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Overview

Chronic Pain: Treatment, Procedure, Cost and Side Effects

What is the treatment?

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How is the treatment done?

Chronic pain treatment helps in managing the constant pain felt by the patients. A number of effective treatments are available for people suffering from chronic pain. However, it is important to keep in mind that chronic pain cannot be completely cured, but can be managed. Chronic pain is usually the kind of pain which lasts for 3 to 6 months or more. The patient’s body can keep hurting for months and even years after a certain injury. Chronic pain takes a toll on the individual’s mental health as well. But chronic pain can be managed easily with the right treatment and can help individuals lead a healthier life.

A series of messages zip through the nervous system to make the individual feel the pain. In case of former injury, the concerned area turns on the pain sensors to pass the message to your brain. Back problems, nerve damages, infections, arthritis and past injuries can be the main reason for the pain to start in various parts of your body. Chronic pain can make you feel frustrated and depressed as the pain interferes in the affected individual’s daily life. Often doctors can use antidepressants as a treatment for chronic pain. The pain can also stop you from getting a good sleep and can make you feel extremely stressed as well.

Who is eligible for the treatment? (When is the treatment done?)

There are a number of treatments available today in order to manage chronic pain. The treatments try to reduce the pain and help people get back to their daily activities without having to feel much pain. Acupuncture, medications and electrical stimulation can help the concerned individual manage their pain. Minimally invasive psychotherapy and relaxation therapies can make a remarkable change in the patient’s life. Other treatments like biofeedback and behavior modification can also be used to help the patient. Complementary or alternative medications are also used to provide additional relief. These may include treatments like acupuncture, massage therapies and meditation.

There are methods of self-management for regulating chronic pain as well. These self-management treatment methods seem to be extremely promising as people have admitted to seeing a remarkable change in their physical health after trying these methods. Patients engage in activities like decision making, pacing and problem solving and become an active participant in managing the pain. The goal of self-management treatment of chronic pain is to make patients lead a successful life despite having a persistent pain. These self-management methods help people increase their ability to cope with and respond to serious chronic pain.

Who is not eligible for the treatment?

Any individual who shows symptoms of facing chronic pain like a dull ache or different kinds of shooting, throbbing or squeezing pain can get themselves checked for chronic pain. Stiffness in the body or soreness can also lead to chronic pain. Individuals who complain of constant lack of energy and having a feeling of being tired all the time may also be suffering from this pain. Any individual who has been suffering from any kind of pain for a period of 3 to 6 months or more should get the treatment for chronic pain.

Are there any side effects?

People who do not have a lasting pain in a specific part of their body are not under the threat of having chronic pain and should therefore, not be treated for the same.

What are the post-treatment guidelines?

Certain painkillers which are prescribed to chronic pain patients can have side effects like constipation, nausea, addiction, vomiting respiratory depression among others. However, the alternative treatments do not have any side effects.

How long does it take to recover?

Since chronic pain cannot be completely cured but only managed, the alternative treatment can go on for as long as the patient deems fit. Getting enough sleep and quitting the habit of smoking are some of the guidelines which a person suffering from chronic pain should follow.

What is the price of the treatment in India?

Chronic pain can only be managed and needs regular medications and alternative treatment for reducing the pain significantly. Chronic pain needs a treatment throughout life as it can never be recovered from completely.

Are the results of the treatment permanent?

The price of various painkillers prescribed starts from Rs 500.

What are the alternatives to the treatment?

Individuals suffering from chronic pain need to get the medications or treatments like acupuncture, biofeedback, electric stimulation, psychotherapy or relaxation therapies all throughout their lives.

Safety: Treatment Effectiveness: High Timeliness: Low Relative Risk: Low Side Effects: Low Time For Recovery: Low Price Range:

Starts from Rs 500.

Popular Health Tips

Suffering From Endometriosis - What Are Its Treatment Options?

Diploma In Obstetrics & Gynaecology, FCPS - Mid. & Gynae
Gynaecologist, Mumbai
Suffering From Endometriosis - What Are Its Treatment Options?

Endometriosis is a condition in which the endometrial cells lining the inside wall of the uterus begin to grow outside the uterus. In a majority of the cases, the growth is on the ovaries, the Fallopian tubes, or the tissues around the uterus. In rare cases, it occurs in other body parts. Normally, women in the age group of 30 to 40 years are prone to developing this condition and genetics is believed to be the reason behind this disorder. It is a serious medical condition if it causes discomfort to the woman.

Signs and Symptoms:  The signs and symptoms of endometriosis include chronic pelvic pain, pain during menstruation, urination, and intercourse, longer periods, bleeding between menstrual cycle, bloody urine or stool, and urinary and bowel problems.

