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Pain Tips

Pelvic Pain - 4 Ways It Can be Treated

Dr.Sameer Pahlajani 88% (27ratings)
MBBS
IVF Specialist, Raipur
Pelvic Pain - 4 Ways It Can be Treated

Pelvic pain is most common in women, though sometimes it occurs in men as well. There is absolutely no reason why pelvic pain cannot be treated and therefore women need not panic. if they are experiencing such pain. The treatment of any pain can be done methodically after discovering its cause. Thus, before jotting down the treatments for pelvic pain, it is important to explore the reasons that cause pelvic pain in women.

Reasons for pelvic pain

  1. Reproductive organs in women play an important part in causing pelvic pain. The reproductive organ is complex when it comes to women and many small or big problems there might end up leading to pelvic pain.
  2. Any urinary infection or bladder irritation might also lead to pelvic pain.
  3. The nerves and muscles of the abdomen may cause pain in the pelvis area as well. In fact, the nerves and muscles are very tender near the pelvis area and care should be taken so that one does not strain them or pull the ligaments. This can cause severe pain.
  4. Another interesting point to be noted is that sometimes even after going through a lot of examinations, no causes of pelvic pain are found. In such cases, it is understood that the pelvic pain is a manifestation of the remains of a long-forgotten injury or accident.
  5. It has been examined and found out that physical abuse can at times lead to chronic pelvic pain. Though this link has not yet been understood properly, it is seen to be true.

Treatments for pelvic pain

  1. The most basic treatment is to apply a heating pad on the affected area. The heat helps in relaxing the muscles and nerves thereby, lessening the pain. However, this would reduce the pain, but cannot make it disappear in a day. Thus, it is a continuous process for a week or 10 days until the pain recedes.
  2. Relaxation techniques like meditation, breathing exercises, yoga and even muscle exercises like jogging help in reducing the pain. However, this should be done under guidance. One wrong move can actually aggravate the pain instead of lessening it.
  3. Then there are painkillers which are non-steroidal and help in lessening the pain. Painkillers have a correct dosage and must be taken only after consulting a doctor. Self-medication in such cases can prove disastrous.
  4. At times, when all medications fail, surgery is the last resort.

Thus, these are some of the treatments that can be undertaken if and when you are experiencing pelvic pain. All these are connected to the root cause and must be followed only under medical supervision.

1816 people found this helpful

Trigeminal Neuralgia And Radio-Frequency Ablation - What Causes It?

Dr.Vijay Dureja 85% (10ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Anaesthesiology, Dip (Pain Medicine)
Pain Management Specialist, Delhi
Trigeminal Neuralgia And Radio-Frequency Ablation - What Causes It?

Trigeminal neuralgia is specified by the condition of a chronic pain that influences the trigeminal nerve. This nerve transfers sensation from one’s face to his/her brain. If a person is suffering from trigeminal neuralgia, then a gentle stimulation of face (sourced from brushing teeth or applying makeup) might generate a fright of agonizing pain. The affected person might experience short and mild attacks initially. However, the trigeminal neuralgia might progress and generate more-frequently and longer attack of severely critical pain. Women get affected by this situation more than men get and it is more prominently occur in individuals older than 50 years.

Trigeminal neuralgia does not mandatorily mean that you need to experience a lifelong pain. Various types of treatment alternatives are available and so doctors can usually handle the particular condition effectively by taking help of injections, medications or surgery. Various types of triggers might cause the pain regarding trigeminal neuralgia, such as eating, drinking, shaving, brushing teeth, touching face, smiling, washing face etc.

Symptoms

The symptoms of trigeminal neuralgia might comprise of one or more patterns and some of these are described below:

  1. Sequences of serious, jolting or shooting pain that might generate as an electric shock
  2. Spontaneous pain attacks or attacks stimulated by different activities like face touching, speaking, chewing, or brushing teeth. Pain attacks last from a few moments to some minutes.
  3. It is not a comprehensive list because Trigeminal neuralgia hosts various other symptoms as well. If a person feels facial pain, specifically recurring or prolonged pain or if the person does not get relief through the utilization over-the-counter pain relievers, then that person must consult a doctor.

