Column Traumatology Procedure
Complex Regional Pain Syndrome Treatment
Treatment of Mckinzie Treatment For Spine
Rf Neurotomy Procedure
Treatment Of Lumbago
Treatment of Disc Prolapse
Arthritis And Pain Management Treatment
Transcutaneous Electrical Nerve Stimulation (Tens)
Back Pain Treatment
Treatment Of Disk Slip
Pain Management Counseling
Epidural And Spinal Anesthesia Techniques
Treatment of Spondylosis
Cancer Pain Management
Treatment of Neurological Problems
Treatment Of Herniated Disc
Treatment of Hip Disorders
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Patient Review Highlights
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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
Few daily habits to get rid of Back Pain
Back pain is something that affects many people all over the world. Persistent and chronic pain seems to be one of the most common complaints. Middle back pain is back pain that is felt in the thoracic vertebrae region, which is located between the base of the neck and top of the lumbar spine. The ribs attach to a long, flat bone in the middle of the chest called the sternum and wrap around the back. In case, there is a nerve around there is squeezed, disturbed, or injured, you are likely to feel pain in different spots where the nerve goes through, for example, your arms, legs, chest and the stomach.
Some of the most common causes of middle back pain are as follows:
- Middle back pain can happen as a consequence of injury or sudden damage or it can happen through strain or poor stance after some time.
- The most widely recognized reason for middle back pain seems to begin from soft tissue problems or muscular irritation. These can emerge from poor stance, lack of strength, prolonged sitting in front of a computer, utilizing a heavy backpack, overuse injuries, (for example, repetitive movement), or injury, (like a whiplash damage brought about by an auto crash or as a consequence of a sports injuries).
- The middle back is a moderately normal site for inflammatory, degenerative, metabolic, infective and neoplastic conditions.
- Middle back pain and its dysfunctions are connected with various conditions, for example, essential and optional osteoporosis (particularly vertebral cracks and hyperkyphosis emerging from vertebral bone loss), ankylosing spondylitis, osteoarthritis and Scheuermann's infection.
- Muscle strain, overuse or damage to the muscles, tendons, and discs that are backing your spine can also cause middle back pain.
- Weight on the spinal nerves from specific issues, for example, a herniated disc.
- A fracture in one of the vertebrae can also cause pain in this region.
- Osteoarthritis created by the breakdown of ligament or cartilage that cushions the little joints in the spine.
- Myofascial pain that influences the connective tissue of a muscle or gathering of muscles.
- In uncommon cases, pain might be brought about by different issues, for example, gall bladder disease, cancer or an infection.
- Getting hit hard in the back can also cause chronic pain.
- Lift something too heavy may cause pain and a sudden pressure in this area.
- A compression fracture of the vertebra can also bring about intense or chronic pain in the middle back. The injury may bring about a fracture, however in ladies over age 50 without critical injury or somebody known to have osteoporosis, an unconstrained vertebral fracture is possible.
Other contributing factors to injury include lack of strength which can be treated by a Pain Management Specialist using non-surgical methods.
How should you approach pain caused due to sports injuries??
Sports injuries can happen to any person who engages in sporting activities. These affect full-time athletes as well as those who partake in sports and exercising on an occasional basis. Most sports injuries are acute and affect the muscles and skeletal system. Usually, they are not chronic unless caused by a grave accident or left untreated.
The most common types of injuries caused due to sports are as follows:
Treatment of sports injuries depends on a number of factors such as the type of injury, part of the body affected, the intensity of the pain, and the patient's age and medical history.
Accordingly, the most common ways of approaching the pain caused by sports injuries are:
- Immediate remedies: Several quick aid, home remedies are used to treat pain that is caused by minor injuries to muscles, such as sprains and strains. It involves alleviation of pain through rest, using ice packs and hot water bags, wearing supports and elastic compression bandages.
- Medication: Many medicines such as painkillers and anti-inflammatory pills, creams and sprays effectively reduce pain caused by sports injuries. In extreme cases, morphine and codeine are also prescribed.
- Physical therapy: A number of injuries can be treated and cured through certain exercise and workout routines. These aim at stretching and strengthening the affected area to provide pain relief through increased flexibility and muscle activity.
- Injections: Various substances and chemical compounds can be injected into the injured area which works on the affected ligaments, tendons, and cartilage to reduce inflammation and relieve pain.
