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Overview

Shock: Treatment, Procedure, Cost and Side Effects

What is the treatment?

When the organs and the tissues of the body are not receiving proper flow of blood, then such a medical condition is known as shock. Shock deprives the flow of oxygen into various organs of the body and induces piling up of waste materials. Shock, when becomes very serious, can also cause death.

There are three stages of shock. In the first stage of shock, the blood flow becomes low. This situation is called perfusion. As a result, the heart starts beating faster, blood vessels throughout the body becomes smaller in diameter, and the kidney starts retaining fluid into the circulatory system. All these accumulate to increase blood flow into the significant organs and organ systems of the body. In the second stage of shock, the systems in the body cannot continue perfusion further, and other complications are noticed. Deprivation of oxygen into the brain and heart leads to disorientation of the patient and chest pain respectively. In the third stage of this disorder, the prolonged time of perfusion further deteriorates the patient’s conditions. The heart and the kidney almost stop functioning, cells and other organs also start malfunctioning. Finally, the person dies if proper treatment is not given on time.

There are three types of shocks – cardiogenic shock (disorder related to the heart), hypovolemic shock (total volume of blood is low) and septic shock (caused due to infection). In case of cardiogenic shock, inflammation of the heart muscles, heart attack, disturbances of the normal rhythmic heartbeat, fluid accumulation or clot in the heart are the common causes. When a person suffers from hypovolemic shock, reasons behind it may be excess fluid loss, dehydration, excess urination, extensive burns, blockage in the intestine and inflammation of the pancreas. All these reasons lead to lesser volume of blood in the body. Septic shock can occur when any bacterial infection is allowed to stay in the body for a very long time without treatment. Bacteria produce toxins that spread throughout the body and damage the circulatory system.

Symptoms of shock include cold hands and feet, blue-tinged or pale skin, weak pulse rate, heavy breathing and low blood pressure.

The treatment of circulatory shock requires quick treatment methods to cure a person from such a disorder. Certain fluids, medicines and electronic devices can help in treating circulatory shock easily.

How is the treatment done?

Shock is a situation where the human body is unable to receive optimum amount of blood in the body. Therefore to treat such a disorder, the proper amount of blood flow should be assured to all the important internal organs as well as in blood vessels and tissues. Treatment of circulatory shock can be done by securing the airway through intubation if required, so as to decrease the breathing and guarding against respiratory arrest. Administration of intravenous fluids into the patient’s body is strongly recommended. It means that a certain quantity of saline water is to be given to the person suffering from this disorder. If the patient remains in shock even after the very first treatment mentioned above, then packed red blood cells should be given in order to keep the haemoglobin more than 100 g/L. Artificial oxygen provision is also suggested for treatment of shock.

Certain medicines can be used to treat shock. Vasopressors are used to increase blood pressure along with the body fluids. Dopamine and norepinephrine are the most commonly used vasopressors to treat shock. Activated protein C is also used to manage circulatory shock that occurs due to bacterial infection. Sodium bicarbonate is also used to treat shock, but the pH of NaHCO3 has to be less than 7, otherwise it would not show proper outcomes. Certain antibiotics are also used to treat shock.

Certain mechanical supports are provided to the patients to treat circulatory shock. Intra-aortic balloon pumps (IBAP) are used to increase myocardial oxygen perfusion as well as cardiac output at the same time. Once the cardiac output is increased, the coronary blood flow increases, thereby increasing the myocardial oxygen. A ventricular assisting device (VAP) helps in cardiac circulation by assisting one of the ventricles or both of the together to induce an optimum blood flow mechanism in the body. An artificial heart can be used to support the damaged human heart if necessary. If the normal heart of the patient is malfunctioning too much and cannot pump blood properly, an artificial one can be installed after removing the original heart. If the heart is unable to pump optimum amount of blood and is using the exact amount of oxygen that is required to maintain a healthy body, an Extracorporeal Membrane Oxygenation System (ECMO) can be installed to let the heart perform its task in a normal way.

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

The problem of shock can occur to anyone. It can happen to children as well as old people. Therefore there are certainly no age barriers for the treatment of shock. Every person, irrespective of their age is eligible to take the treatment of shock, if they suffer from such symptoms.

Who is not eligible for the treatment?

A healthy person who does not have any symptom of shock disorder is not eligible to take the treatment of this disorder.