Treatment methods:  In many cases, endometriosis goes undiagnosed and it can only be diagnosed through biopsy. If the biopsy confirms endometriosis, then it can be treated in the following ways:

  • Hormonal treatment: Hormonal treatment includes birth control pills, placement of the intrauterine device, Gonadotropin-releasing hormone, and Danazol or Medroxyprogesterone (Depo-Provera).
  • Pain medication: Pain killers with anti-inflammatory properties are prescribed to those who suffer from painful menstruation.
  • Surgery: This is the last treatment option and only advised to those who did not find relief from medicines and hormonal treatment. Surgeons try to remove the areas affected by endometriosis but in severe cases, the ovaries might need to be removed completely.

Complications: It is important to treat endometriosis on time as delay can lead to complications. The complications arising out of endometriosis include the following:

  • InfertilityThe scarring and distortions caused in the reproductive organs due to endometriosis and the endometriotic cysts can make a woman infertile.
  • Scarring: The bleeding and the inflammation caused by endometriosis leads to scarring of the tissues of ovaries.
  • Ovarian cysts: Sometimes, the abnormal growth of endometrial cells outside the uterus spreads to the ovaries and starts growing over there, leading to cysts.

Prevention: As it been mentioned before, in many cases, endometriosis goes undiagnosed but it can be prevented or its symptoms managed effectively if one is cautious. One should do the following:

  • Exercise regularly: Exercise increases immunity and also reduces the level of estrogens, which slows down the progression of endometriosis. It also provides relief from pain.
  • Eat nutritious dietA diet rich in vitamin and minerals ensures good health of the reproductive organs and a fine immune system. This helps to fight the symptom of endometriosis and keeps the disorder in check.

Endometriosis is known to affect a large number of women and since the early symptoms are mild or confusing, most of the time they go undetected. Nevertheless, a woman can avoid it and the complications arising out of it by being mindful of the symptoms. They should also undergo a regular pelvic exam and follow the instructions of their gynecologist. This would ensure timely detection of the disorder and if this is ensured, the management also becomes easy.

Chronic Pain - 8 Simple Steps That Can Help Manage It!

MD,DNB, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Pain Management
Pain Management Specialist, Mumbai
Chronic Pain - 8 Simple Steps That Can Help Manage It!

A headache is one of the most common ailments experienced by most people. While some have a definite cause and pattern, others come and go without a proper cause being identified. The severe ones which recur and can affect the quality of life are dreaded by the sufferers. In these people, they know the pattern to it and the thought of it can be scaring. With a lot of research being done, the good news is that there are simple but effective ways of managing these headaches.

Read on to know some of the most common simple ways to get rid of your headache.

  1. Quieten down: One of the triggers for a headache is bright light and sound and noise. When you try to reduce the amount of noise, light, and sound, surprisingly the headaches will disappear or reduce in intensity for sure.
  2. Eat on time: Hunger headaches are one of the most common types, and not many realize it. When the gap between two meals is too long, headaches occur. Eating on time is a good and simple way to manage headaches in those who are prone to it.
  3. Drink it up: Surprisingly, dehydration can lead to headaches, especially when combined with being out in the sun. For fear of having to pass urine, do not make the mistake of not drinking enough water. Keep sipping small amounts and prevent a headache.
  4. Meditate: Meditating and improving blood flow through the cells helps in preventing and/or reducing the intensity of headaches. This helps relax the muscles and improves pain tolerance too.
  5. Headgear: For those who are used to wearing tight headgear, loosening up can help in the relief of headaches. Be it a scarf or bandana or a hairband, this can compress blood flow and cause a headache. Loosening these can reduce a headache.
  6. Massage: A good massage around the forehead, neck, and shoulder is one of the best ways to relax and relieve headaches. This also soothes the nerves and improves blood flow.
  7. Hot/cold therapy: A good shower (preferred to bath) with alternate hot and cold water works wonders for most people with headaches. While the cold water soothes your nerves, the hot water improves blood flow and provides relief.
  8. Medications: Needless to say, if none of the above work for you, you would have to take medications. The trick to taking the pill that works for you (prescribed by the doctor, of course!) as soon as you realize the onset of a headache. This helps in controlling the pain quickly and getting rid of a headache.

While headaches are inevitable, there are definitely ways to manage them easily.

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

3850 people found this helpful

Chronic Bronchitis - 7 Tips To Help You Get Well!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Chronic Bronchitis - 7 Tips To Help You Get Well!

Are you suffering from chronic bronchitis and are looking for ideal treatment measures? Bronchitis occurs when your windpipe or trachea and your large and small bronchitis within your lungs get inflamed because of infections and several other causes. The condition is considered to be chronic when your cough with mucus is persistent for at least three months. Chronic bronchitis is a condition that falls under the group of chronic obstructive pulmonary disease. Smoking, inhaled irritants, secondhand smoke, inhaled fumes, and certain viruses are primary causes of chronic bronchitis.