- Surgical procedures: This is generally resorted to in case of damage to the skeleton in the form of broken bones and cracked ribs.
- Interventional Pain relieving procedures: These include regenerative or stem cell therapy, and neuromodulation techniques using radio frequency current. They may result in best results without any tissue cutting or damage. A pain specialist may be able to help you best in that case.
Devising the exact treatment method requires a thorough examination of the injury. Diagnosis can only be provided after taking into consideration the many factors that affect treatment. The method of treatment varies from case to case and consequently, the recovery time also differs. If you wish to discuss about any specific problem, you can consult a pain management specialist.
Chronic pain is one that lasts for a long time or might even last for a lifetime. It could either be seasonal - that you would experience only in winters, or it may be persist throughout the year. There are many ways to cope with or get rid of chronic pain.
Mentioned below are ten ways in which you can deal with chronic pain:
- Meditation: Meditation and deep breathing can help ease pain and strain on the muscles. Concentrating on the breath, overlooking your thoughts, causes the body to unwind. While you can learn to meditate by yourself, taking a class is a better idea.
- Lessen stress in your life: Negative sentiments like depression, uneasiness, stress, and outrage can make the body more sensitive to pain. By figuring out how to take control of anxiety, you may discover some relief from pain.
- Help get rid of pain with the natural endorphins from exercising: Endorphins are cerebrum chemicals that enhance your mind-set while blocking pain signals. Exercise has another pain decreasing impact - it reinforces muscles, preventing re-damage and further pain. Furthermore, practice can hold your weight down, decrease heart problems and control glucose levels - particularly critical if you have diabetes.
- Cutting down on alcohol: It is not easy to rest with pain and liquor can aggravate pain issues. In case you are living with chronic pain, drinking less or no liquor can increase your pain improvement process.
- Join a care group, meet others living with chronic pain: When you are with individuals who have chronic pain and share what you are experiencing, you don't feel alone. You additionally gain advantage from their knowledge in adapting to the situation.
- Try not to smoke: Smoking can intensify pain flow issues and increase danger of heart or respiratory diseases
- Track your pain level and exercises each day: To treat the pain, your specialist needs to know how you have been feeling between visits. This will help in prescribing the right kind of exercise so that your muscles get their strength. Keeping a log or diary of your everyday "pain score" will help you track it. Towards the end of every day, take note of your agony level on the 1 to 10 pain scale.
- Get a massage for chronic pain: Massages can decrease stretch and soothe strain - and is being utilized by individuals living with a wide range of chronic pain, including back and neck pain.
- A sound eating routine: A nutritious diet is essential from multiple points of view - supporting your digestive system, reducing the risk of heart diseases, keeping your weight under control, and enhancing glucose levels. To eat a low-fat, low-sodium diet, these are important: new leafy foods; cooked dried beans and peas; entire grain breads and oats; low-fat cheese, milk and yogurt.
- Discover approaches to keep yourself occupied: When you concentrate on pain, it worsens as opposed to getting better. Rather, discover something you like doing - a movement that keeps you occupied and thinking about things other than your pain. You will not have the capacity to maintain a distance from pain, but rather you can take control of your life.
In case you are unable to get relief, visit an interventional pain physician and seek urgent medical attention.
When somebody is diagnosed with a short term or a life-threatening disease, one of the main things they are likely to stress over is pain. Though, there are many effective medicines for pain, it is important to realize that medicines are not by any means the only treatment method for pain. For instance, radiation treatment can be very useful in treating pain from cancer and also in facilitating bone pain identified with the disease.
The term "alternative therapy" for the most part is used to describe any treatment or alternative that does not require medicinal attention. Alternate treatment includes a combination of controls, including acupuncture, guided imagery, chiropractic treatment, yoga, hypnosis, relaxation, biofeedback, massage, homegrown cures, aromatherapy and numerous others.
There are various non-medicinal methods for adapting to pain. They can be used all alone or as a part of a mix with medication treatments. Some of the alternatives patients have discovered include:
- Massage: Many individuals discover relief from delicate back rub, and some clinics and massage parlors have trained massage specialists. A few studies have found that a back rub is extremely successful in soothing pain.
- Relaxation: Guided imagery, spellbinding, breathing procedures and relaxation arts like tai chi are effective and viable, especially when a patient is experiencing debilitating pain.