How does Radiofrequency Ablation treat Trigeminal Neuralgia?

Trigeminal Neuralgia is a chronic and painful condition that involves the trigeminal nerve. There are two separate trigeminal nerves on both sides of the face, which carry the sensations like pain from the face to the body. Each nerve has three branches- forehand, midface and chin and trigeminal neuralgia can cause intense pain in any of these areas.

Causes-

  • This occurs when the trigeminal nerve functioning is disrupted. When the blood vessel/artery and the trigeminal nerve at the base of your brain come in contact, it puts pressure on the nerves and causes pain.
  • It also occurs as a result of ageing or multiple sclerosis
  • A disorder that damages the myelin sheath protecting the nerves can trigger pain
  • Sometimes pain occurs from tumors, which compresses the trigeminal nerves
  • Surgical strokes, facial trauma or strokes can also be the root cause of excruciating pain

Triggers-

  1. Shaving
  2. Touching your face
  3. Eating and drinking
  4. Putting on makeup
  5. Brushing
  6. Washing your face

Symptoms-

The pain can be mild and for a shorter duration or it can happen frequently for longer durations. Some experience the pain in cycles where it can come and go for days or even for weeks. Gradually the intensity of the pain lessens.

Cure by Radio-frequency Ablation

The treatment of trigeminal neuralgia is often a challenging process in clinical practice. When medicines do not prove as effective, surgery is the desired option.

Procedure-

  1. After applying local anaesthesia, the Pain Specialist carefully inserts a needle through the corner of your mouth to reach the trigeminal nerve
  2. The doctors then wake up the patient after stimulating the nerves and ask them to feel the stimulation at the same place where they undergo pain. This confirms their targeted location
  3. Once you fall asleep again, the Pain Specialist uses radiofrequency heat to injure the nerve enough to create numbness and removes the pain

How Effective is Radio-frequency Ablation?

The pain is cured almost in 98% of the patients. 50% of patients report a recurrence of pain after about two years. Hence the procedure can be repeated in the same patient if necessary.

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

1173 people found this helpful

Avoid Pain Killers!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Bangalore
Avoid Pain Killers!

During this covid 19 pandemic, I request you not use any painkillers like nsaids which is easily available down the counter, it has adverse effect on health. Instead you can use paracetamol for pain relief.

Throat Cancer

M.B.B.S, MS - ENT, DNB (ENT), DAA - Diploma in Allergy Asthma and Immunology, fellowship head and neck cancer surgeon
ENT Specialist, Delhi

Most of the throat cancers does not cause big symptoms 
Mostly symptoms are like simple sore throat 
Pain while swallowing, sticking sensation throat, change of voice, neck mass, lump or swelling 
Treatment of cancer is almost 90 percent iike any normal illness. 
So consult your doctor as early as possible to avoid delay in treatment 
I recommend every 6 months self feeling neck with hands and mirror examination of your neck regularly to look for any new change 
If yes consult ent specialist 
Be aware be safe

1 person found this helpful

Chest Pain and Cardiac Disease: Ten Points to Remember

DM - Cardiology, Institute of Post Graduate Medical Education And Research, Calcutta,, MD - Internal Medicine, MBBS
Cardiologist, Kolkata
Chest Pain and Cardiac Disease: Ten Points to Remember

