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Lower Back Pain Due To Spinal Arthritis Non-Surgical Pain Management in Delhi

Back pain treatment in Delhi

Lower Back Pain Due To Spinal Arthritis

Low back pain (LBP), in simple words, is any pain in the bottom region of spine, between lower margins of ribs and the gluteal folds (end of buttocks). It is a leading cause of disability with lifetime prevalence estimated at 70–80%. In other words, 70- 80 % of us will be troubled by back pain at some point in our life. The pain may vary in severity from a mild discomfort or distraction to severe pain bringing life to a standstill. Common causes of LBP include muscle or ligament strain, arthritis of the spine, disc bulges/ rupture (slipped disc in common language) and pinched nerves. Other causes include degenerative discs, abnormal curvature or alignment of spine, narrowing of the spinal canal and referred pain from nearby areas. Fortunately, serious causes such as fracture, infection, cancer etc. are not so common. The pain may remain localised to the back or spread to the legs. Pain radiating to the legs accompanied by numbness, tingling and weakness is addressed as sciatica.

Back Pain Secondary Arthritis Of Spinal Joints

One of the causes of back pain is arthritis of the spinal joints. Spine is made up of a number of vertebrae stacked one above the other. The vertebrae join with each other at joints called the facet joints. These joints provide stability while allowing some degree of movement. As one ages, they can become painful and stiff as a result of wear and tear or inflammation. This condition is called facet joint arthritis or simply arthritis of the joints of the spine.

Prevention

This is a common question on everyone’s mind – What can one do to minimise the chances of developing this problem? Prevention involves combining healthy lifestyle with regular exercises to strengthen the core muscles. Healthy lifestyle includes eating healthy, maintaining a healthy weight, good posture, smart lifting using correct technique and not smoking.

Treatment

Injections for this pain issue are safe, effective, non-surgical interventions routinely performed as day cases under local anaesthesia. The options include

Facet Joint Injections

Radiofrequency Treatment

TAG  :Back pain treatment in Delhi, Pain Management in South Delhi, Pain specialist doctor in Delhi

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https://www.removemypain.com/back-pain-and-sciatica.html

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Are You suffering from numbness, tingling or burning sensation after Chemotherapy?

Peripheral nerves carry sensations from the different parts of your body to the brain and control the movement of our arms and legs. The set of symptoms resulting from damage to these nerves is addressed as Peripheral neuropathy. Symptoms are usually symmetrical starting from toes and fingers, and progress towards the body.

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Trigger Finger / Trigger Thumb

If your finger gets stuck in a bent position or snaps when bent and straightened, then trigger finger can be the likely cause. The name trigger finger comes from the similarity with a gun trigger being pulled or released. This is a common cause of hand pain and is seen in roughly 2- 3 percent of general population. Thumb or ring finger of women in the fifth or sixth decade of life is most commonly affected. The condition can however involve multiple fingers and both hands.

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Hip pain and the most recent pain relief options are available here.

Hip pain treatment in delhi

What is hip osteoarthritis (OA) and why does it hurt?

Osteoarthritis is the commonest form of arthritis and is a common cause of hip pain, especially amongst older people. It affects about 7% of men and 10% of women over the age of 45 years.

The main problem in this condition is the degeneration of the cartilage covering the ends of the bones. The loss of cartilage and its shock absorbing, cushioning effect leads to the bones coming closer to each other and their thickening in an attempt to protect the joint. Bony growth called osteophytes form around the joint edges. The joints and the surrounding ligaments, tissues may also develop swelling (inflammation).

Pain in arthritis may result from

Inflammation (swelling) of joints

Damage of joint tissues

Overloading of surrounding structures such as the muscles and ligaments

fatigue and extra effort required in mobilisation

What all are at risk of developing hip arthritis?

There are several factors that contribute to one’s chances of is developing this condition. These can be classified as those related to an individual and those related to the joint.

Individual factors include

Age over 50 years

Being overweight

Gender. Below the age of 50 years hip OA is more prevalence in men in, whereas above the age of 50 years it is more prevalent in women

Genetic predisposition

Occupation. Certain occupations such as farming which involve hard repetitive tasks, heavy lifting or standing for long periods are more at risk

Joint related factors such as

Joint shape. Abnormal shape predisposes the joint to more stress

Previous injury or surgery of the hip

Illness and infection – joint infection and conditions such as gout can contribute to the development of arthritis

Muscle function

Often the pain originating from neighbouring structures such as the lower part of spine is felt in the hip and the correct diagnosis is essential for successful treatment.

What are the symptoms of hip arthritis?

Common symptoms include

Pain. This may be felt over the hip, groin or buttock and is described as a poorly localised, dull, aching sensation. It can radiate along the thigh towards the knee. Initially the pain is present only on movement or when the joint is loaded. As the condition progresses pain becomes more frequent and persists even during periods of rest. Some individuals find their arthritis pain increases in the winter months and rainy season.

