is present here. Muscles slide this cartilage and this thing over here is your muscle which is coming over this knee joint. If this muscle is not strong enough or if the cartilage is damaged then you may have problems with your knee.

So what do we do is that if a person comes to us with the pain of the knee then we need to access a lot of ligaments. If you see it's a very complex and complicated joint if you see there are a lot of small ligaments and it is meniscal. There is cartilage so we have to analyze where the pain is coming from, once we analyze that then we prepare accordingly. We can start with drugs, we can use substances which help to form the cartilage, we can use Prolotherapy which is a new form of regeneration therapy which helps to regenerate cartilage, or we can numb those nerves which are actually carrying this pain.So you do not worry this will not lead to any weakness.

So musculoskeletal pain after revaluation can be treated and can be managed and to get rid of your pain or to know more you can simply visit my lybrate website.

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Dr. Sidharth Verma

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
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Ways to Avoid Spine Surgery

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
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Hi,

I am Dr Siddharth Verma and welcome to this educational video. The topic of this educational video is, how to avoid a spine surgery. So you have been suffering from some kind of back pain or you have got some injury or maybe you have a mixture of both maybe you didn't have anything but you still are undergoing a spine surgery or you are posted or your thinking or somebody has advised you for a spine surgery and you have seen your friends or relatives suffer because of this spine surgery or maybe the surgery was not successful and you are very afraid now what to do. So don't worry, we are here to help you and an interventional pain physician or spine and pain specialist can definitely help you in this case. And what you need to do is just go to him and tell him that what disease you are suffering from and he will help you. Now, what is the logical approach in how to avoid a back surgery as the title of the video says, first of all, prevention is better than cure so you must stay fit and stay lumber, by saying lumber I mean your back should be flexible. Most of the back injuries, strains, sprains they occur because the person is not very flexible and if you are not very flexible and you have to do even a trivial work like maybe getting a file from a cabinet, lifting a 10 kg load, maybe some gunny bag or small bucket full of vegetables or something like that. This trivial work can lead to a strain, repetitive strain can lead to various issues with your back which can be as trivial as a myofascial syndrome, in which your muscles are affected or as severe as a disc herniation. So in my other video, you can see how I have described various pain generators in the back which you will find on this website or you can visit my website www.pain.org.in ok. But for this video, we will concentrate on how to avoid this. So the first step is prevention, if you can prevent by staying fit, by controlling your weight, by physical activity, by following the correct technique of lifting weights then, of course, this is the first step. Now supposing that you are suffering from a backache, now the second step is early treatment, so if you know that you have been suffering from a backache. I'm not talking about a backache which happens once in a while, but if the back pain is persisting one week has passed 2 weeks have passed and you still having back pain, then don't ignore, then don't think that this will pass or I will get better by the day let us do some work and something like that. Immediately go and seek treatment you visit a spine and pain specialist and talk to him about your problem and I am sure he will be able to sort it out. Now the next step supposing you didn't pay heed to what your doctor said you continue to gain, weight you continue to be lumber, the non-flexible and still you had this kind of pain, of course, you will have this kind of pain and now the problem has increased and magnified and you go to a surgeon one fine day and he suggest an MRI and there is a big bulging disc and it is compressing on your nerves and now your doctor says you need a surgery. So can you avoid the surgery, in many cases, yes you can and in many cases, you cannot? So when you can and when you cannot, it depends on the opinion of your treating surgeon and your spine and pain specialist. So in the cases where your spine is unstable means, there is a bony instability, then definitely you need to have affixation done or in some way, the bony instability needs to be fixed. By bony instability, I mean that your small bone which makes up the spine is not in a straight line. There is some movement which is happening while you flex or extend your back, ok. So if this is not there then in most cases you can avoid an open surgery and how it can be done, it can be done with as trivial a procedure and as transforaminal neuroplasty procedure. Where you just need to come, lie down on your back under an x-ray, the spine and pain specialist will simply give you a drug which will reach your nerve and cause subsiding of the inflammation which is there due to the compression and your pain will be relieved. Number 2 nowadays we have a very nice procedure which is known as endoscopic foraminoscopy or foraminoplasty or endoscopic discectomy. This is a very noble procedure which is done by the spine and pain specialist and in this procedure, what we actually do is we just give a small neck of the size of maybe smaller than a centimetre also. Then we reached this foramen from where this nerve comes out and we actually put in a camera through this small hollow tube, which is of the size of this pen, which is very hollow. The patient stays awake is under local anaesthesia doesn't feel any pain till the point, this hollow canal touches his nerves on his sensitive nerve fibre, he says feels a slide pain and then we put our camera inside the foramen and we see the nerves, we see the disc and we take this material which is compressing on these nerves, we clean it, we wash it. We see very small tissue, this small tissue we see under a big T.V. ok. So we can very accurately take out the tissues which are causing this compression and help you get relief from your pain. So need not go for any open surgery in these cases because in these cases we can help you by avoiding the surgery and going in for this percutaneous procedure which is way less invasive than a surgery. The main difference is being that you don't get any general anaesthesia, you can walk on the same day of the procedure, you can go to the washroom come back stay in a hospital for a couple of days, get a discharge and you can resume your active life then maybe 4, 5 days or so you will be given some precautions but more or less, your mobile, you don't have any loss of work hours and you can be very productive. This is one of the very latest techniques which are the practice nowadays, by the spine and pain specialist. Now another reason why people come to us is not to avoid the first surgery but how to avoid this second surgery because many of the patients have already undergone under 1 surgery and this still have this kind of pain which is left and the treating doctor has suggested them another surgery. Now they don't want to undergo a second surgery, in those cases, many of them provide there is no instability of these bony spines. We can help them by these procedures there is variety of other procedure for more details you can always visit my website and this can be avoided. If you want to know more on how you can avoid your spine surgery or back surgery, then please do visit my website on www.pain.org.in or visit my clinic website on painreliefcentr.in or you can also visit me on my Lybrate website which is www.lybrate.com/doctor/siddharthverma.