Are there any side effects?

Vasopressin used can be sometimes harmful for the patient who is suffering from shock. There is a risk of having arrhythmia due to consumption of vasopressin. The usage of various electronic devices in trying to cure this disorder can lead to other problems. The use of IBAP can lead to ischemia, occlusion of renal artery leading to kidney failure, cerebral embolism, infection and other problems. The use of VAD also has various side effects. It can lead to infections, heart failure, viral transmission and blood clotting leading to stroke. The usage of ECMO also has side effects like neurological injuries, heparin induced thrombocytopenia, intra-ventricular haemorrhage in children is quite common.

What are the post-treatment guidelines?

The post treatment guidelines for the treatment of the problem of shock are to see that the patient is having a proper blood circulation in the body. For that, the patient is to be taken for regular check-ups to the doctor. Checking the blood pressure should be done regularly, and the pressure should not be allowed to fall. Urine tests and blood tests should be done regularly to keep a check on the body fluids; which cannot be allowed to become acidic in nature. If electronic devices are installed within the body of the patient, those should be also under regular check, as external devices to cure a person can also create problems within the body.

How long does it take to recover?

The shock occurring in body is a disorder that can be treated if the blood pressure and blood supply is kept optimum. This job is done by inducing a few external things into the body. But it is to be noted that there is no permanent recovery from the problem of shock. The patient has to be kept under supervision throughout his/her life, especially if an external electronic device, say an artificial heart is installed within their body, then the patient may be released from the hospital within 5 to 10 days after the device has been installed, but needs to stay under constant supervision.

What is the price of the treatment in India?

The treatment of shock that involves fluid intake and medicines are not costly at all. However, the cost of device installation to treat shock can vary between Rs. 3,90,000 to Rs.7,80,000 in India. This treatment is available in the leading hospitals of various metropolitan cities in India.

Are the results of the treatment permanent?

The treatment of problems of shock using mere medicines and fluids provides temporary relief. However, once the devices are installed in a person, he/she has to use it throughout life. With the aid of them, the affected person can survive properly and lead a normal life.

What are the alternatives to the treatment?

Certain careful measures can be taken by the affected person at home. The affected person’s airway, breathing and circulation can be checked every 2 minutes. The person should not be allowed to eat or drink anything when the shock occurs. The person should be allowed to wear loose fitting clothes. Also, the best way to give an alternative treatment is to prevent shock from occurring. Whenever a person is suffering from immense dehydration due to diarrhoea or dysentery, he/she should be made to drink a lot of water. Food that produces blood should be taken regularly.

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

Rs. 3,90,000 - Rs.7,80,000

Popular Health Tips

Toxic Shock Syndrome - Know How it Happens?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Toxic Shock Syndrome - Know How it Happens?

Toxic shock syndrome is a severe condition resulting from a bacterial infection. This infection is caused by the bacteria, Staphylococcus Aureus, which enter the bloodstream. Once into the bloodstream, the bacteria start producing toxins in the body. This is common among menstruating women who have a habit of using super-absorbent tampons. It can, however, also affect men and children.

Symptoms
In case of toxic shock syndrome, one might experience symptoms of low blood pressure and fever. Dryness of the eyes and the mouth, muscle pain and diarrhea are also common symptoms of this disorder. Your blood pressure may drop suddenly, making you prone to fatigue and nausea.

Causes
This type of infection occurs when the bacteria enter the body through a cut or sore on the skin. Women who use tampons during their menstrual cycles are vulnerable as tampons happen to be thriving spots for bacteria if aren’t changed frequently. Fibers present in the tampons may also create friction against the vagina, thus creating an opening for the bacteria to enter the bloodstream.

In addition to the causes, there are certain risk factors for toxic shock syndrome:

  1. Presence of an open wound on the skin
  2. Giving birth to a child
  3. Using vaginal sponge or diaphragm as contraceptives

Treatments
This disorder is considered to be a medical emergency. To combat the bacterial infection, antibiotics are administered into the body via intravenous means. The course of the antibiotic treatment lasts for about 7-8 weeks. There are other treatments for this disorder, which mainly depend on the causes. If the cause of the disorder is a tampon or a vaginal sponge, then it will need to be removed from the body. In case of a wound being the cause, the pus from the wound will need to be drained. Blood pressure medications are also possible treatment modes for toxic shock syndrome.

