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Dr. Poonam Patel Vasani - Pain Management Specialist, Pune

Dr. Poonam Patel Vasani

87 (891 ratings)
MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certific...

Pain Management Specialist, Pune

11 Years Experience  ·  800 at clinic  ·  ₹200 online
Dr. Poonam Patel Vasani 87% (891 ratings) MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliativ... Pain Management Specialist, Pune
11 Years Experience  ·  800 at clinic  ·  ₹200 online
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Non-surgical treatment of pain with a holistic approach....more
Non-surgical treatment of pain with a holistic approach.
More about Dr. Poonam Patel Vasani
Dr. Poonam Patel Vasani is a highly reputed and popular doctor who specializes in pain management and is based in Pune. With exceptional ratings from her patients and an immense experience of about 10 years in this particular field, she has garnered a lot of trustworthiness and respect from her patients. You can avail her services at her several clinic and hospitals. These clinics are Columbia Asia Hospital, Prudent International Health Clinic and Sahyadri Hospital Nagar Road. All of these are based at Pune. She has completed her MBBS from Calcutta Medical College in 2006, MD in Anaesthesiology from University College of Medical Sciences & GTB Hospital in 2010 and FIPM from Daradia Pain Foundation in 2016. She is well collaborated with many medical associations like ISA, ISCCM, ISSP etc. The services and treatment measures provided by her involve anesthesia, back pain treatment, chronic pain treatment, slip disk treatment, cancer pain management and many more. The sole motive of Dr. Poonam Patel is to provide consummate and quick service, fruitful results, valuable pain management treatment, full satisfaction and proper insurance coverage to her patients.

Info

Education
MBBS - Calcutta Medical College - 2006
MD - Anaesthesiology - University College of Medical Sciences & GTB Hospital, New Delhi - 2010
FIPM - Daradia Pain Foundation - 2016
...more
Fellowship in palliative medicine - Maharashtra university of health sciences - 2017
certificate in interventional pain management - Virinchi hospital, hyderabad - 2017
Multidisciplinary pain management course - Jaslok hospital, Mumbai and International Association for study of pain - 2017
Languages spoken
English
Gujarati
Hindi
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Marathi
W-Bengali
Awards and Recognitions
Contributing author in Handbook of Pain & Palliative Medicine, Paras Publisher
Professional Memberships
ISA
ISCCM
ISSP
...more
ACA
NACCM
IASP
IAPC
AORA

Location

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columbia asia hospital

kharadi bypass roadPune Get Directions
  4.4  (891 ratings)
800 at clinic
...more

Prudent International Health Clinic

2nd Floor, Silver Oak Society, Above Maharashtra Bank, KalyaninagarPune Get Directions
  4.4  (891 ratings)
800 at clinic
...more
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"knowledgeable" 34 reviews "Very helpful" 45 reviews "Caring" 8 reviews "Prompt" 1 review "Practical" 10 reviews "Well-reasoned" 8 reviews "Sensible" 7 reviews "Helped me impr..." 5 reviews "Saved my life" 1 review "Thorough" 5 reviews "Professional" 5 reviews "Inspiring" 1 review

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Fracture Pain - How To Deal With It?

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Fracture Pain - How To Deal With It?

Breaking a bone no matter how small is painful. This pain is caused both by the actual break in the bone and the damage to surrounding muscles, ligaments, nerves and other soft tissue. There are three stages of pain caused by a fracture:

  1. Acute Pain: Pain that occurs immediately after a bone is fractured
  2. Sub-Acute Pain: Pain experienced while the one and soft tissues heal
  3. Chronic Pain: Pain experienced after the fracture has healed

Any kind of fracture can cause these types of pain. However, it is not essential for everyone who has had a fracture to experience all the three kinds of pain. Many people experience pain only when the fracture occurs but in few cases, a person may break a bone and not realize it. Each type of pain needs to be dealt with in a different way.