Thank you for watching, have a good day.

3732 people found this helpful

Post Surgical Pain Management

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
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Hi!

So in this video I will be speaking about post-surgical pain management. Welcome to another set of educational video. So what is post-surgical pain? It is any kind of pain happens after surgery. Usually it is limited to few hours after surgery or may be a few days. But problem occurs when it continues for more than 2 months when it is known as chronic post-surgical pain or CPSP. So now what to do with this pain? Don’t worry because we international spinal pain are here to help you. So what we actually do is we take care of the patients who are suffering from chronic post-surgical pain. So how common is this chronic post-surgical pain? It is very common. In around the one study found that in around 20-30% of the patients this pain persist beyond 2 months. Yes in such a large number of patients they have this kind of pain. So what is the possible cause? There are many possible causes many theories and there are some which can be minimize some which cannot be minimize e.g. no matter what you do in patients who have undergone thoracotomy i.e. their thoracic cage or their chest has been cut the incidence is very high it is as high as 40-50%. Then almost every 5 patients out of 10 will have this kind of pain. So what can we do to manage this kind of pain and what can we do to prevent this kind of pain? Apparently there are many things which we can do and to manage these kind of pain you have to consult if it occurs you need to consult spinal pain specialist who can help you with this kind of pain. To prevent it you need to talk to your anesthesiologist and your surgeon. So that they can help you and take the best precautions so that they can prevent this kind of pain. So now what happens if you already develop this kind of pain? So when you go to spinal pain specialist so what he does actually is examine the possible cause of this kind of pain. Obviously you have already gone to your surgeon and there is no surgical cause which can be found which is a very definition of this pain because it is non-surgical cause related pain. So the pain is still persisted but the disease has healed the wounds have healed but the patient is still having pain or you still have having pain. So in these cases often there is something which is known as neuropathic pain which has sat in that means your body is everything is perfectly fine but the nervous system either the nerves which carries pain sensations or the brain which perceives this brain sensation has a problem. So now what to do with this type of problem? First we need to identify what is the possible problem and then we need to treat this cause. If the nerves are the causative factor then there are various techniques like radio frequency modulation, stimulation or the dorsal root ganglion stimulation. We can use various techniques to help you and to help these nerves carry proper sensations. Okay! Or the second possible cause is if your brain is responsible in that case we have many drugs which are available which act on the brain and reduce or eliminate these kind of sensations. So if you have undergone any type of surgery and 2 months have passed and your doctor says that you still have pain but there is no disease you have cure out of your disease and you are feeling that you are still have pain so don’t ignore it and don’t get distress don’t get you can say depress. Just visit spinal pain specialist or and evasion pain physician and I’m sure your pain will be sorted.