You can also follow these preventive measures:
1. Replace your tampon regularly
2. Avoid using super absorbent tampons
3. Use sanitary napkins when the volume of bleeding is low
4. In case of wounds, keep the area clean and dry

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2739 people found this helpful

Toxic Shock Syndrome (TSS) and its Causes

Fellowship in Laproscopic Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
Toxic Shock Syndrome (TSS) and its Causes

Toxic shock syndrome (TSS) is a potentially life-threatening condition that causes a steep drop in blood pressure, resulting in deprivation of oxygen to the organs, which in severe cases leads to death. This disease has been associated with menstruating women who use superabsorbent tampons. It was first recognized in the 1970s and 80s when women using tampons of certain brands were affected by this syndrome and those brands were immediately taken off the market. This disease primarily affects tampon wearers and harmful effects of cervical caps, diaphragms, and menstrual sponges have surfaced.

New mothers are susceptible to TSS as well as those who are recovering from a surgery, are wounded or are using prosthetics. It is important to know about its symptoms so that you can identify the disease and seek professional help at the earliest.

Symptoms

Warning signs of TSS include:
-Seizure
-Headaches
-Muscle aches
-Diarrhea
-High fever
-Nausea

Causes
An overgrowth of bacteria called staphylococcus aureus (staph) causes this disease. It can be found primarily in female bodies. This is one of the many staph bacteria that lead to skin infections in burn victims and patients recovering from surgical wounds. Group a streptococcus (strep) bacteria is another cause of this syndrome.

-Headaches-Nausea
3215 people found this helpful

Toxic Shock Syndrome - Know The Signs That Indicate It!

MBBS, DGO - Preventive & Social Medicine
Gynaecologist, Sri Ganganagar
Toxic Shock Syndrome - Know The Signs That Indicate It!

Toxic shock syndrome (TSS) is a potentially life-threatening condition that causes a steep drop in blood pressure, resulting in deprivation of oxygen to the organs, which in severe cases leads to death. This disease has been associated with menstruating women who use superabsorbent tampons. It was first recognized in the 1970s and 80s when women using tampons of certain brands were affected by this syndrome and those brands were immediately taken off the market. This disease primarily affects tampon wearers and harmful effects of cervical caps, diaphragms, and menstrual sponges have surfaced.

New mothers are susceptible to TSS as well as those who are recovering from a surgery, are wounded or are using prosthetics. It is important to know about its symptoms so that you can identify the disease and seek professional help at the earliest.

Warning signs of TSS include:

Causes
An overgrowth of bacteria called staphylococcus aureus (staph) causes this disease. It can be found primarily in female bodies. This is one of the many staph bacteria that lead to skin infections in burn victims and patients recovering from surgical wounds. Group a streptococcus (strep) bacteria is another cause of this syndrome.

How Extracorporeal Shock Wave Therapy Is Performed?

M.Ch. orthopaedics, M.S. (Orth)
Orthopedist, Ludhiana
How Extracorporeal Shock Wave Therapy Is Performed?

Extracorporeal Shock Wave Therapy (ESWT) is a highly effective and innovative treatment option in a variety of fields, from urology to cosmetology as well as orthopedics. This is a non-invasive method that employs high-energy shockwaves to bring about the healing of the affected tissues. It has been found to provide good results for recalcitrant orthopaedic problems like frozen shoulder to certain chronic degenerative or tendon conditions such as Achilles tendinitis (injury of the Achilles' tendon due to overuse) and plantar fasciitis in the heel pain.

How does it work?

The procedure is basically an outpatient or day care job. It involves an application of a non-invasive probe to the affected tissue. This is followed by the external generation of shockwaves focused on the target area. The shockwaves cause a force to be created that brings about healing. Although it's still not clear as to why this kind of therapy works, the dominant understanding is that shockwaves render an improvement in the flow of blood so as to promote the body to fix and heal itself.

Depending on individual cases, high or low energy waves may be employed. While pain may occur during the transmission of high energy waves and would require short general anaesthesia, low-energy ESWT is carried out without anesthesia.


What problems can this form of therapy effectively tackle?

ESWT can be used to treat a number of musculoskeletal disorders. From plantar fasciitis (heel pain), tennis elbow, shoulder rotator cuff, degenerated tendons (Achilles' tendon) to hip and knee pain, the therapy has been found to reduce pain as well as accelerate healing in individuals.