- Acupuncture: A few studies have found that acupuncture can be useful in calming pain for individuals with genuine ailments, for example - cancer.
- Physiotherapy: In case a person has been very active before and is currently bed-ridden, even simply moving the hands and feet a little bit with proper physiotherapy movements can offer help.
- Pet treatment: If you have episodes of pain that last 5, 10, or 15 minutes, attempting to discover something pleasant - like petting an animal's delicate fur can divert and help in relaxation.
- Gel packs: These are basic packs that can be warmed or cooled and used to ease pain.
- Chiropractic treatment: It is the most widely recognized non-surgical treatment for back pain. It is usually done by a chiropractor who will tune your nerves and other parts for pain relief. Qualified chiropractors are a rarity and hence one must be careful while dealing with them.
- Diet: A few people trust that dietary fat intake and consumption of plants that contain calming operators can ease pain by restricting irritation.
- Herbal treatment: The effectiveness of herbs is questionable. Do consult a doctor or a specialist since they could have a side effect of their own. Some of them can interact with the medicines you might be taking. This may cause harm to your health.
Alternative therapies to pain relief are not always harmless. As mentioned above, herbal remedies could have few side effects too. Likewise, one should always take a second opinion or consult someone before taking a decision on the kind of alternative therapy they opt for. It is better if you consult an interventional pain physician first and then follow his advice on how to follow these methods for maximal pain relief.
I have pain in knee from last 6 months. I take many medicine but can't get relief What can I do for the pain.
Our body is composed of many elements that carry out emotional and physical functions that are usually in sync with one another. It is important for these organs and other elements to be in sync for good health. All nerves are connected to the brain and are responsible for sending important signals throughout your body. Therefore, even one pressed nerve may send you warning signals such as pain to the body. It is advisable not to overlook these signals. Damage from a pressed nerve might be minor or extreme. It might bring about persistent and chronic issues. Therefore, the sooner you get a treatment for nerve compression, the more relieving experience you will have. In a few cases, you cannot reverse the damage caused by a pressed nerve. However, treatment does relieve you from the pain in most cases.
Nerves are the most vulnerable at spots in your body where they go through narrow spaces and have very less tissue to protect them. These are the places they are more likely to get pinched. A number of the causes may include:
- If the nerve is pressed between tissues, for example, your tendon, ligament or bone.
- Nerve compression in your neck or arm may likewise bring pain in zones, for example, your elbow, hand, wrist or fingers.
- Aggravation or weight on a nerve root leaving the spine may bring about neck or low back pain.
- In case a disc tears, it is known as a herniated circle that can put weight on a spinal nerve.
Some of the common symptoms of pinched nerves are:
- Pain in the region of pressure, for example, the neck or low back
- Transmitting pain, for example, sciatica or radicular pain
- Blazing sensation
To what extent you are affected depends from individual to individual. Treatment fluctuates, based upon the seriousness and reason for the pinched nerve. You may find that you benefit from just resting the affected area and by maintaining distance from any exercises that may cause you harm. If side effects endure or torment is serious, it is best to consult specialist. You may require one or more types of treatment to contract swollen tissue around the nerve.
Treatment may include:
- NSAIDs - Non steroidal inflammation mitigating drugs (NSAIDs, for example, headache medicine, ibuprofen, or naproxen may diminish swelling).
- Oral corticosteroids - These are utilized to lessen swelling and agony.
- Opiates - These are utilized for brief periods to lessen extreme pain.
- Steroid infusions - These infusions may diminish swelling and allow the affected nerves to recover.
- Exercise based recuperation - This will extend and reinforce muscles.
- Brace - A prop or delicate neckline limits movement and permits muscles to rest for brief periods.
- Interventional Pain Procedures: They are the most cost effective and non invasive methods for pain relief as recommended by the WHO. Your pain will be taken care of by the interventional pain physician or the pain specialist.
- Surgery - Surgery might be required for more serious issues that do not react to different sorts of treatment.
Knee pain is a common phenomenon that plagues most of the people irrespective of their age. It can be the outcome of a torn cartilage or a ruptured ligament. Medical complications, such as infections, gout or arthritis (painful inflammation and stiffness of the joints) can also give way to knee pain. Minor knee pain can be eased by self-care remedies such as physical therapy or by putting on knee braces. However, few complications might demand surgical repair. Pain can be managed by the pain management specialists.