Thank you for watching this video and you can also visit my Lybrate website on www.lybrate.com/doctor/sidharthverma. Thank you!

3164 people found this helpful

How to prevent Back Pain?

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
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Hi,

I’m Dr. Sidharth Verma and I will tell you in this video, about back pain and what to do if you have back pain. So, the back pain is fairly common and it affects most of us at some point in our lifetime. So, if it starts having pain in your back. By back, I mean upper, middle, or lower back. what would you do? If you have a pain for 2 to 3 months, then you did not go to the doctor immediately, you can also follow some simple steps and this can help you in getting relief from the back pain. These steps are first of all you should analyze whether have had any injury. Because injury means that there must be some sprain or strain or maybe some ligament tear or which has resulted in this pain because is a protective mechanism of the body. So, a body is trying to tell you there is something wrong somewhere so you have to pay attention to it. If you have a short-lived pain with the  injury then I strongly recommend that you should go to a doctor and get yourself examined.

This is especially true if you’re having other symptoms also like you are having some tingling or numbness or weakness or maybe some urine disturbances or maybe some other symptoms like severe pain which is intolerable. However if there is no history of injury and you are having a back pain which you think may be due to some stress or some strenuous exercise or you are not sure of due to what reason it’s happening then you may follow the steps which I will tell you and you can have a good amount of relief from your back pain. So, The first step is, we make a great mistake of resting as soon as we have back pain, so, by resting, I mean that we will often call our office and tell Okay I am not coming for 5, 7 days and maybe I will not even drive, not move. So, we immobilize ourselves but however this is not required in most of the cases as if the pain is muscular, it is likely to even worse by your immobilization or you’re giving a total rest to your back. So what to do if not to do a complete resting? So the first and foremost thing which you need to do is to correct your posture or your activity which has led to this back pain. So You can start by analyzing your daily posture, you can start with analyzing with our daily work, you can start by analyzing your diet if you are overweight you can start by analyzing your weight and then you can probably have a relief from this bask pain as well as preventing the worsening of your symptoms. Another possible thing which you can do or try at your home is and it’s very simple, you can improve your sleeping bed or where you sleep in the night. Often, I have seen patients that, they sleep on greatly cushioned bed and as soon as they lie down the mattress just compresses and they fell very fluffy and very nice, but it is not good for your back.your mattress should be hard enough, so, that it is now easily compressed and when you lie down on it. You can easily lie on it comfortably but it should not be very compressible.

This is important because you lie down your body and your mattress should be able to maintain the normal curves. Your back has normal curves so if you can maintain them while you are lying down you will be good and fine. Another common thing which you can do is to increase your water intake. If you are having a less water intake, then, you are dehydrated. You have more chances of worsening your back pain. Now come to some common painkillers which usually people take in their homes or in their offices or their workplaces if they have this back pain. These painkillers are drugs which actually meant to give you short-term relief from your pain and they should not be taken for a  prolonged period of time without medical advice. Although they are available over the counter, that means they are available to you without a prescription but you should better avoid them because excessive use may lead to harm and this may affect your systems like the renal systems and that is the kidneys or the hepatic system. So, what kind of painkillers can you possibly take? You can start with the paracetamol or crocin and the dose should be 650mg once a day. The role of this paracetamol is now very questionable and some people have advised that since it will not help in the long run. So, it should be better avoided. Another common drug which people take is are some sprays which consist of a drug known as declo-finnick the common brands names are Bellini, dr.gel, or dynapower, so, they actually defuse through your muscles or through your skin and then they reach your muscles and the surrounding tissues and they help to decrease the inflammation and help you relief from your pain. Another thing which you can try is if there is a strain or sprain or something. In acute condition like if you had an injury today and then you can apply cold on the region and if you had this problem say 3,4 days then you can try applying heat and this helps you to recover and there are certain things which you should take care of these things are there then you should immediately seek medical advice. These things are also known as red flags, so if you are having back pain and you are having any of these things then you should go immediately to the doctor. These include a fever and neck rigidity, that is stiffness in your neck muscle, any nausea, vomiting, any weakness in your lower limbs or any part of the body. If there is any urinary symptom or bladders symptoms we also call it and as well as any difficulty in passing the stools so if you if there is any seizure that is if the patients are having seizures then also you should immediately try and visit the nearest doctor. Now if you don’t do that then there are chances that the condition will increase and it will result in maybe increased damage over a period of time. To know more you can visit library website on www.lybrate.com/dr.sidharthverma, and you can also visit my website at pain.org.in. Thank you.