Complications are very rare, with this therapy. Individuals who suffer from hypersensitivity or poor sensation in the affected area are usually not recommended this procedure. Even individuals with heart conditions, seizures and open sores need to consult a doctor before going forward with the therapy.

The therapy has also been found to be very effective in bone healing as well as treatment of bone necrosis (a disease that occurs due to permanent or temporary loss of blood flow to the bones). Additionally in place of surgery, ESWT may also be a valuable option for non-healing fractures. If you wish to discuss about any specific problem, you can consult an orthopedist.

2525 people found this helpful

How Extracorporeal Shock Wave Therapy Is Helpful For Your Muscles and Bones?

MBBS, MS - Orthopaedics , FNB - Spine Surgery, Fellow in Spine Surgery, Fellowship In Paediatric Spine Surgery
Orthopedist, Noida
How Extracorporeal Shock Wave Therapy Is Helpful For Your Muscles and Bones?

Extracorporeal Shock Wave Therapy (ESWT) is a highly effective and innovative treatment option in a variety of fields, from urology to cosmetology including orthopedics. This is a non-invasive method that employs high-energy shockwaves to bring about the healing of the affected tissues. It has been found to provide good results for recalcitrant orthopaedic problems like frozen shoulder to certain chronic degenerative or tendon conditions such as Achilles tendinitis (injury of the Achilles' tendon due to overuse) and plantar fasciitis in heel pain.

How does it work?

The procedure is basically an outpatient/ daycare job. It involves the application of a non-invasive probe to the affected tissue. This is followed by the external generation of shockwaves focused on the target area. The shockwaves cause a force to be created that brings about healing. Although it's still not clear as to why this kind of therapy works, the dominant understanding is that shockwaves render an improvement in the flow of blood so as to promote the body to fix and heal itself.

Depending on individual cases, high or low energy waves may be employed. While pain may occur during the transmission of high energy waves and would require short general anaesthesia, low-energy ESWT is carried out without anesthesia.


What problems can this form of therapy effectively tackle?

ESWT can be used to treat a number of musculoskeletal disorders. From plantar fasciitis (heel pain), tennis elbow, shoulder rotator cuff, degenerated tendons (Achilles' tendon) to hip and knee pain, the therapy has been found to reduce pain as well as accelerate healing in individuals.

Complications are very few and far between with this therapy. Individuals who suffer from hypersensitivity or poor sensation in the affected area are usually not recommended this procedure. Even individuals with heart conditions, seizures and open sores need to consult a doctor before going forward with the therapy.

The therapy has also been found to be very effective in bone healing as well as treatment of bone necrosis (a disease that occurs due to permanent or temporary loss of blood flow to the bones). Additionally in place of surgery, ESWT may also be a valuable option for non-healing fractures.

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

2896 people found this helpful

Popular Questions & Answers

Dr. I am having a problem in which I feel sudden mild electric shock in my back and it's like something is releasing from spinal chord or whatever under the back part neck? What should I do and Did that affect me and my studies?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
General Back Pain:This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. •Standing hamstring stretch: Place the heel of your injured leg on a stool about 15 inches high. Keep your knee straight. Lean forward, bending at the hips until you feel a mild stretch in the back of your thigh. Make sure you do not roll your shoulders and bend at the waist when doing this or you will stretch your lower back instead of your leg. Hold the stretch for 15 to 30 seconds. Repeat 3 times. •Cat and camel: Get down on your hands and knees. Let your stomach sag, allowing your back to curve downward. Hold this position for 5 seconds. Then arch your back and hold for 5 seconds. Do 3 sets of 10. •Quadruped arm/leg raise: Get down on your hands and knees. Tighten your abdominal muscles to stiffen your spine. While keeping your abdominals tight, raise one arm and the opposite leg away from you. Hold this position for 5 seconds. Lower your arm and leg slowly and alternate sides. Do this 10 times on each side.•Pelvic tilt: Lie on your back with your knees bent and your feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold this position for 5 seconds, then relax. Do 3 sets of 10. •Partial curl: Lie on your back with your knees bent and your feet flat on the floor. Tighten your stomach muscles. Tuck your chin to your chest. With your hands stretched out in front of you, curl your upper body forward until your shoulders clear the floor. Hold this position for 3 seconds. Don't hold your breath. It helps to breathe out as you lift your shoulders up. Relax. Repeat 10 times. Build to 3 sets of 10. To challenge yourself, clasp your hands behind your head and keep your elbows out to the side. •Gluteal stretch: Lying on your back with both knees bent, rest the ankle of one leg over the knee of your other leg. Grasp the thigh of the bottom leg and pull that knee toward your chest. You will feel a stretch along the buttocks and possibly along the outside of your hip on the top leg. Hold this for 15 to 30 seconds. Repeat 3 times. •Extension exercise: Lie face down on the floor for 5 minutes. If this hurts too much, lie face down with a pillow under your stomach. This should relieve your leg or back pain. When you can lie on your stomach for 5 minutes without a pillow, then you can continue with the rest of this exercise.