Chest pain is one of the commonest symptoms for which people need to attent hospital or clinic. Chest pain how litle it may look like actually carry significant risk for the persons with associated risk factors fir heart disease. Here I will be discussing about chest pain and the common myth of heart diasease. One must understand the basics of chest pain so that they cab access healthcare facility in time and prevent certain complications and fatalities.
There are 10 (ten) points to remember which can guide you for better management if chest pain. These are as fillows.
1) if you are having chest pain you need ro find out where it is located. Is it on the left side or right side or actually in the upper abdomen? chest pain which is retrosternal in origin that means in the niddle of your chest and overlying left side of your chest it may be of cardiac origin. Sometimes upper abdominal pain may also present with underlying cardiac disease. But mostly it is in left side and mid portions of your chest which has more probability of becoming cardiac origin.
2) second important thing is radiation of pain. If your left sided or retristernal chest pain is radiating towards upper arm of left side and going downwards it may be of typical angina that is cardiac chest pain. Sometimes this pain may radiates upwards, back side or sown wards also. But pribability of having heart dusease is more if you are having typical radiation towards left upper arm.
3) thirdly the inportant aspects of chest pain is duration of chest pain. A chest pain of more than 20 mins is suggestive of underlying heart disease if it fulfills other criterias nenrioned here. A chest pain of shorter duration which have typical characteristics of localization and radiations may suggests underlying heart disease also. A typical chest pain in heart attack usually lasts more than 20 mins and continues with increase intensity. Shorter duratuon of chest pain (say for 5 mins) with orher typical characteristics may be of cardiac origin but of less severity than a heart attack. It may be stable angina which also mandates you to visit any nearby heakrhcare access.
4) fourthly you have to look the situations upon which chest pain started. Were you taking exercises or any stressful work or at rest. If your chest pain starts with doing exercise, running, walking of particular distance or durations it may be a sign of heart disease and you need to consult with your physician immediately.
5) if you are having chest pain when at rest it is of utmost importance as your probability of having heart disease is more and usually it has been seen that nature of disease severity is also high in such cases. A chest pain at rest persisting for more than 20 mins with increasing intensity may be associated with heart attack. 
6) situations which relieve chest pain are an important guide for evaluation of chest pain. If your chest pain started with as mentioned in fourth point (with exercise, walking, running) and persists for few minutes and subsides after taking rest you are having stable angina. This is the classical scenario. That means you have heart disease with probable blockage in your heart arteries.
7) if your chest pain is subsiding with taking certain medications like sorbitrate tablet underneath your tongue it is almost certain that you are suffering from heart disease wirh blockage inside ther heart arteries.
8) this same kind of initiation of chest pain may also start with emotional stress or after shouting or after quarralleing also. If this pain has sane characteristics like mentuoned above it may predicts underlying heart diseases.
9) sometimes chest pain may persists with prolonged duration and changes with posture. If yiu are feeling increase chest pain while sitting in the bed with leaning forward you may have pericardial (outer coverings of heart) involvement. This is called pericarditis. You need to visit nearby healthcare facility with utmost urgency.
10) lastly the nature of chest pain which deternines wherther it is of cardiac origin or mat be from acidity, indigestion etc. Usually the chest pain of underlying heart disease is of increased intensity in nature. But remember often it presents with heaviness of chest that means tou will find it difficult to have our breath easily. Sometimes it may be of constricting around chest or compressing or squezzing in nature. These type of pain and sendation is usually of heart origin. Never ignore them in the name of acidity. And most importantly the diabetic populations may never feel any significant chest pain rather they might have difficulties in breath like mentioned above.

These all criterias of chest pain cumulatively increase the possibility of having heart disease in a particular scenario. Therefore be careful and always seek medical held whenever tou are having these stmptoms.
If you still have any query pkease feel free to write and ask.
Hope this article will help you to understand chest pain and its nature. 
 

1 person found this helpful

Young Female- Wrist Pain- It Could Be De quervain's Disease

FELLOWSHIP IN JOINT REPLACEMENT SURGERY, M.S. (ORTHOPEDICS), M.B.B.S
Orthopedic Doctor, Kota
Young Female- Wrist Pain- It Could Be De quervain's Disease

 de quervain's tenosynovitis (dih-kwer-vains ten-oh-sine-oh-vie-tis) is a painful condition affecting the tendons on the thumb side of your wrist. If you have de quervain's tenosynovitis, it will probably hurt when you turn your wrist, grasp anything or make a fist.

