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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Skin Care Treatment
Treatment of Migraine Treatment
Treatment Of Female Sexual Problems
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Chronic Skin Allergy Treatment
Treatment Of Pregnancy Problems
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I sleep for only 4 hours due to my studies and I am feeling tired during the class time, will this cause any disease to me.
My periods are over due by more than 10 days. Checked using a pregnancy test kit already. It gave negative results. What could be the reason for this cycle delay?
Hi my mom is 45 years old she suffering from severe legs pain she consulted doc reports were normal but still it pains specially during night times. She has low and high BP problem. How can you help.
Dear Dr, I want to know as my brother had gone under angioplasty two stents were paced in LAD and as third stent in RAC was not visible as arteries were very thin was told to be under medication, may I know the patient will be ok with such type.
I have a sitting service. I am sitting whole day in office then my weight is increased up to 90 kg. What am I do. I have very problem to do any work.
Sir, I'm facing little uneasy while I go to stool excretion. I'm getting pain at Anus. Can you please suggest me something to be out of this pain?
Will I can use derma dew cream at morning to becom white and to get milky white skin as though my skin is very black. dull.
Hello doctor please suggest me that coconut oil or onion juice is good for healthy hair and root tell me any one from these two.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.