Stiffness. This is worse in the morning and after periods of rest.

Reduced range of hip movements can make simple tasks such as walking or bending a challenge. Hip movements may be accompanied by a creaking or clicking noise/ sensation.

Tag : Hip pain treatment in delhi, Joint Pain Treatment in Delhi, Pain Treatment in South Delhi, Pain specialist doctor in Delhi

Click here to know more about Hip pain treatment in delhi :

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Best

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Pain Specialist Doctor in Delhi

Best Pain Specialist in South Delhi

Dr. Amod Manocha is the Head of Pain Management Services at Max Super Speciality Hospital, Saket. He is a certified Pain Management Specialist as per the Faculty of Pain Medicine, Royal College of Anaesthetists, UK standards He assess and treats a wide spectrum of pain conditions and has over 13 years of UK experience including working as a Chronic Pain Consultant in many renowned UK hospitals such as University College Hospitals NHS Trust. Dr. Manocha believes in a multidisciplinary approach and provides evidence-based treatment at par with international standards. He is committed to providing quality care and believes in building long-term relationships with patients based on honest communication and keeping their interests foremost.

Professional Qualifications

Fellow of Faculty of Pain Medicine, Royal College of Anaesthetists (FFPMRCA)

Royal College of Anaesthetists, London

Fellow of Royal College of Anaesthetists (FRCA)

Royal College of Anaesthetists, London

Post Graduate Diploma in Musculoskeletal Ultrasound (PGD MSK US)

University of East London, UK

Post Graduate Diploma in Rheumatology

University of South Wales, UK

European Diploma in Regional Anaesthesia & Acute Pain Management (EDRA)

European Society of Regional Anaesthesia

Certificate Course in Essentials of Palliative Care

Indian Association of Palliative Care, India

Diploma in Anaesthesia (DA)

Safdarjung Hospital, Delhi University, India

Certificate course in Acupuncture Training

Acupuncture Association of India

Post Graduate Diploma in Medico Legal Systems (PGDMLS)

Symbiosis Centre of Health Care, India

M.B.B.S.

University College of Medical Sciences, Delhi University, India

Experience

Dr. Manocha has over 17 years experience of which he had spent more than 13 years working in the UK. During this period he trained in Pain Medicine and Anaesthesia in many renowned London Hospitals including University College London Hospitals, Royal National Orthopaedic Hospital and Royal Free Hospital.

Dr. Manocha subsequently worked as a Chronic Pain & Anaesthesia Consultant in renowned UK hospitals like

National Hospital for Neurology and Neurosurgery- University College London Hospitals NHS Foundation Trust

Lister Hospital, East & North Herts NHS Trust

Barnet and Chase Farm NHS Trust

He has vast experienced in managing different types of chronic pain conditions including spine pain, nerve pain, musculoskeletal pain and persisting post surgical pain.

Dr. Manocha is part of teaching faculty for various international pain conferences, workshops and symposiums

TAG: Pain Treatment in Delhi, Pain specialist in Gurgaon, Best Back Pain Doctor in Delhi

Pain Management in South Delhi

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A New Treatment For Frozen Shoulder Ultrasound Guided Capsular Hydrodistention. Please consult Dr. Amod Manocha is a Senior Consultant and Head of Pain Management Services at Max Multispecialty Hospital, Saket.

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Greeter trochanteric pain syndrome (GTPS) or trochanteric bursitis is a common reason for painat the side of hip especially in females between the age of 40-60 years.

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Sacroiliac Joint Pain Treatment In Delhi

Pain Management in South Delhi

Sacroiliac Joint Pain Treatment In Delhi

What are sacroiliac joints (SIJ) and where are they located?

The sacroiliac joint is large, strong joints between lower end of the spine and the pelvis. There are two sacroiliac joints, one on each side. These joints play an important role in transmitting the upper body weight to the hips and legs and hence undergo a significant amount of stress in day to day life. They function as shock absorbers and are reinforced by multiple strong ligaments. Sacroiliac joints are supplied by a number of nerves which when irritated can hurt.

Coccyx Pain, Chronic Headache, Cancer Pain, Fibromyalgia Pain, Widespread Pain

/ Treatments / Sacroiliac Joint Pain

Sacroiliac Joint Pain

Sacroiliac Joint Pain Treatment In Delhi

What are sacroiliac joints (SIJ) and where are they located?

The sacroiliac joint is large, strong joints between lower end of the spine and the pelvis. There are two sacroiliac joints, one on each side. These joints play an important role in transmitting the upper body weight to the hips and legs and hence undergo a significant amount of stress in day to day life. They function as shock absorbers and are reinforced by multiple strong ligaments. Sacroiliac joints are supplied by a number of nerves which when irritated can hurt.

What causes sacroiliac joint pain?