3210 people found this helpful

Back Pain: 7 Exercises To Get Relief From It!

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Back Pain: 7 Exercises To Get Relief From It!

If you are suffering from back pain, you should know that the tiniest of movements can trigger the same. Back pain may occur due to several factors or reasons and it hampers your daily activities and standards of life to a great extent. However, you need to become active instead of being immobile for relieving back pain. There are several exercises which help in strengthening your back muscles and performing these on a regular basis will provide you relief from back pain drastically. Here are 6 common  exercises which you should carry out:

1. Pelvic tilt: You have to lie on your back and keep your knees bend, but touching. Your feet should stay flat on the floor. By flattening your lower back against the wall and tilting your pelvis downwards, you must maintain the position for 20 to 40 seconds. Meanwhile, you must breathe slowly and deeply and then release. This stretch requires small movements for reducing tension, thereby easing your back pain.

2. Lumbar stretch: You need to sit on a chair, roll your head, chest, neck and lower back forward till your head gets between the knees. Hold the position and take deep breaths. Slowly, get back to the sitting position. Repeat this twice.

3. Cat position: You have to kneel on your fours and keep the knees and hip width separate. Keep the stomach muscles tense, arch your back like a cat does and maintain the position for five seconds. Repeat this and then allow your stomach to drop towards the floor direction and hold it for five seconds again.

4. Curl ups: For this exercise, you should lie on your back with the knees bent and your feet kept flat on the floor. Placing your hands behind the head will make the stomach muscles tense. Then, lift your shoulders, head and upper back from the floor. Do this around 10 times. This is ideal for strengthening your back.

5. Dry swimming: Begin by lying on your stomach, keeping a rolled-up towel under your belly for support. By tightening your buttocks, raise one arm and the opposite leg simultaneously. Switch your arms and legs and perform this for about two minutes.

6. Leg lift: For leg lifts, you should lie on your back with the knees kept bend and the feet kept flat on the floor. You have to press your lower back to the floor and straighten a leg with the knees aligned. After bending your leg, return to the starting position and repeat the exercise on the other side.

7. Cobra stretch: The cobra stretch is another ideal movement for stretching your tight abdominal muscles and lower back. You need to lie on your stomach with your legs extended and your palms planted on the sides of your head. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

4422 people found this helpful

Hip Pain In Women - Causes Behind It!

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Hip Pain In Women - Causes Behind It!

Your hip plays a very crucial role in the proper functioning of your body. It bears the weight of the entire upper body and also supports your back to maintain balance. The hip joint is a ball and socket joint that connects the pelvic region to the thighs. Some sort of injury on the hip joint/bones or a disease can cause pain in the hips. Also, women are more likely to suffer pain in the hips than men.

Here are some common causative factors of hip pain in women:

1. Arthritis - One of the most common causes of hip pain in women is Arthritis. As women grow older, the risk of suffering from arthritis increases. The ball and socket joint of the hip gradually degenerates with age. This wear and tear of the joint causes swelling and stiffness which results in pain.

2. Obesity - Excessive body weight results in excessive pressure on the hip joint. Due to the development of excessive pressure on the joint, an obese/overweight woman may experience pain on the hip joint.

3. Osteoporosis - Mostly found in older women, osteoporosis is a condition in which the density of the bones reduces. As a result of which, the hip joint becomes weak and is unable to withstand the weight of the entire upper body and gives rise to extreme pain.

4. Bursitis - A sac-like structure cushioning the muscles and bones around the hip joints, filled with some sort of fluid is known as bursae. The inflammation of bursae is a condition called bursitis, which results in extreme pain in the hip joint.

5. Gynecological issues - Pregnancy leads to excessive pressure on the hip joint due to weight gain and growth of the lining of the uterus, resulting in pelvic tenderness. Both of these factors induce a feeling of pain in the hip joint in a pregnant woman. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

4038 people found this helpful

Back Pain - 6 Best Ways To Manage It!

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Back Pain - 6 Best Ways To Manage It!

Whether you're old or young, male or female, having a backache can be a real pain! A number of factors ranging from osteoarthritis to muscle strains can be attributed to back pains. No matter what the cause of a backache, a combination of core strengthening exercises, activity, and physical therapy can help lessen the pain.