  1. Acute Pain: Acute pain reduces as the fracture heals. For this, the fractured bone must be reset in place and held together with a splint, brace or cast so as to immobilize it. In some cases, surgery may also be needed. Over the counter pain medication is often prescribed to help deal with this type of pain. The patient is also advised to rest the broken bone and avoid certain types of movement that could worsen the break. A broken bone takes a minimum of 6 to 8 weeks to heal. However, in cases of other conditions such as osteoporosis, this time period could be much longer.
  2. Sub-Acute Pain: As the injury heals, the sub-acute pain experienced reduces. Immobilizing a broken bone to help it heal causes the muscles and soft tissues around it to stiffen and weaken thus triggering this type of pain. Physical therapy can be very helpful in dealing with this type of pain. Along with strengthening the muscles and reducing stiffness, physical therapy also helps reduce inflammation and scar tissue. Physical therapy can be provided in many ways including exercises, electrical stimulation, ultrasounds, massage etc. It is important to remember that at this stage of treatment, the more the affected limb is used, the faster it will heal. However, it is advisable to avoid putting too much pressure on the bone.
  3. Chronic Pain: Some people may experience pain for several months and even years after a fracture has healed. This is usually caused by nerve damage or the development of scar tissue. Underlying conditions such as arthritis could also trigger this type of pain. Management of chronic pain varies from individual to individual. Treatment usually takes the form of medication, exercises and physical therapy. It is important not to avoid this type of pain and consult a doctor to ensure that it is not being caused by any other condition.

Massage Therapy - How It Can Help In Reducing Pain?

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Massage Therapy - How It Can Help In Reducing Pain?

When a child falls down and starts crying, the first thing a mother does is to pick up her child and console him/her and rub where you are hurt. Even when we grow older, our natural instinct when we bang into something is to rub the affected part. Even with modern medicines, the healing power of touch has made massages a popular type of alternative medication for aches and pains.

A massage helps relieve pain in a number of ways.

  1. First, it relaxes the body and mind and keeps the mind from thinking about the pain.
  2. Second, a massage warms the body and increases blood flow. This is very beneficial in cases of pain caused by sore muscles and stiff joints.
  3. Third, studies have also suggested that a massage can promote the release of opioids or natural painkillers in the brain. This hormone relaxes the body and encourages feelings of contentment.

A massage also reduces cellular stress and boosts mitochondrial biogenesis. This helps speed up the healing process of cellular injuries and gives energy to the cells. Many pregnant women also find a massage very helpful in dealing with labour pains. Other benefits of a massage include reducing anxiety, exercising muscles, enhancing immunity and easing a person’s dependence on medications.

There are many types of massages, but there is no clear evidence that makes one type of massage more beneficial than the others. While some people prefer a Swedish massage that involves kneading the skin, others prefer a deep massage or pressure point massages. Some of the common types of body pain that can benefit from a massage include headaches, lower back pain, arthritic knee pain, neck pain and fibromyalgia. A massage is also said to be helpful in reducing pain triggered by cancer and cancer treatment.

As compared to painkillers, a massage is typically considered safe as long as you are being massaged by a trained professional. In the wrong hands, a massage can, in fact, worsen pain. For slight, occasional pains, a massage is great, but when it comes to more chronic pains, it is best to consult a doctor before getting a massage. This is because the pain may be a symptom of a larger problem. Other instances when you should not get a massage include in cases of a fracture, deep vein thrombosis, burns or open wounds, severe osteoporosis or thrombocytopenia or if you suffer from a bleeding disorder.

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

4575 people found this helpful

I have allergy from sun. As I go out in the sun, soon I get the sun stroke I headache starts. And this headache remains for almost 3 days. What to do?

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
I have allergy from sun. As I go out in the sun, soon I get the sun stroke I headache starts. And this headache remai...
Headache triggered by sun can be due to migraine. Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure as in your case, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Migraine attacks can be managed by simple painkillers like paracetamol but in resistant cases drugs like Sumatriptan may be needed. For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. Don't take painkillers daily for migraine headaches, it's better to take the preventive medicines. Painkillers on long term basis can further aggravate the migraine headache into Medication Overuse Headace (Read my health tip on Medication Overuse Headache) Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do pranayam daily. You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem. Consult again for further queries.
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She have a Problem with Headache. The main problem is when she get headache, She is Feeling to Vomit and after some time of Headache she Vomits a lot and when She wake up in the Morning, She Finds a Swelling Eyes. Its repeated 2-3 times in a Month. Previously She had a problem with Sweating so Doc prescribe her a medicine which name is Tryptomer 25. Now the problem is in the worst condition that's why She Consulted a Neurologist, He Said that just Consult a gastroenterologist, She Also consulted but the Doc is not good he Said Just Do ultrasound, In ultrasound he find nothing and after then he Suddenly said that you intestine to worsen that's why you have to do endoscopy .But she has a fear of endoscopy. So she told to the Doc to prescribe some medicine for her but Doc get angry and wrote Some medicine with the words nothing will cure. Its a shameless version Now She got Depress with the words and problem is now as it is. Please Suggest the best for her. Thanking You.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
She have a Problem with Headache. The main problem is when she get headache, She is Feeling to Vomit and after some t...
Headache with vomiting commonly occurs in cases of Migraine. You should start her on Migraine medications and she will be better. Endoscopy is not required if its migraine headache. Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Migraine attacks can be managed by simple painkillers like paracetamol but in resistant cases drugs like Sumatriptan may be needed. For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. Don't take painkillers daily for migraine headaches, it's better to take the preventive medicines. Painkillers on long term basis can further aggravate the migraine headache into Medication Overuse Headace (Read my health tip on Medication Overuse Headache) Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do pranayam daily. You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem. Consult again for further queries.
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Migraine Pain - Facts About It!

