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Post Surgical Pain Management

Dr. Sidharth Verma 92% (36 ratings)
MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai  •  11 years experience
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Hi!

So in this video I will be speaking about post-surgical pain management. Welcome to another set of educational video. So what is post-surgical pain? It is any kind of pain happens after surgery. Usually it is limited to few hours after surgery or may be a few days. But problem occurs when it continues for more than 2 months when it is known as chronic post-surgical pain or CPSP. So now what to do with this pain? Don’t worry because we international spinal pain are here to help you. So what we actually do is we take care of the patients who are suffering from chronic post-surgical pain. So how common is this chronic post-surgical pain? It is very common. In around the one study found that in around 20-30% of the patients this pain persist beyond 2 months. Yes in such a large number of patients they have this kind of pain. So what is the possible cause? There are many possible causes many theories and there are some which can be minimize some which cannot be minimize e.g. no matter what you do in patients who have undergone thoracotomy i.e. their thoracic cage or their chest has been cut the incidence is very high it is as high as 40-50%. Then almost every 5 patients out of 10 will have this kind of pain. So what can we do to manage this kind of pain and what can we do to prevent this kind of pain? Apparently there are many things which we can do and to manage these kind of pain you have to consult if it occurs you need to consult spinal pain specialist who can help you with this kind of pain. To prevent it you need to talk to your anesthesiologist and your surgeon. So that they can help you and take the best precautions so that they can prevent this kind of pain. So now what happens if you already develop this kind of pain? So when you go to spinal pain specialist so what he does actually is examine the possible cause of this kind of pain. Obviously you have already gone to your surgeon and there is no surgical cause which can be found which is a very definition of this pain because it is non-surgical cause related pain. So the pain is still persisted but the disease has healed the wounds have healed but the patient is still having pain or you still have having pain. So in these cases often there is something which is known as neuropathic pain which has sat in that means your body is everything is perfectly fine but the nervous system either the nerves which carries pain sensations or the brain which perceives this brain sensation has a problem. So now what to do with this type of problem? First we need to identify what is the possible problem and then we need to treat this cause. If the nerves are the causative factor then there are various techniques like radio frequency modulation, stimulation or the dorsal root ganglion stimulation. We can use various techniques to help you and to help these nerves carry proper sensations. Okay! Or the second possible cause is if your brain is responsible in that case we have many drugs which are available which act on the brain and reduce or eliminate these kind of sensations. So if you have undergone any type of surgery and 2 months have passed and your doctor says that you still have pain but there is no disease you have cure out of your disease and you are feeling that you are still have pain so don’t ignore it and don’t get distress don’t get you can say depress. Just visit spinal pain specialist or and evasion pain physician and I’m sure your pain will be sorted.

Thank you for watching this video and you can also visit my Lybrate website on www.lybrate.com/doctor/sidharthverma. Thank you!

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