Im 22 from last 3 days im getting suddenly shocking jerk (just a second its happening) on fingers while touching anything whats the reason and what I have ro do.

MBBS
General Physician, Mumbai
Get your vital parameters of the body checked from a nearby doctor and follow up with findings and I will suggest you to eat nutritious home made food with adequate fluid intake and take physical rest

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
Is It Dangerous For Kidney To Hold Your Pee?
Hello friends,

I am Doctor Anirudh Kaushik and senior consultant Urologist at Holy Family hospital and my clinic is complete family Clinic and program.

Today I will talk about stone disease especially the kidney stone disease. In Kidney Disease wants her very prevalent in North India and this part of Delhi Haryana and Rajasthan. The incidence of kidney stones is very high or simply because of hot weather kidney stones can be of many times it can be a renal stone which is a kidney stone and lying on one side not obstructing then it required only medical management system can be a kidney stone which is blocking the urinary passage most likely require surgery.

And many times when the patient comes with the stone is stuck in the ureters the urinary stones are the most troublesome because the cause severe policy the prevention of kidney stone why North India has so much prevalence of kidney stone is one should drink at least four to five litres of water in summer season or 3 to 4 litres of water in winters if you give yourself well hydrated anyone if you have a tendency to take excret certain salts in your urine those salts will remain hydrated has been detected and will not give rise to formation of Crystal and one thing very important to understand here is if you have been really very religiously taking care of your hydration but if even for 5 minutes if urine is concentrated then a crystal formation offering can precipitate formation of a stone because crystal forms that are the foundation stone laid of a stone in the future.

However stones can again be treated with swl which is extracorporeal shock wave Lithotripsy but the stone sem enable for this modality of treatment are the one which is not very obstru ctive in nature and now we don't treat big stones with this because this modality the advantage meaning that the shock wave is given from outside no surgery of any kind is performed but it only brake system and the passage of all those broken down fragments is on the person so bigger the stone more the fragments more fragments will have to fast way we are seeing all these treatments main give you problem so that is why is wl is not so popular as we thought it would be the most commonly used mortality for treatment of kidney stone is PCNL in which a punctured is down to the skin write into the kidney and a guide wire is passed into the kidney and all that died by v dilator track and have access to the kidney through a tube through that you will pass a telescope in break the stone with laser and all the broken down fragments are immediately removed through that tube which has access from the skin to the kidney and at the end a stand double standard space inside and this is about the kidney stones the other states which are very commonly found unitrix stone for that the modality is like you refer scopic Lithotripsy or RIRS same principal telescope is passed into the ureter stone is seen and broken down with the laser and Statistics it so it requires only one or two days of hospitalization and one is free of the disease

Thanks you.

Play video
Depression And Its Associated Factors
Good morning everyone, this is Dr Anuneet Sabharwal, the consultant Psychiatrist at Infinity Clinic. Today I am going to talk about Depression.

We feel sad from time to time. But Clinical Depression is a kind of sadness which impairs our day to day functioning is higher intensity and lasts for a prolonged period of time.

How do we diagnose a case of Clinical Depression?

A person typically feels persistent sad as decreased energy, leading to lethargy, has decreased in lack of enjoyment in daily activities and some of the other symptoms which may be present are decreased self-esteem, low sex drive, sleeping, appetite disorder, feelings of guilt and unworthiness, suicidal thoughts along with the weight gain or loss in thelast 2-3months. All of these symptoms should be present 2-3 weeks dor make diagnosis od Clinical Depression.