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Migraine Pain - Facts About It!

Migraine headache is characterized by a severe headache usually affecting one side of the head. There are other symptoms along with headache like nausea/vomiting, sensitivity to light and sound. Some patients experience neurological phenomena like changes in vision, temporary loss of sensation and altered sensation, a phenomenon known as an aura (flashes of light, zigzag patterns, bright spots, tingling in the arms and the legs). Migraine headache can last for 2 to 3 days. 

Symptoms: The symptoms depend on the stage of a migraine attack. The stages of a migraine attack can be: 

  1. Prodrome, Aura, Headache or attack, and Postdrome. 
  2. Prodorme: One to two days prior to the migraine attack, patient may experience; 
    • Mood swings. 
    • Cravings for food. 
    • Increased yawning. 
    • Stiff neck. 
    • Constipation and frequent thirst and urination. 

In case of an aura (during or before a migraine), there may be visual, motor, speech, and sensory illusions and disturbances such as, 

  • Loss of vision. 
  • A strange sensation of needles pricking an arm or a leg. 
  • One side of the body becomes weak and numb. 
  • There are visual illusions such as the appearance of flashes of light, zigzag patterns, bright spots. 
  • There is a problem in hearing and speaking. 
  • In some cases, there may be a hemiplegic migraine (the limb becomes weak). 

During a Migraine Attack (lasts for 4 to 72 hours), there may be 

  1. A throbbing pain on either one or both sides of the head 
  2. Blurred vision, light-headedness. 
  3. Nausea and vomiting 
  4. Sensitivity to light and sound 
  5. Sensitivity to touch and smell (though rare) 

In Postdrome (after a migraine), there can be 

  1. Mood swings. 
  2. A person may be sensitive to light and sound. 
  3. Dizziness and weakness 
  4. Confusion 
  5. Extreme fatigue 

An amalgamation of environmental and genetic factors may be responsible for a migraine. Trigger varies for each patient: 

  1. Stress and extreme physical exertion 
  2. Obesity 
  3. Alcohol and caffeinated drinks and beverages 
  4. Salty and processed foods 
  5. Altered sleeping habits 
  6. Hormonal alterations in women (Constant fluctuation in the level of oestrogen) 
  7. Oral contraceptives and certain vasodilators (nitroglycerin
  8. Preservatives like MSG (monosodium glutamate) and Aspartame (sweetener) 
  9. Sunshine, certain odours, travel, etc can trigger migraine. 

Treatment and Prevention: 

  1. Medicines under supervision to abort an attack of migraine and special drugs to stop attacks. 
  2. Lifestyle changes are helpful to decrease attacks: 
    • Avoid your trigger for migraine. 
    • Follow regular sleep -wake cycle. 
    • Regular exercise, meditation
    • Avoidance of alcohol, caffeine containing beverages. 
  3. Other treatment options that can be availed from pain specialist: 
    • Transcutaneous supraorbital nerve stimulation 
    • Intramuscular stimulation. 
    • Botulinum toxin injection. 
    • Occipital nerve block.
1 person found this helpful