Symptoms
The symptoms and characteristics of chronic bronchitis are as follows:

  1. Phlegm may be produced. The production of excess phlegm indicates that your lung and the lower respiratory tract are infected.
  2. The cough experienced is present on almost all days of the month, for over a period of three months.
  3. The forceful coughing because of chronic bronchitis is painful, and makes your abdominal and chest muscles sore. The coughing is likely to be very severe, and may injure your chest walls or make you faint.
  4. During exacerbations of chronic bronchitis, wheezing may be experienced because of inflammation in the airways and muscular tightness. This, in turn, leads to shortness of breath.

Treatment
The treatment of chronic bronchitis depends on the cause. There is no specific cure for the condition, and its treatment aims at improving your lung function and reducing the symptoms.

  1. Several medicines are used for managing the cough, and for loosening and clearing secretions. In the case of uncontrollable coughing spells, cough suppressants might be prescribed.
  2. Broncho dilator inhalers are used for opening the airways and for the management of wheezing.
  3. Certain nebulizer treatments are also recommended in some cases.
  4. Corticosteroids are used for reducing the inflammation in the airways. These may be used in the form of inhaled corticosteroids, or may be taken orally.
  5. In some cases, antibiotic medications may be required for the treatment of chronic bronchitis. Antibiotics are usually used when there is a bacterial infection, and in people with chronic lung problems, who require antibiotics to be treated.
  6. Home oxygen might be required in extremely serious cases of chronic bronchitis.
  7. In very rare cases, a patient may have to be hospitalized in case of severe breathing difficulty that does not respond to treatment. This is necessary in cases of complications in chronic bronchitis, and in patients who suffer from underlying heart problems.

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

1952 people found this helpful

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!

4578 people found this helpful

Chronic Pain - Is it Linked to Our Emotions?

MBBS, MD, FIPP
Pain Management Specialist, Delhi
Chronic Pain - Is it Linked to Our Emotions?

If you suffer from chronic pain of any kind, it is important for you to know that it is associated and linked with your emotions. Other than your physical activities and personal relationships getting hampered, unwanted feelings like resentment, stress and frustration are also common. These emotions and feelings are capable of making your chronic pain condition more worse. 

The Relationship between your mind and body: Your mind and body work together and cannot be separated. Your mind controls all your thoughts and also affects the way in which pain is controlled or perceived by the body. Pain and the fear of pain may lead you to avoid activities. This may reduce your physical strength and cause disruption in the functioning of your body.

Stress: Stress affects your body both physically and emotionally. It may lead to an increase in your blood pressure, breathing rate, heart rate and muscle tension may also occur. These may lead to fatigue, appetite changes and sleep disruption. Stress also causes depression, anxiety, make you dependent on drugs and make you dependent on other people.

Depression: Depression is common among chronic pain patients. Chronic pain can make cases of existing depression much more worse and the existing pain is also worsened. There are chances of developing depression from chronic pain if depression runs in your family or genes. 

Symptoms of Depression are as follows:

  1. Feeling sad, angry, worthless and hopeless frequently
  2. Lack of energy
  3. Lack of interest in regular activities
  4. Difficulty in sleeping
  5. An increase or decrease in appetite, which may lead to major weight gain or weight loss
  6. Difficulty with concentration
  7. Having suicidal thoughts and thoughts about dying or harming oneself

How to Handle your Emotions during Chronic Pain: A common therapy, which people with chronic pain undertake is called Cognitive Behavioural therapy. You should seek the help of a therapist. In this therapy, you will learn about thinking in a positive way instead of drowning in negative thoughts. Your fear of pain will be reduced and you will learn how to strengthen important relationships. You will be able to develop a sense of freedom from chronic pain. 

If your chronic pain occurs due to an accident or emotional trauma, you may be assessed for post-traumatic stress disorder (PTSD) by your healthcare provider. Many patients suffering from PTSD cannot deal with their pain until the emotional stress is dealt with. If you feel depressed and cannot control your emotions, you need to consult a doctor. If you wish to discuss any specific problem, you can consult a pain management specialist.

3988 people found this helpful

Popular Questions & Answers

I am suffering from intense joint pain in my shoulder from last one week, it's not too often but when it comes than it is really unbearable. I wasn't fallen or hit by any hard thing so I don't find any obvious reason for this chronic pain.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Shoulder pain & armIt is called as peri arthritis shoulder and for that you can do hot water fermentation and ice therapy at home. If you have shoulder pain then the stiffness will develop more that might make the arm to have less improvement which might make you to feel more pain the arm. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm.