Tips to manage knee pain
1. Medications such as naproxen, ibuprofen and acetaminophen can be administered to help remedy knee pain.
2. You can seek relief by massaging your knees with ointments constituting of a number of agents such as capsaicin or lidocaine.
3. Keep away from your usual chores to prevent repetitive strains on the knees, thus, allowing the injury to heal as well as to stay safe from further damage.
4. Applying an ice pack in a towel can ease the inflammation and pain. But do not extend its usage for more than 20 minutes because that might harm the skin and nerves.
5. Compression bandages can inhibit fluid accumulation in the damaged tissues aiding knee alignment stability. Ensure that it is tight enough to render support to your knees without actually obstructing blood circulation.
6. To pacify the swelling, try resting your sore leg on a pillow (the idea here is to keep the affected leg elevated to reduce further pain).
7. Shed off your extra pounds as being overweight increases chances of other disorders such as osteoarthritis problem.
8. Go for regular work outs to enhance and maintain the flexibility of your muscles as excessively weak or abnormally tight muscles can contribute to injuries. Be smart while choosing your method of exercise based on the condition you are suffering from. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
The musculoskeletal structure of your body is what enables you do any physical movement. The bones provide the solid structure while the muscles provide the strength and agility for all the necessary movements. However, muscles can be affected either due to internal problems within the body or due to wear and tear. Pain in the muscles can be quite debilitating and problematic.
Some of the more common methods to treat and deal with muscle pain are mentioned below.
- Correct electrolyte imbalances in your daily food intake: Electrolytes are important minerals required in your body such as potassium or magnesium. A lack of these minerals within the body will cause muscle pain including cramps and spasms. These could be caused due to:
- Proper stretching and massaging your muscles: You should get into a habit of properly warming up and cooling down before and after exercising as this will allow the muscles to get into optimal physical condition. If you suddenly start exercising, it may damage them and cause immediate pain or may develop into chronic pain over time. The best way to correct this imbalance is to include foods in your diet which contain these minerals, such as bananas for potassium, organic meat for potassium and magnesium, organic eggs, and legumes.
- Start exercising if you aren’t doing it regularly: Muscle pain may occur due to atrophy or weakening of the muscles. Bad habits and posture overtime will also result in muscle pain and the best way to strengthen them is to start exercising and stretching them slowly. Once they are strong enough, some of the muscle pain issues will go away on their own.
- Correcting bad posture: Bad posture is another culprit for muscle pain. Especially common with sedentary jobs behind a desk postures tend to deteriorate overtime and cause, muscle pain. Thus along with exercising, try to change your posture and correct any bad habit that may have crept in.
- Stay hydrated: Dehydration is another common cause for muscle pain especially from muscle spasms or cramps. Ensure that you are properly hydrated throughout the day to avoid pain from spasms.
- Use either hot or cold therapy: You can use ice packs or hot water packs to soothe muscle pain depending on the type of causes. For example, throbbing muscle pain and spasms can be relaxed through warm compress while inflammations can be soothed by icepacks.
- Medications: In certain disorders of the body such as fibromyalgia, you will need to take specialized medications in order to correct the problem. For excessive and chronic pain, you should visit your doctor as it may require more extensive treatment. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Pain can be musculoskeletal like back pain, shoulder pain or knee pain. Watch out to identify yours.
The sciatic nerve spreads down the spine till the legs. The pain in this nerve can feel like sparks running down your leg (by and large only each one in turn) or cause pain in the lower back. Anything that puts weight on or aggravates this nerve can cause pain that shoots down the back of one butt cheek or thigh. The amount of pain can increase gradually. Sciatica may feel like a gentle ache, a sharp sensation or extreme uneasiness. Sciatica can bring feelings of shivering, numbness and weakness.
Sitting, standing up, coughing, sneezing, lifting, or straining for a very long time, might aggravate pain. Now and then, individuals experience numbness or shivering in the leg, too.
Some of the most regular symptoms of sciatic pain include:
- Lower back pain
- Pain in the back or leg when sitting
- Hip pain
- Burning sensation in the leg
- Numbness or trouble moving the leg or foot
- Continuous pain on one side of the back
- Shooting pain that makes it hard to stand up properly
The most common causes of sciatic pain include:
- Lumbar spinal stenosis (narrowing of the spinal channel in the lower back)
- Degenerative disk sickness (breakdown of discs, which go about as pads between the vertebrae)
- Spondylolisthesis (a condition in which one vertebra slips over another)
- Muscle spasms
Some of the most effective exercises for sciatic pain relief are as follows:
- Pigeon Pose is a typical yoga posture. It attempts to open the hips. There are various types of this stretch. The first is the leaning back pigeon posture. If you are beginning your treatment, you have to attempt the leaning back posture first.