Well, I oftenly suffer from Headache. Can someone suggest for any medicine with minimum side effects to get rid of the headache instantly. I have a tried few such like flexon. But want to know is there any other medicine better than flexon.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Well, I oftenly suffer from Headache. Can someone suggest for any medicine with minimum side effects to get rid of th...
Medication for headache will depend on cause of headache. For frequent episodes of headache, painkillers can aggravate the headache. You need to provide details of your headache pattern so that a diagnosis can be reached. Just taking painkillers is not the solution for frequent headache Headache at young age can be due to 1. Tension headache: Pain is band like constriction at forehead. Simple analgesics like paracetamol will help. 2. Migraine: episodes of severe headache, generally one sided and associated with nausea or vomiting, photophobia / phonophobia. Migraine treatment requires lifestyle modifications and painkillers. 3. Headache can be due to refractive error (vision defect ). Simple vision check and wearing spectacles accordingly can help. 4. Sinusitis: Headache with nasal discharge, fever and throat pain. Consult an ENT specialist in such cases Other causes of headache can be cluster headache, tumour, meningitis, cervical spine diseases, and many more. Follow these lifestyle changes to avoid headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it.
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I have having pain in my left eye and then this pain reached left side of my brain suddenly it becomes full headache. Please suggest me what is going on help me out.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
I have having pain in my left eye and then this pain reached left side of my brain suddenly it becomes full headache....
This type of headache can ne due to 1. Cluster headache 2. Problems of eye. Get eye check up done by ophthalmogist first. Characteristics of Cluster headache are: 1. Severe unilateral headache around the eyes. 2. Headache lasts for 15 to 180 minutes. 3. There is Redness or watering of eyes/ nose, Eyelid swelling, Severe restlessness or agitation. 4 Headache can occur once every alternate day to 8 per day. This is just a brief outline. In such headache conventional painkillers are not generally effective and specific medicines are to be taken to prevent headache. Most patients get relief by taking oxygen inhalation. You should consult a Pain physician for further evaluation and management.
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Sir me 28 years ka hu mu je puri body me thado pain hota alaga alag jagah par alag alag time pain hota hehatah me chesat me gal par pair me hatah ki ungli me par ke panjo me sir me etc sir ye kya ho sakta he.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Sir me 28 years ka hu mu je puri body me thado pain hota alaga alag jagah par alag alag time pain hota hehatah me che...
This can be due to: Arthritis Fibromyalgia Thyroid problems Vitamin D and Calcium deficiency. Get blood test like CRP, Thyroid hormones, Vitamin D and calcium levels. Take a course of antiinflammatory drugs like Ibuprofen for 5 days. Calcium and vitamin D supplements if required. Start regular exercises like yoga or swimming. Also provide further details of your symptoms and consult a pain specialist.
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Meri mummy ko cancer hai unke gale me jalan or dard ho raha hai kya kare please answer me fast.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Painnim cancer patients requires specialized management. A pain specialist or palliative medicine specialist can help you. This pain can be managed by special medicines like opioids, injection treatments like nerve blocks. A detailed evaluation and symptomatology is required to make a treatment plan. Kindly elaborate on the patients condition. For the time being she can take tablet paracetamol 500 mg 4 times a day.
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I am having headache for the past 5 days Because of the headache I get little nausea feeling I do not know whats the reason for this headache Do I have got power so have to check with the eye doctor?

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
I am having headache for the past 5 days
Because of the headache I get little nausea feeling
I do not know whats the ...
Headache with nausea can be due to Migraine or intracranial mass. Migraine is a common cause of such headache. Eye power can also cause headache, generally it is without nausea. Just get your eye check up done once. You can take simple analgesics like Ibuprofen or Paracetamol for relief of headache. Detailed description of headache is needed to help reach a diagnosis. If problem is persistent, MRI of brain may be needed.
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I have hurt my knee doing squats in gym. It has been three weeks and pain is still the same.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
I have hurt my knee doing squats in gym. It has been three weeks and pain is still the same.
First get MRI of knee joint done. Persistent pain can be due to ligament injuries or simple strain. MRI will help to rule out serious causes which may require surgery. Depending on underlying cause, treatment will vary. For immediate relief of pain you can take painkillers like Ibuprofen or Paracetamol.
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Sleep Deprivation & Pain - A Vicious Circle!

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Sleep Deprivation & Pain - A Vicious Circle!

Many people across the globe are suffering from pain related sleep disruptions. Statistics show that almost 30% of the world population suffers from pain that leads to sleep deprivation. In medical terminology, this situation is often referred as the ‘vicious cycle of pain and sleep’ wherein pain adversely affects one’s ability to sleep. Furthermore, the lack of sleep worsens the pain condition for the patient. Back pain is the most common cause for sleep disturbance related to pain. 