Tips Resulting Best Recovery After Hip Replacement!

MBBS, MS - Orthopaedics
Orthopedic Doctor, Pune

What aids in best results after your hip replacement?

Practising these recovery tips will help you to have a smooth and successful recovery.

1-get in a healthy exercise routine

Most hip replacement patients are able to walk within the same day or next day of surgery; most can resume normal routine activities within the first 3 to 6 weeks of their total hip replacement recovery. 
Once light activity becomes possible, it's important to incorporate healthy exercise into your recovery program. Recommended activities include gradually increased walking and light household activities (sitting, standing, climbing stairs). Movement is essential to a healthy recovery.

2-pay attention to diet and weight

Excess weight can put stress on your new hip prosthesis and increase wear and the risk of complication. 
Maintaining a healthy body weight before and after your surgery can help to improve your recovery process and the ultimate lifespan of your prosthesis. Additionally, make sure to maintain a balanced high protein diet during your recovery.

3-exercise to promote blood flow

Certain exercises can help to promote blood flow and prevent clots. These include:

  • Regularly squeezing the thigh and calf.
  • Motion exercises for the legs that utilize full range of leg motions
  • Walking with or without the assistance of supportive devices (such as walker/cane)
  • Avoid squating

4-make household preparations 

Your mobility and ability to accomplish normal, daily tasks following your surgery will be strongly reduced. Prior to your surgery, make practical modifications to your house like getting a western chair (commode) fitted.

5-alarming signs to be watched for

As you should be very well aware that prosthesis is a non living foreign body which now incorporated within your body to perform a proper function, such a body part is always susceptible to infection.

Any sort of fever or even respiratory tract infection should be well treated first hand to avoid infection around the prosthesis.

1 person found this helpful

Mobilisation and Manipulation Use And Contraindications In Physiotherapy!

Dr.Swarup Sen (Pt) 87% (93ratings)
BPTh/BPT
Physiotherapist, Howrah
Mobilisation and Manipulation Use And Contraindications In Physiotherapy!

What is manipulation?
Mobilisation and manipulation is same meaning. This is passive, skilled manual therapy techniques applied to joint.

Type of mobilization

  • Self mobilization or (auto mobilization)
  • Mobilisation with movement
  • Physiological movement
  • Accessories movement


Thrust - this is high velocity, short amplitude motion such as pt can't prevent it

Manipulation under anesthesia- this is medical procedures 

Benifit of mobilization - improve range of motion, reduce pain, improve the mechanics of joint to help with things such as lifting your arm, bending your spine and walk 

Note- mobilization can't change a disease process/ inflammation process but it can minimise pain, maintained joint play and reduce mechanical limitations

Indications of mobilization: pain muscles guarding and spasms

  • Reversible jt hypomobility
  • Positional fault and sublaxtion
  • Progressive limitations
  • Functional immobility
  • Contraindications for mobilization: inflammatory arthritic
  • Malignancy
  • Tuberculosis
  • Osteoporosis
  • Ligamentum rupture
  • Herniated disk with nerve compression 
  • Bone disease
  • Neurological involvement 
  • Bone fracture
  • Congenital bone deformity
  • Vascular disorders 
  • Joint effusion.
2 people found this helpful

Pain & Tenderness In The Hand Bones - Know The Possible Reasons!

Dr.Rajeev Siwach 90% (19ratings)
MBBS, MS - Orthopaedics
Orthopedic Doctor, Jodhpur
Pain & Tenderness In The Hand Bones - Know The Possible Reasons!