- While on the back, raise your right leg up to a right point and hold it with both hands behind the thigh and lock your fingers. Take your left leg and touch your lower leg against the knee. Hold the position for a minute.
- Sit on the floor with your legs stretched straight before you. At that point twist your right leg, putting your lower right leg on top of the left knee. Bend forward and incline your abdominal area toward your thigh. Hold for 15 to 30 seconds and after that switch sides.
- Kneel down on the floor on all fours. Get your right leg and bring it forward so that your lower leg is on the ground. Your right foot has to be ahead your right knee while your right knee stays to one side. Stretch the left leg out the distance behind you on the floor, with the top of the foot on the ground and toes pointing backwards.
- Lie on your back with your legs facing outward and your feet flexed upward.
Wrap your hands around your knee and delicately pull your right leg over your body toward your left shoulder. Hold it there for 30 seconds and afterward push your knee so your leg comes back to its initial position. If you wish to discuss about any specific problem, you can consult a orthopedist.
Back pain is one of the most common debilitating disorder in the world today. The pain affects 90% of people at some point of their lives. Human back comprises of various structures (see figure) which are nerves, bones, muscles, ligaments, and tendons, any or all of which can be a source of pain. Once back pain occurs, it may become chronic (more than 4 weeks) and you shall need to consult a pain physician for relief and accurate diagnosis.
Since prevention is always better than cure, you can save yourself from having back pain if you follow these basic tips:
Regular Exercise in Correct Form: Regular exercise is important to maintain proper muscular strength of the back. Human back is supported by several big muscle groups (see figure). They serve two functions - one is to facilitate the posture and movements of the back itself and the other is to help movements of the rest of the body appendages (arms, head, pelvis and legs).The health of these muscle group is important to take stress off the spinal bones and maintain proper function. Most of these muscles are red muscle fibers as they need to maintain their activity for prolonged periods of time. Just to give you an idea - your biceps (arm muscles) have to work only when you bend your arm. But your back muscles have to function all the time - whether you sit, walk, stand or even sleep. But the point is what kind of exercises are good for your back? The best exercises for back include body weight low impact aerobics like brisk walking, swimming, stationary bicycling, extension exercises and yoga. What is important to remember while doing these exercises if that you need to be gentle in your movements and achieve correct "form" - this is possible if you can ask someone (preferably a trainer) to observe and point out whether the back stays straight during the exercise. It has been seen that arching and excessive bending is associated with injury to the back while exercising.
Stay Hydrated and Eat Natural Nutritious diet:The inter vertebral discs contain 70 - 80% water. The muscles and tissues have 60% water content. Therefore, it is important to stay hydrated. In addition, you must eat a nutritious diet consisting of green leafy vegetables, good protein source and just enough carbohydrates. Deficiencies of essential nutrients like Vitamin D can result in diseases like osteoporosis. Another important aspect is to maintain body weight within healthy limits. This is very important as increased belly fat is linked to increased back pain due to mechanical factors.
Lift objects correctly and maintain proper posture: While lifting objects, keep them as close to body as possible. Do not slouch or bend excessively while lifting. Just keep your back straight at all times. You may bend your knees a little if required (see figure). Think before you lift and get help if needed.
While working, you must not sit for more than 45 minutes at a stretch. Walk for two minutes, go to a colleague's desk and say hi or even just drink some water or visit the washroom. Humans evolved as hunter - gatherers and our bodies are more adapted to walking / standing than to sitting for prolonged periods. Those of you who travel more and have to sit for long periods of time also need to follow above tips - avoid prolonged sitting in same posture.While exercising, improper position can do more harm than good. Therefore, proper form and posture is a must.
Bonus tip: Avoid cigarette smoking and those who smoke cigarettes to decrease your chances of having degenerative disc diseases leading to chronic back pain early in life.
Word of caution to prevent permanent damage: In case of back pain, which is not responding to home remedies or over the counter painkillers, please contact a Pain Physician to pinpoint the diagnosis and appropriate management.