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Pain Management - Things You Should Know About

Written and reviewed by
Dr. Kailash Kothari 90% (59 ratings)
MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai  •  26 years experience
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Hello friends,

I am Dr Kailash Kothari. I am Interventional Spine & Pain management Specialist . Hum ye pain ki treatment karte hain aur hamare jo doosre centres hain usme K M Hospital jahan pe mein honorary physician hoon. Wahan par bhi hum kafi patient jo hain pain ke wo treat karte hain. Hamare paas kafi tarah ke patient atey hain usme hamari jo back pain aur neck pain ke patient hote hain wo kafi hote hain. Aur ek bada percentage hota hain jo hamare ghootno ke dard ka hota hain knee pain. To aj maine socha ki knee pain ke jo treatment hain uske barey mein hum kuch baat karein. To knee pain jaisa aap ko sabko pata hain ki yeh ek bada karan hain jiske liye log hospital mein atey hain. Aur yeh knee pain aisa nahi hain ki aapko jo umar jyada hoti hain unhi logo mein hogi wo. Wo pain aapko young patient mein bhi ho sakti hain wo aapko umar darar logo mein bhi ho sakti hain. Aur iska karan yehi hain ki knee hamari ek continuosly kaam karnewali ek part hain body ki.

Yahan par hum chalet hain byath te hain bhagte hain aur uthte hain niche jamin pe byatna parta hain to har cheez mein ghutna apna kaam ata hain. To iski wajey se uski jo ligamants hain muscles hain cartilages hain wo sab under strain hotey hain unke upar kafi pressure hota hain. To uski wajey se kafi logo mein ye samasya ati hain. Aj mein jo aapko batane wala hun yeh knee, knee hamri ek simple sa joint hain jisme aapko upar femur yeh bone hota hain iske niche tibiaaur yeh fibula. Yeh 3 bono ka ek joint hota hain jisko hum knee joint kahatey hain. Uske ilava hamare ek doosra bone bhi hota hain jisko hum Patela bolte hain. Isko hum Marathi mein wati bolte hain aur hindi mein katori bolte hain jo jiske upar yeh muscles slide hotey hain aur hamare ghutne ko modne ka kaam karti hain.

Toh hamare jo ghutne hotey hain usme kaafi cheezey hoti hain jo hamare knee ko dard pain kar sakti hain. Jaise yeh ligaments hain yeh hum medial collateral ligaments usme kabhi kabhi sprain ata hain toh use pain ho sakta hain. Yeh jo patella hain iske liye ek special grove hota hain. Patella agar right ya left mein convert slip ho jaata hain toh yahan pe friction ho sakta hain yahan pe arthritis develop ho sakti hain yahan par aapko inflammation ho kar pain ho sakta hain. Uske ilava humare ghutno mein andar ki taraf kaafi ligaments hotey hain ACL aur PCL anterior cruciate ligament aur posterior cruciate ligament. Yeh ghutne ko friction aur extension matlab aap jab pura ghutna modte ho matlab jab aap pura sidha karte ho tab usko excessive friction aur excessive extension issey rokta hain taki aapka ghutna jyada extension ya jyada flexion na ho. To yeh limit karta hain at the same time stability deta hain. Uske ilava joy eh dekh rahey hain aap, do ghutney ke beech mein do bone ke beech mein yeh hain meniscus yeh kaafi logo mein meniscal injury ho jati hain aur yeh meniscus cartilages hotey hain jo cushioning effect dete hain apne ghutne ko. Yeh itni saari cheesey hoti hain jo ghutne ke andar aur uske aas paas ki jagayon mein pain kar sakti hain. But uske ilava yahan pe muscles hoti hain jo quadriceps muscles jisme 4 muscle ka ek group hota hain jo agey ki taraf ghutne ko pakarke rakta hain aur piche ki taraf hamstring muscles hoti hain toh hamstring muscles bhi ghutno ko support karti hain.

Uske ilava side se bhi muscle hoti hain dono bahar ki taraf aur andar ki taraf dono sides mein muscles hoti hain. Toh ye knee joint jiske upar kaafi dependent hotey hain hum chalet hain phirte hain baithte hain uthte hain usko support karne ke liye kaafi kaafi cheesey hoti hain. Koi bhi ek cheez agar damage ho jaye toh hamare ghutna sahi dhang se kaam nahi karega aur humko taklif dega. Toh humare paas jo ghutne ki itni saari bimariyan hain jisme sabse jo common bimari hain jiske liye log hamare paas atey hain uska naam hain osteoarthritis jo jaise umar badti hain humare ghutno ki cheesey jo ligaments muscles or cartilages hotey hain wo dhire dhire kamjor hotey jaatey hain wo patley hote jaatey hain thin out. Uski wajey se kya hota hain ki knee joint ka jo cushioning aur oiling effect hain jo fluid hain knee joint ke andar wo fluid kaafi kam ho jata hain. Aur uski wajey se hamare ghutney sooj jatey hain aur movement karne mein kaafi dikkat ati hain. Hamarey old age patient jo hotey hain wo ghutna fold nahi kar patey hain baithte hain to uth nahi patey hain uthte hain to chalne mein dikkat hoti hain thoda chalne mein pyarr dard hone lagta hain aur kabhi kabhi aas paas mein sujan a jati hain.