A backache can be caused by something as simple as bending the wrong way. Hence, the first step towards dealing with a backache is to pay attention to daily movements. If you have to lift something heavy off the floor, bend your knees and let the weight of your load fall on your legs instead of it falling on your back. Here is more on how you can fight back pain with a bit of effort:

1. Light exercises
Simple, light exercises are the most effective ways of dealing with back pain. The key to exercising your back is moderation and knowing your limits.

2. Brisk walk and yoga
Regular brisk walks and yoga exercises that strengthen and stretch back muscles are effective ways to reduce and prevent back pain.

3. Right posture
Exercise can also help reduce excess weight that in turn helps reduce backaches. Slouching not only causes a hunch back but also aggravates back aches. Hence, maintain a right posture to take the pressure off nerves and lower back pain.

4. Proper posture while sleeping
A good night's sleep can also help soothe inflamed back joints and repair strained muscles. Pay attention to your mattress and ensure that your back is flat when you lie on it. Sleeping on your side can also help deal with the back pain. Consider resting your neck on a pillow, to keep your spine aligned while you sleep.

5. Hot & cold therapy
Experiment with hot and cold therapy before picking one of them to deal with your back pain. While applying ice packs on your back can help reduce inflammations, hot packs work better to reduce cramps and muscle spasms. Whether you use a hot pack or a cold pack, do not leave it on for more than 20 minutes.

6. Natural supplements
Natural supplements such as flaxseed oil, calcium, magnesium and Vitamin C are helpful when dealing with back pains.

For short-term relief, you could also try over the counter pain relievers. However, do not let this become a long-term habit, as your body could get dependent on it. Other potential side effects could include stomach and liver problems. Hence, if your backache does not subside on its own, it is best to consult a doctor before treating it yourself.

4144 people found this helpful

Types of Headache And Their Causes And Treatment

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Types of Headache And Their Causes And Treatment

Mind your headaches (All about headaches)

Headaches and migraines are one of the most common types of pains that patients can face. There are many types of headaches that may afflict people and there are a number of reasons that can be attributed as their cause.

Let's look at some of the types of headaches and their causes:

Facial headaches - This is an ache, which is usually centered on the face, the crown, and the forehead. In this headache, movements of the head and face may also cause problems.

  • Causes: The main cause for facial headaches tends to be sinusitis, a condition in which the cavities in the skull get blocked. Sinusitis may also happen due to a cold as this has often been accompanied by a runny nose as well.
  • Treatments: The best treatment for this issue would be to treat the underlying condition, i.e. the cold or the blockages. Using the prescribed variety of decongestants and inhalers can vastly improve the situation.


Migraines - This is an intense pain on one side of the head that can last for a few hours to a few days. Most of the pain is sometimes centered behind the eye, and many people report extreme sensitivity to light as well as sound. It can be debilitating to some people who suffer from a severe form of it.

  • Causes: Migraines are one of the most complicated problems to diagnose and there can be a variety of reasons for it. Triggers may include food or lack of it and also be caused by other underlying physiological reasons.
  • Treatments: Although there are certain painkillers, which are available, it is best to consult a doctor to know the root cause and thus, avoid the triggers or take appropriate medicines if necessary.


Tension Headaches - These headaches are induced by periods of stress, anxiety, anger and other mental distresses.

  • Causes: These headaches are a result of stress, which may result in the decrease of the blood flow to the brain due to the stiffening of the head and neck muscles.
  • Treatments: Over the counter drugs such as paracetamol or ibuprofen can help improve them, but it is better to consult a physician before undertaking self-medication.

Cluster Headaches - These are the most potent form of headaches that can be very painful. They usually originate as a piercing pain in the head with pressure on the eye and can even lead eye inflammation, and watery and droopy eyes.

  • Causes: Certain neural functions originating from the hypothalamus can cause this issue and this type of headache may be triggered by alcohol, smoking or other forms of strong smells.
  • Treatments: Generic painkillers may not be able to correct the issue quickly enough and this may require the administering of special injections or nasal sprays.

The diagnosis of headache type is the most important factor in the treatment of headache. So it is better to consult a Pain Management Specialist who can pin point the exact type of headache and then suggest possible treatment options for it.

5372 people found this helpful

Rheumatoid Arthritis - How to Manage its Pain?

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Rheumatoid Arthritis - How to Manage its Pain?