I am suffering from frequent head aches with sharp pain in the top part some times the head aches are so severe that I can not sleep and have to rush to emergency services for help and I am also suffering from chronic constipation. Your help would be appreciated.

BHMS
Homeopath, Hooghly
U need to do CT scan brain and para nasal sinus,,u may have sinusitis or migraine problem,,but cannot ignore any other pathology like any tumor in brain,,Soo u need to do CT scan,,by proper homoeopathic treatment it is curable

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Chronic Pain
Symptoms and Treatment for Chronic Pain

Hi. I am Dr. Shantanu Mullick from Navi Mumbai, Pain Clear Clinic. Today, the whole world is suffering from chronic pain.

Million patients they are suffering from different types of chronic pain like back pain, neck pain and cervical spondylosis. Mainly, due to their lifestyle disorders but they are also suffering from different complicated pains like cancer pain, but most of the patients they are suffering from chronic pain with frozen shoulder, knee pain, back pain. They are going for surgery but many times these surgeries may not help in that way. That is why this newer therapy, intreventional pain therapy which is nowadays throughout the world and very much effective to support this kind of chronic pain to rule out the disease as well as to treat the level of the root cause.

Normally, the patients who are suffering from the back pain, many times I have seen that after regular therapy , physiotherapy, exercise, they are not getting relief and they are going for the surgery. In those cases, interventional pain therapy will help the to rule out the cause. We do treat these patients according to MRI reports but all these treatments are done without surgery. So many times, surgery may not help these kind of back pains and in cervical pains. So in those pains, interventional pain therapy, without damaging the anatomy helps a lot. So if you see the pain where we can see the patient is suffering from disc pain. We can see here the nerve root coming there and the disc is bulge and we commonly call it as slip disc problem or disc hernation. In those cases, the surgeons are getting the bones, there is a lamenectomy but without doing surgery as per MRI report we are under forescopic guidance in the operation theatre we are going inside the disc and treating them without any surgery and day care.

So patients automatically get very good relief and after that we are able to support the patients with physiotherapy exercises and this way we can help different types of patients suffering with back pain, neck pain. On the other hand, in case of cancer pain also when the patients are not getting relief with the morphine or from very strong pain killers, we can support them with interventional pain therapy to block their pains permanently working in the spinal cord.

Another, dreadful pain condition is trigeminal neuralgia where patient is suffering from pain in the face usually the pain comes where patients complain of sharp shooting, electric shock kind of pain. It will appear on one side of the face. Actually the trigeminal nerve is coming from the brain and it is supplying the nerves of the face in three ways. Usually it happens in one side and those patients initially are treated with medical therapy and any times they are not getting support in those cases we are treating with radiofrequency ablation therapy. So different types of new treatments have for this chronic pain where patients without knowing their disease, they keep on taking pain killers and damaging their other organs of the body so that is why pain management nowadays is a very very effective subject and separate speciality to support the chronic pains those who are suffering from long types of disease.

At last, I want to say if you want to more about this, contact us through lybrate.com.


Play video
Chronic Pain
Pain management for Chronic Pain
Play video
Treat Chronic Pain
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.
Play video
Chronic Diseases And Homeopathy
Homeopathy treats the patient holistically. It has no side effects as such.
Play video
Chronic Diseases
Namaskar, main Vedya Ravindra Kaushik, ek certified Pulse diagnosis expert hoon. Pichle 6 saalo se hum Chronic diseases ke root causes ka upchaar karte aa rahe hai. Aur majorly jin diseases ka humne safal upchaar taiyaar kiya hai, un diseases me major diseases jo ki involved hai, wo hai, heart diseases, infertility, Diabetes, arthritis etc hai. Yeh chronic diseases aaj kal har ghar me kisi na kisi family member ko hoti hai.

Sabse pehle main apne process ko samjhana chahunga-

Sabse pehle hum pulse diagnosis karte hai. Isme hum basically body ke constitution ko study karte hai kyuki beemari ek hoti hai lekin uske causes alag-alag ho sakte hai. For example, person A me wo root cause alag hai, person B me root cause alag hai aur person C me root cause kuch aur hai. Root cause ke basis pe medicines change hojati hai, diet instructions bhi change hojate hai. Isliye hum sabse pehle body constituents ko study karte hai pulse diagnosis ke through.
Body constituents study karne ke baad hum herbal medicines taiyar karte hai depending on the root cause. Jab patient herbal remedies and dietry ko follow karta hai, to patient apni chronic diseases se free hojata hai.
Aap humse contact karne ke liye humari Lybrate profile se humse connect ho sakte hai, ya fir aap directly humare clinic me visit kar sakte hai. Humare 3 clinics hai. Ek Rohini me aur 2 clinic Gurgaon me.

Thank you.
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