Toh aise situation mein normally hum kya karte hain anti inflammatory medicine lete hain. Anti inflammatory medicine yane sujan kam hone ki dawai sujan a gayi hain to doctor kya karte hain sujan ki dawai dete hain. Par kya yeh treatment hain? Sujan ki wajey se jo aapka regeneration process hain naye cells jo banna chahiye wo aur kam ho jata hain. Jaise umar badti hain humara nayi cells generation capacity kam ho jati hain aur hum kya kar rahey hain anti inflammatory medicine de rahey hain. Use hamari joy eh capacity aur bhi kam ho jayegi. Toh agar kisiko hum anti inflammatory medicine dete hain toh wo sochta hain mera pain kam ho gaya aur wo bohut khush ho jata hain. Kya arey wah main to chal sakta hun main baith bhi sakta hun niche par actually wo cheese ghutne ke liye achhi nahi hain. It is not good for your knee. Because it hampers further regeneration of the knee so we don’t want that. Toh hum kya karte hain. Hum aise treatment karte hain jiski wajey se apke jo ghutne mein ghisao ho gaya hain naya cells banne nahin ho raha hain regeneration nahi ho raha hain us regeneration ko hum stimulate karte hain. Aur uske liye ek treatment hotey hain jisko hum bolte hain prolotherapy.

Prolotherapy yaney proliferative therapy. Jo cells wapas nahi ban rahey hain hamare body ki capacity utni nahi rahi wo stimulate nahi kar pa rahi hain because of ageing umar ke hisab se toh ye therapy us chees ko stimulate karti hain. Toh hum kya karte hain hum ek simple sa treatment karte hain jisko bolte hain dextrose prolotheraphy jisme hum ek glucose jaisa substance hota hai dextrose it’s a sugar, uski ek particular concentration aur local anaesthetic injection isko hum ek combination banate hain aur us combination ko ghutno mein hum alag alag jagah par jahan pe uski jarurat hoti hain wahan pe inject karte hain. Aur sugar hamare body ke liye kuch damage nahi kar sakta it is very safe. It is a 100% side effect free treatment aur isme jo hamare body ke jo tissues hain usko wo stimulate karti hain cartilages ko ligaments ko muscles meniscus aur andar jo sinural fluid, jo fluid suk chukka hain hum kafi time sunte hain osteoarthritis mein ki fluid andar ekdum suk chukka hain andar oiling nahi hain toh us oil ko wo create karta hain kyon. Kyon ki yeh cells ko regenerate karta hain. Jo ghutne ke andar fluid hota hain usko bolte hain synovial fluid aur synovial fluid banta hain synovial cell se. us cells ko wapas banana ka kaam prolotherapy karti hain.

Aur ye koi doosri therapy nahi kar sakti hain. Uske ilava jab prolotherapy karte hain to humare muscles ligaments cartilages ye sab majboot hotey hain, kyun hote hain kyonki unke naye cells nirman hotey hain aur because of that they become more stronger. So you feel good aap ki joint ka stability a jati hain apko achha lagta hain pain kam hota hain aur wo pain killer je waje se nahi hota hain because of your knee which is getting better by recreating new cells. So yeh ek bohut bara part hain jo osteoarthritis ke patient mein hum karte hain. Aur hamare pas almost 30 to 40% patient hotey hain jo osteoarthritis ke patient atey hain. Aur hamare paas hazaro se jyada patient treatment le chukle hain aur unko kafi fayda hua hain. So this is one of the very very common treatment which is not done commonly anywhere in India but we are known for this therapy called prolotherapy. You can go on internet you can find a lot of papers research papers and there are lot of evidence about this therapy. Toh aur bhi information agar apko iske barey mein chahiye toh aap Lybrate dot com pe jakar apni queries daal sakte hain. Aur hum aapke queries ko answer karne ke liye will be more than happy. Humko bohuti khushi hogi ke hum apke queries ko answer karey. Hopefully apko yeh video pasand aya. Thank you very much and visit us on our website also.

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