Are you experiencing pain and tenderness in your hand bones? Hand pain can occur due to several causes that may include diseases and injuries. Most of the causes of pain in the hand bones are treatable, and the symptoms can be eased. The most common conditions that cause pain and tenderness in your hand bones include the following:

De Quervain’s tendinitis

  1. This condition causes pain on your wrist on the side of your thumb. The pain develops gradually or suddenly and may travel the length of your thumb and forearm.
  2. Movements such as making a fist, turning the wrist, and holding objects may be painful.
  3. The pain occurs because of swelling of your wrist tendons that are present at the base of your thumb. This happens on the account of inflammation and irritation.
  4. Overuse and repetitive activities lead to this condition.
  5. New mothers are at a higher risk of getting this condition because of the position in which they have to hold their babies, and due to fluctuating hormone levels.
  6. Wrist fracture increases the chances of De Quervain’s tendinitis.

Arthritis

  1. Arthritis is a very common condition that is associated with hand pain or pain in the hand bones.
  2. It causes your joints to lose the cartilage, slowing them to move against each other slowly.
  3. The deterioration of the cartilage causes pain and swellings.
  4. The areas in your hand that get affected by this condition include the base of your thumb, end joint located near your fingertip, and the middle joint of your fingers.
  5. The most common form of arthritis is known as osteoarthritis, which leads to the progressive degeneration of the cartilage. It occurs because of ageing, and because of injuries such as dislocation and fractures. It causes swelling, stiffness, and swelling in your hands.
  6. Another form of arthritis that affects your hand bones is called rheumatoid arthritis. This is an autoimmune disease in which the cells lining your joints get attacked by mistake by your own immune system. It leads to stiff, swollen, and painful joints. Hand pain associated with this condition is aching and throbbing in nature. The pain worsens in the morning and after a period of being immobile.

A Ganglion

  1. This is a fluid-filled swelling which develops around a tendon or joint. A ganglion resembles a soft and smooth lump.
  2. It is made of synovial fluid which surrounds your tendons and joints for lubrication during movement.
  3. These are most likely to occur in your wrists, fingers, and hands.
  4. It is recommended for you to consult a doctor on experiencing hand pain of any form, and at any location on the hands. This will allow proper diagnosis so that you can follow specific treatment measures.
1492 people found this helpful

Abdominal Pain - Know More About It!

Dr.Janaki Raman 88% (107ratings)
Diploma In Diabetology, Diploma In Cardiology
General Physician, Kolkata
Abdominal Pain - Know More About It!

Everyone can suffer from a pain in the stomach at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.
Often the following can be expected with acute pain:

-  Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life-threatening intra-abdominal pathology.
-  Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain-free usually occurs in children and women who are in their third trimester of pregnancy.
-  The differential diagnosis is difficult and wide, especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
-  Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only a few of these have acute abdominal pain.
-  Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
-  The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.

Conditions which might cause acute abdomen pain are:

-  Meckel's diverticulitis or Acute appendicitis
-  Acute cholecystitis
-  Ectopic pregnancy
-  Acute pancreatitis.
-  Peptic ulcer disease
-  Diverticulitis.
-  Intestinal obstruction, including paralytic ileus (adynamic obstruction)
-  Pelvic inflammatory disease.
-  Gastrointestinal (GI) haemorrhage
-  Gastroenteritis.
-  Acute intestinal ischaemia/infarction or vasculitis.
-  Acute urinary retention
-  Renal colic or renal tract pain.
-  Testicular torsion
-  Abdominal aortic aneurysm
-  Non-surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
-  Rare causes might include thromboemboli, phytobezoar, and phytobezoar

Diagnosis of abdominal pains:

-  Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
-  Following tests can be done to rule out the condition causing the abdominal pain:
-   Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
-   Crossmatch or group and save
-   Pregnancy test in women of childbearing age
-   Blood cultures
-   Peritoneal lavage in case of an abdominal trauma
-   Urine analysis
-   X-ray of the abdomen, ultrasound, CT scan
-   ECG and cardiac enzymes
-   Laparoscopy should be a routine procedure

1763 people found this helpful
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