Arthritis is an autoimmune disorder wherein, the immune system of the body attacks healthy tissues within the various joints of the body. This causes inflammation of the joints, leading to multiple problems in them. One common issue with all the problems is pain. Thus, managing pain with rheumatoid arthritis is one of the most important facets of the treatment. More than the deformities or other problems, it is the pain that limits your capabilities. Some techniques for the management of pain are mentioned below.

  1. Pain medication: This is the obvious and first choice to avail if you need to reduce pain. There are many types and levels of pain medications which can range anywhere from being mild to very strong. However, this isn’t an option that should be considered lightly as you may have a tendency to develop a dependency which can border on addiction. Also, many of them harm the hepatic and renal system of the body if used beyond a certain period. Thus it is advisable to use this prudently.
  2. Weight management: In many cases, the pain is exacerbated by obesity. It has been noticed that obese or overweight people tend to suffer more from arthritis pain as the added weight tends to add pressure on the joints. Thus, one of the best ways to reduce a significant amount of pain would be to reduce weight through dieting and limited exercises that don’t strain the joints. However, it is easier said than done as a person in pain cannot usually exercise! So, the best strategy is to visit a pain specialist / interventional pain physician and get your pain controlled. Thereafter, start the exercises and reduce the weight effectively.
  3. Medication for inflammation: Inflammation of the joints is the primary symptom of this disorder. Inflammation is also what causes the pain within the joints. Thus, treating the inflammation with relevant medication has also been known to reduce pain. This is usually the first option to go to for relieving arthritis pain. The catch point here is also the side effect profile of these drugs.
  4. Changes in Diet: A few type of foods, especially certain fish found in colder waters are a rich source of omega-3 fatty acids, which are very good at reducing inflammation within the joints. There are also certain food items which may be bad for your arthritis pain as they may aggravate inflammation and it is better to avoid such items altogether. Some examples of such items would be sugar, alcohol, white flour, processed meats, gluten rich foods among others.
  5. Massages: Whether it is a self-massage or from a therapist, it is a great way to encourage circulation which can help reduce inflammation and work as a pain reliever. A therapist would also know certain specific techniques to relieve arthritis pain. However, most of the times, improper massage shall do more harm than good.
  6. Interventional Pain Procedures: These may often be the most cost effective and usually the only option to reduce pain. These include joint injections, neurotomies, radio frequency therapy, laser therapy, ozone therapy, platelet rich plasma or anti-inflammatory injections.
  7. Other therapies: Some other therapies include heat and cold compress, acupuncture, wearing supportive wears and braces among others to encourage circulation and reduce pain. Transcutaneous electrical nerve stimulation also helps to relieve pain by stimulating the affected nerves in the joints with the help of a low voltage electric current. If you wish to discuss about any specific problem, you can consult a pain management specialist.
5616 people found this helpful

Back Pain

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
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Few daily habits to get rid of Back Pain

Hi I am Dr. Sidharth Verma and today I will tell you about Back Pain and how to prevent back pain. So back pain is, one of the most common pain which hampers the activities of mankind and it is so common that all of us will suffer from it at some point in our lifetime.

So how can you prevent that?

You can very easily prevent back pain and most of the cases which we see in our daily practice are due to lifestyle disorders and some other factors. So as far as lifestyle is concerned. Humans, when they evolved and became erect, so their back pain is the cost they have to give; and as the back is made of very small, small bones which are known as vertebrae. This is a model of the human back, you can see there are small, small bones which make up the back and there are a lot of small intervertebral discs in between. These are the structures that provide cushion and hold the vertebrae and there are a lot of small, small joints and many nerves and structures which are coming out, therefore, the back is a very complex structure and if you do not maintain it properly then you might have back pain. Now, this is all complicated stuff. Furthur, I will tell you how to easily prevent it.

First and foremost is which you can do from day 1 is maintain adequate hydration. Human body is 70% water, and if you see the back, The back has intervertebral discs and they are 90% water. So if you are not hydrated well then you will probably have more problems.

Number 2 is to control your body weight. So it has been seen that in patients or in persons who are obese, this problem occurs more. That is, they have more back pain. The causes are many but you should try to control your weight this will result in lesser back pain.

Number 3 is proper posture while you are you are doing your jobs or in your workplace or while you are driving or you are travelling. By proper posture, I mean that you should always sit with your back straight, and not hunching forward. This is one of the techniques.