Common sleep disorders associated with chronic pain

  1. Insomnia: One of the most common sleep-related disruption is that of insomnia, where patient complaints of their inability to fall asleep irrespective of their exhaustion. 
  2. Hypersomnia: In this condition, patients find it difficult to keep themselves awake throughout the day, or they tend to fall asleep anytime of the day. 
  3. Sleep Apnoea: In this condition, the patient has intermittent phase of breath hold during sleep. The risk factors associated with sleep apnoea include obesity and age. The condition can become chronic with problems like loud snoring and feeling of tiredness all the time despite a good night’s sleep. 
  4. Restless Leg Syndrome: if a person is shaking his/her leg consistently while sleeping it means they are suffering from restless leg syndrome. If the condition worsens patient may have uncontrollable leg movements even during daytime. 
  5. Apart from sleep disorders, patients suffering from chronic pain undergo depression sometimes with attempts at suicide. 

Treatment Options: 

Treatment of pain should be done under care of pain specialist as options can be availed for treatment like nerve blocks, spinal cord stimulation. Reduction in pain can drastically improve sleep and mood. Simple intake of sleeping pills is not the solution. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

4296 people found this helpful

I'm 58 year old woman. There are too much pain in my bones. Got checked thyroid and it's in normal condition. Don't know what to do?

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
I'm 58 year old woman. There are too much pain in my bones. Got checked thyroid and it's in normal condition. Don't k...
Generalised pains can be due to 1.fibromyalgia 2. Calcium and vitamin D deficiency 3. Nutritional problems Get a CBC, Calcium, Vitamin D level and Fasting sugar done. Start a course of anti inflammatory drugs like Ibuprofen for 5 days. Start physical exercises when pain decreases. Special medication are needed depending on underlying cause. Consult a pain specialist for detailed evaluation.
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Epidurals - Know The Benefits & Disadvantages!

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
Epidurals - Know The Benefits & Disadvantages!

Modern women want to have it all, in personal and professional life. They want to experience the joy of motherhood but not the pain associated with normal delivery. For such women, epidural analgesia during labour is a blessing. Epidural analgesia/anaesthesia is given to pregnant women during childbirth. Epidural painkillers stop the pain signals transmitted nerves from uterus. This stops the pain sensation of labour. For epidural analgesia, a catheter (small tube) is inserted into the epidural space in the spinal cord. It is through this tube that the drugs (painkillers) reach the desired nerves. 

Types of Epidurals: 

Epidurals can be 

  1. Injection with top-ups: Once given, epidurals help to relieve the pain that arises due to contractions. When the epidural starts to wear off, top-ups or refills are used. The refills can last for 1-2 hours. 
  2. Combined Spinal Epidural: Compared to the regular epidurals, the combined spinal epidurals are powerful, quick, and more effective. Here too, epidural painkillers are made to pass through the catheter, once the first injection wears off. It is also known as Walking Epidural. 
  3. Continuous infusion (patient-controlled epidural analgesia): Here, the other end of the epidural catheter is attached to a pump. This pump continuously infuses the painkillers into your back. For an effective response, top-ups may be used. Many hospitals allow patients to control the pump. 

Merits and demerits of having an epidural--

Merits: 

  1. Epidurals make the delivery smooth and hassle free. 
  2. Epidurals are relatively safe as only a small fraction of the medicine reaches the baby. 
  3. Women stay fully awake and experience no pain during the cervix dilation. This enables them to push the baby out with more energy.
  4. Depending on the requirement, the dosage of epidurals can be adjusted. 
  5. Epidurals help to lower the cases of C-section delivery. 

Demerits: 
Though epidurals make childbirth easy, one cannot overlook its demerits. 

  1. Infections can sometimes occur. 
  2. Sometimes epidural analgesia can have a patchy effect, causing some pain to persist. 
  3. Though rare, epidural can result in nerve damage. 
  4. Epidurals bring about a fall in blood pressure. At times, this can be risky for the baby. 
  5. Nausea, headache, itchiness, backache, soreness are the common side effects of epidurals. 
  6. Epidurals relax a woman, thereby reducing their urge to push the baby out. 