Sacroiliac joints do not allow much movement as both too much and too little movement can become a source of pain. Some of the causes of SIJ pain include

Trauma/ injuries involving the joints or the surrounding ligaments such as following a fall on the buttock or a road traffic accident.

Mechanical stress due to various reasons such as previous spinal fusion surgery or leg length discrepancy leading to altered weight bearing. As per some studies 75% of patients with previous fusion surgery can develop SIJ degeneration after 5 years.

Inflammation. Sacroiliitis is a term used inflammation of the sacroiliac joint. Ankylosing spondylitis is a type of inflammatory arthritis which can affect the SIJ and the spine. This is seen more commonly in young men. In severe cases it can cause fusion of the sacroiliac and spinal joints leading to pain with reduced range of motion.

Normal wear and tear (degenerative changes.) These are more common with advancing age.

Infections and tumors are fortunately not as common as the other causes of sacroiliac pain.

What are the symptoms of sacroiliac joint pain?

As many as fifteen to twenty percent of all lower back pain cases can be attributed to the issues related to the sacroiliac joint. SIJ pain can mimic pain arising from hip or spine and affects all ages.

Patients with sacroiliac joint pain generally present with buttock or lower back pain and stiffness. Pain is deep aching in character although may be sharp/ stabbing in character. It can involve one or both sides and spread towards the groin, hip, thigh and leg. Activities such as getting up from sitting position, getting in and out of car, climbing stairs, walking and sitting may become painful. Young adults suffering from ankylosing spondylitis generally present with pain and stiffness, worse in the morning and improving with exercises.

How is sacroiliac joint pain diagnosed?

The diagnosis of SIJ pain begins with history and examination of the patient. My usual practise is to perform specific five clinical tests for evaluating the sacroiliac joint and if three or more are positive then the chances of sacroiliac joint involvement is high.

Investigations such as blood tests, X-rays, MRI or CT scans may be requested to confirm the diagnosis. MRI scans reveal greater anatomical details of the joint, but it is important to emphasise that these joints can be the pain generator despite the scans being normal. A diagnostic injection of the sacroiliac joint under X-ray or ultrasound guidance is one of the best ways to confirm whether these joints are the pain source.

How is the sacroiliac joint pain treated?

The treatment can vary depending on the cause of pain. For example, pain resulting from trauma would be treated differently compared to the pain secondary to inflammatory arthritis such as ankylosing spondylitis.

A combination of different forms of therapies (known as the multimodal approach) is used to provide maximum, long-lasting relief. The treatment may include various combinations of the options below

Medications to reduce pain and inflammation.

Physical therapy. This may include posture correction, activity alteration, strengthening of the muscles around the sacroiliac joint and restoring normal joint motion.

Steroid Injections

X-ray or ultrasound guided sacroiliac joint injections are commonly performed to confirm the diagnosis (diagnostic injections) and/or provide pain relief (therapeutic injections). These injections are usually preformed as a day care procedure under local anaesthesia. During the procedure patient is requested to lie on his/her tummy. X-ray or ultrasound guidance is used to steer the needle into or close to the sacroiliac joints. If x-rays are used, a dye is injected to ensure correct needle placement. A mixture of local anaesthetic and steroid is then injected to reduce the inflammation and pain. Ultrasound or X-ray guidance helps to increase the accuracy of injections and reduce the chances of complications.

Prolotherapy and PRP Injections

Prolotherapy uses injection of an irritant solution to create inflammation and induce repair. With regards to the sacroiliac joints this has been used for both ligament and joint problems. These injections differ from the ones described earlier in terms of the medicine injected, injection technique and requirement of multiple injections over time. Ligaments can be visualised with ultrasound and hence ultrasound if preferentially used when dealing with ligament related issues.

Platelet-rich plasma (PRP) used one’s own blood components (platelets) to induce healing response. It works on the principle that increased platelets in an area can enhance body’s natural healing response. PRP is prepared by using one’s blood, spinning it in a machine to separate the platelets and then injecting this into tissues that require healing such as the sacroiliac ligaments. Multiple injections are usually given over the injured area and repeated as needed over a period of time—depending on the severity of injury and the healing response.

Radiofrequency Ablation

This non-surgical day care procedure aims at reducing/blocking the pain signals originating from the painful joints. These signals are transmitted by nerves. Radiofrequency ablation uses heat produced by radio waves to work on these nerves. This treatment has the advantage that it can last longer than the steroid injections described earlier reducing the requirement of repeated injections.

Cooled radiofrequency ablation is a modification of the traditional radiofrequency and uses special needles and other equipment to produce larger treatment areas thereby increasing the chances of successful outcome (pain reduction).

Cooled radiofrequency ablation is a modification of the traditional radiofrequency and uses special needles and other equipment to produce larger treatment areas thereby increasing the chances of successful outcome (pain reduction).

Surgery. This is not required very often. Fusion of the sacroiliac joint may be considered if the above interventions fail to provide adequate relief .

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