Number 4 you should avoid sitting for long period of time without taking a break. This will help you to redistribute the weight of the back to different muscles and this will avoid fatigue, thereby resulting in lesser incidence of back pain.

Number 5 is selecting ergonomic furniture. Ergonomic furniture means which is designed for your body. If you go to the market usually the furniture and the kind of furniture you will get is designed more or less for a similar kind of individual maybe 5 ft 5 inches height or maybe who is sitting for a few hours. However, in actual practice, if you see that nobody is the same so everyone is different and hence you will need to have ergonomic furniture which will be specifically designed for you or there is kind of furniture available which has lots of keys or levers with which you can adjust the height, for example, the chair or the table where you are going to sit or at your workplace, you can get it all adjusted. And it may seem very difficult but if you actually start doing it is very easy. Most of the chairs which we use in our offices, they are rolling chairs which have adjustable levers and height as well as the seat quality and backrest all of it can be adjusted. Similarly the height of the tables can also be adjusted in many cases, if not all. So you can have these ergonomic furniture and this also will help.

Another factor which is responsible for majority of back pain, is unaccustomed activity. By unaccustomed activity I mean, that if you are not used to a particular activity and you do it once then probably you will have some problems. Say for example there is a folder which is kept at a height and you want to fetch it and you stretch your hand and you stretch it so much that your back muscles and your full arms, hand has to stretch so much which is unphysiological. So in these cases, it may result in micro injuries or macro injuries and this may result in back pain. Another common example can be, while lifting heavy loads. So in our routine structure, most of the people are sitting or doing jobs which do not involve lifting of heavy loads. So if you lift some heavy load on one particular day say for example, I got something to install in my house and when that thing comes and I lift it and I try to fit somewhere then that is unaccustomed for me because I am not doing it every day. So this may result in unaccustomed stress and sprains and strains to my back and this may result in back pain. So these are how you can prevent it.

Another very common cause is sleeping on very soft mattress or sleeping for inadequate amount of time. Some people have a habit of surfing mobile phone for a long period of time and they sleep on their table chair maybe on their bed with unphysiological postures. So these will result in increased incidents of back pain. Another common cause which you can prevent is while travelling. So if you are travelling and you are driving a car for example you should adjust your seat so that your back is always upright. And while taking the support, many people ask me if it is helpful to use fancy supports that are available for the car seats. The answer is no. They will not help you. In most cases, they are just fancy items and they will not help you. However, straightening your seat will help you a lot. If you straighten your seat to a point where you are sitting independently and you are seeking only the lower back support from your seat and you are sitting on your own then probably the chances of you getting back pain are less.

Another common thing which you can apply when you are travelling is do not drive for extended period of hours like, I have seen people who drive for maybe 6 hours at a stretch so if this is done occasionally or frequently then it may result in back pain. So if you can avoid and take a break maybe around 45 minutes to an hour every 45 minutes or an hour you can stop and walk around maybe for one or two minutes or you can get out of your car or you can just get down and have a break then you can continue driving so you can drive in bits and bytes then you can travel long distances also. But please be sure to take a small break at least so that your back is not strained unnecessarily.

Another common reason why people come with this back pain are these motorcycle riders or scooter riders who are travelling these long distances throughout the day. What they often do is that they carry these bags. So they carry these bags and backpacks and they funnily carry it on one shoulder. So it will be like a strap and they will carry it on one shoulder and they will do this throughout the day and then after one month or two months they will start having a pain on one side. So this one-sided stress is one of the reasons why people have back pain. If you are not driving a vehicle, then also if you are carrying a load or a backpack or if you are a student or if you are an office goer who has to carry these laptops. Because I have often seen these laptops come in suitcases or briefcases and obviously you have to carry them with one hand. SO it is better to switch from these one handed or one sided carrying devices to devices or bags which are distributing the load equally to both shoulders and back. So that the load is distributed and there is no asymmetrical stress that is the back, on one side, is not stressed unnecessarily.

Another common reason for people who travel a lot is that their legs are not properly placed. So, in addition to the back of the seat, the height of the seat also plays a role. In majority of vehicles however, the height is not an adjustable portion. So the one thing you can do is, you can go forward or you can go backwards that is towards the steering and away from the steering. This mechanism is available for most of the cars or most of the vehicles and with the help of this, you can have enough distance between the steering and your body so that your thighs are touching your seat till the point they can leave the seat that is until the maximum point they should be able to touch the seat. So this will again be helpful to reduce the stress on the back.