Thus, they may take longer than usual to push the baby. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

4013 people found this helpful

In continuation to my earlier problem of abscess in rectal area, I consulted one general surgeon and e told I will need an incision. He gave an antibiotic alternatively as I said I was not prepared for the procedure but he said incision is needed for complete drain. He said they will do a complete anesthesia where I will go to sleep for 10 mins or so and the job will be done. I may sound foolish but I want to know is the anesthesia effective or I will feel the pain of incision. I am little concerned as j have never been through such a thing.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
Anaesthesia has become very advanced with progress in medical sciences. Dont worry you will not feel any pain. You can discuss various options in anaesthesia for your procedure like Spinal anaesthesia or sedation or caudal anesthesia.
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I am suffering from palpitations, extreme sadness, body ache and isolation for the past 2 months. I got almost all my tests done from ECG, ECO,mammography, ultrasound blood tests. The result was hormonal imbalance and perimenopause. These days I am having headaches first few 2 -3 minutes either side of my head, sometimes numbness in the head for a minute. I am given menopace, calcium tablets and vitamin d3. I have been to several renowned doctors from forte, Max and I feel my problem has not been detected .I have no thyroid or sugar. Please help.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
I am suffering from palpitations, extreme sadness, body ache and isolation for the past 2 months. I got almost all my...
You could be suffering from fibromyalgia. Further deatils of your symptoms are needed to confirm diagnosis. For fibromyalgia particular medication are to be taken. Following general tips will help you. Specific treatment can be started only once diagnosis is made. 1. Try to follow a fix sleep wake cycle daily. 2. Avoid excess caffeine (tea/coffee). 3. Avoid alcohol or smoke. 4. Take warm shower at bedtime. 5. Start low impact cardiovascular exercises like walking particularly walking in water as in swimming pool. 6. Get involved in some social or vocational work. In conditions like fibromyalgia or depression developing a good social life and functionality is more important than medicines.
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Hello doctor Can we use local anesthesia injection for painless bikini wax? Is it safe.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
Hello doctor
Can we use local anesthesia injection for painless bikini wax? Is it safe.
Local anesthesia injection if given by someone specialized in it is safe. You should also check for allergy to local anaesthetic first.
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5 Ways To Manage Burn Injuries!

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
5 Ways To Manage 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. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.
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4 Causes Of Heel Pain!

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
4 Causes Of Heel Pain!

Heels are weight bearing part of feet during standing, walking or running. Improper postures or foot wear can cause degeneration of heel and subsequent pain.

Causes for heel pain: 

1. Sprains: Improper exercise and improper footwear like high heels can put unnecessary stress on heels and cause pain. Avoid such conditions by using excellent quality heels and avoiding them as much as possible. Exercise should be done under expert guidance. 

2. Fractures: Stress or hairline fractures can occur even without trauma and cause pain. In such cases, you should immediately consult a doctor. 

3. Plantar fasciitis: A common cause for heel pain, the Plantar fascia at heel can cause severe early morning heel pain. It can be managed with exercises, PRP Injections. 

4. Arthritis: Gout, rheumatoid arthritis and other types of arthritis can affect ankle joint and cause heel pain. This can be managed with medications and exercises. In severe cases injections may be needed for treatment. 

Treatments available 

1. Change in shoes: Shoes play a key role in the development of heel pain. Avoid wearing heels for prolonged period and specially when walking long distances. 

2. Foot supports: There are specialized heel supports and wedges, which you can wear with the footwear. These supports help redistribute weight from the problem areas and uniformly distribute it among the other parts of the foot. Heel cups are also another form of supports you could try. 

3. Pain relief medications: Over the counter analgesics like Ibuprofen or Paracetamol can help in reducing acute episodes of pain. Self - medication for prolonged periods should be avoided. 

4. Ice packs: Application of ice packs decrease pain and stiffness of heel. If you wish to discuss any specific problem, you can consult a pain management specialist.

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I am suffering from neck pain as I can't move around my neck and it's painful. Also I have LBP & radiation in both leg & it's always tingling.in night I sleep by bending my both leg & due to muscular pain some time unable to sleep. Pls suggest mediation.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
I am suffering from neck pain as I can't move around my neck and it's painful. Also I have LBP & radiation in both le...
Back pain with radiation to leg and tingling is due to disc bulge or prolapse causing nerve compression. This condition is commonly known as Sciatica. In mild and initial cases, medicines like anti inflammatory drugs and analgesics help along with exercise. In simple cases of Sciatica patients can benefit from procedure called epidural steroid injections. The drug is injected in epidural space (surrounding the spinal cord) which decreases the inflammation and pain of disc pressing on nerve. The procedure is done in operation theatre by interventional pain specialist using X Ray machine. It relieves pain of Sciatica and patient can easily start physiotherapy after this. Sciatica associated with leg weakness, loss of control over urine and stools requires urgent decompression surgery. In your case you should get consultation with a pain specialist in your city and get MRI Lumbo sacral spine done and proceed accordingly with further treatment. Your neck pain can be due to muscle strain. Simple over the counter antiinflammatory drugs along with exercise will help.
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