What causes Depression?

It can either be genetic, environmental or a stressful event. Whatever be the cause, the end result is a clinical imbalance which we seek to treat. Now we know what causes depression.

How do we treat depression?

It is divided into 2 categories,

Pharmacological - In Pharmacological management, we have medicines through which we can correct the imbalance in the brain. There are many medications available which can help in treating Depression.
Non-Pharmacological- THis involves Psycho-THerapy which is also called as counselling during which a person seeks help and share their troubles.
Some of the other measures which you can take to get rid of Depression are to take adequate sleep, adequate exercise, regular diet.
In extreme cases of Depression, shock therapy may be suggested.
If you like to consult me, you can contact me through Lybrate.

Thank you.

Play video
About The Importance Of Preconception Counseling
I am Dr Nimmi Rastogi. I am a practising gynaecologist at Sarthak medical centre, Malviya Nagar, New Delhi.So, in our centre, we have certain speciality clinic. One of them is preconception counselling.
What is preconception counselling?
If you are planning your bundle of joy, then it is imperative for you to visit a doctor and tell you certain important things which by yourself you can t figure out. So, if you are planning and you still have time, then a month before, come for preconception counselling. There will be a session of interview, we will be talking to you, we will be taking into account of all your history, past history, present history, family history and certain blood tests will be done which will give us a clue that you are healthy enough to parent a child.

For the woman we will run certain tests whether she is carrying any infection or her hormones are all right or her thyroid levels, progesterone, folate levels are all right. And all this is run and certain compatibility tests are also done, for instance, Rh compatibility, thalassemia test and sudden genetic studies are done in select cases. It s a very simple session consisting of 2-3 visits wherein we talk and we impart certain advice based on those tests. So it s a good idea always to be 100% fit for pregnancy rather than being taken for a shock or a surprise.

So, do visit if you are planning for a pregnancy for a preconception counselling at any gynaecologist.

You can locate me on Lybrate or on the website. I am available for consultation at my clinic at Sarthak medical centre, Malviya Nagar, New Delhi.
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
Dengue Fever
My name is Dr Tarun Jhamb and I m an MD Medince. I am practising for last fifteen years. I am connected to Lybrate. I m also practising at Columbia Asia Hospital and we will discuss the health topic one of which is Dengue Fever. We know for the next three months, there is a possibility of Dengue Fever in the rainy season. Dengue is a mosquito borne viral fever and it just spreads from the bite of the mosquito and spreads person to person. Most of the times it is self-treatable and it s a preventable disease but there are a few cases which have gone into complications which are known as Dengue Shock Syndrome or Dengue haemorrhaging Fever.

Common symptoms of the Dengue Fever is the high-grade fever, 104- 105 temperature with body ache, joint pain, muscle pain, rashes all over the body, and severe weakness. A person becomes very dilapidated within one or two days and feels very uncomfortable and he becomes sick. It is a treatable disease. Lots of liquids and electrolytes are required.

What are the dos and don ts for this disease?

Do is, we have to take care of not getting stagnant water in coolers or in and around the home. We should take care of using the mosquito repellent, material or the jellies. We can use the net to avoid the mosquito bite. We should intake a lot of water and electrolyte supplements. We should take bed rest for few days. We need to see the doctor as soon as we see the symptoms of dengue fever.

Things we don t have to do, do not use disprin or the voveran tablet during the fever because these are the blood thinners. Do not avoid or delay the treatment. As we see the symptoms like bleeding from anywhere on the sight and black stool, continuous vomiting and severe weakness and continuous fever which leads to fainting.

These are the serious symptoms which should be immediately taken care of and we should seek the help of the doctor. It is a preventable disease. We should take care of the blood testing where we find the dengue test at initial four to five days, likely to be positive and antibody test after four to five days, is likely to be positive. Platelets are falling after four to five days and remain for the next three to four days and then it automatically starts. Some people require hospitalization as well as the platelet transfusion. The upper limit of the platelet is up to ten to fifteen thousand where we can prevent or avoid the platelet transfusion. But if it is going down lower or there is any sign of bleeding up to forty thousand then we have to give the platelet transfusion request.

If you need any of my help, I am available at Lybrate. My home clinic is Naman Medicare at Gurgaon, Sector IV.

Thank you
Having issues? Consult a doctor for medical advice