Another common cause of back pain is the lack of exercise. For exercise, I don’t mean well I don’t advise that you should go to the gym and lift weights or something like that. But by exercise, I mean exercises like walking. Even simple walking is one of the best exercises for back, swimming or even cycling, or even exercises for your abs. You may underestimate the importance of the exercises for your abs but you should know that abs they support the back to a great extent and weak abs or abdominal muscles are the common causes of back pain in healthy adults.

Other than these, there are causes like nutritional causes. By nutritional causes I mean the deficiency of specific nutrients in your diet. This may be deficiency of Vitamin D .This is one of the most common deficiencies which I see in my practice that most of the people who come to me with these deficiencies they are normal healthy individuals otherwise but due to some reasons, they have this Vitamin D deficiency. Many of them are non-vegetarians so it is a myth that you cannot have Vitamin deficiency if you are a non-vegetarian. So you may have deficiency of Vitamin D, which is necessary for the calcium metabolism and in the deficiency of this Vitamin you are more likely to have weak bones and this pain.

In elderly individuals, however, you may have other causes of weak bones and they may also lead to this back pain. So last but not the least, we have population which is ageing now. So we have more number of people who are above 40 years of age. In these people there are conditions known as degenerative conditions which is, due to age, the body starts degenerating. So if you don’t use your body properly, it will start to degenerate. In many people, who are using the body properly also, due to genetic reasons, and environmental factors, it starts to degenerate. So in these patients there are lot of conditions that develop, and these may affect the intervertebral discs, the joints of the back, the muscles, as well as the ligaments. So these conditions can lead to the back pain in this age group, the elderly age groups that is. So these are the common causes and if you are careful enough, you can easily prevent them and help yourself to prevent your back pain. Prevention is always better than cure, so I will strongly recommend that you take my advice and follow these steps, and you are less likely to have back pain.

To know more, you can always visit my Lybrate website on www.lybrate.com/drsidharthverma or you can also visit my website www.pain.org.in. Thank You.



 

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5 Ways To Manage Pain Due To Burn Injuries!

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
5 Ways To Manage Pain Due To Burn Injuries!

While injuries of any form can be painful, burn injuries are one of the worst to suffer from. While cuts and bruises can be temporarily assuaged with a proper dressing, burns are quite different in this regard. With burns, the damaged tissues will stay on the body and may cause continuous pain. Thus, burn injuries are difficult to treat and they require different strategies for pain management as well.

Treatment methods available for treating pain arising due to burn injuries

  1. Apply an anesthetic cream or aloevera gel to soothe the burnt skin. Avoid exposing the skin to air as that will cause painful sensations.
  2. Loose gauze or antibiotic ointment must be used to protect the influenced area.
  3. Soak the burnt area wound in cold water for about five minutes or more.
  4. If the burn escalates or affects a widespread area, seek medical attention immediately.

Pain management factors for burn injuries:

  1. Relaxation: During the phase of recovery, burn injuries put immense stress on your body and continue for a long period. Muscle tension is caused by stress that increases pain. Some relaxation techniques are proven to be beneficial to reduce the stress on body.
  2. Coping with your pain: Different people have different ways to cope with physical discomfort. Look out for situational aspects which are currently under your control and take it positively. The ‘what ifs’ or wishing that the burn didn’t occur in the first place will not help with your current situation. You should focus on things what you can control like self-rehabilitation, doing your daily exercises, physical therapy treatment or following a doctor’s suggestion of pain management strategies. This will help you cope with your pain to a greater extent.
  3. Sleep medications: If your normal sleep routine is hampered, consult your physician for safe sleep medications. Proper sleep is very important for the healing process and even more so in the case of burn related injuries.
  4. Antidepressants: Some people may not be suffering from depression, but they might still need antidepressants for relief and sound sleep. A health care provider might prescribe antidepressants as a way to deal with acute pain from burn injuries.
  5. Increase the pace of your activities: If you want to rebuild your health and stamina and get back in form soon, focus on the regular physical and mental activities. Exercise regularly, but don’t push yourself too much. Increase your physical activities gradually over time. Unless and until you are fully comfortable, don’t strain yourself too much. Occupational and physical therapists can help you with an appropriate activity program.
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