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What is frozen shoulder?

Frozen shoulder is a shoulder pain condition where there is significant loss of motion of the shoulder joint accompanied by stiffness. The shoulder joint is surrounded by the strong capsule and the main problem in this condition is believed to be the tightening of this capsule. The resulting pain is generally deep seated and poorly localised. It may be constant or present only at night when lying on the affected side. All movements of the joint are affected, especially the ones involving reaching straight up and rotation of joint such as while reaching behind the back.

Frozen shoulder is seen more commonly in women, especially between the ages of 40–60 years. Non-dominant side is more commonly involved, although in 20% to 30% of individuals both sides may be affected. Diabetics have five times more chances of developing this condition and about 30% of people with frozen shoulder have diabetes. Patients with overactive or underactive thyroid or those with shoulder immobilisation (such as after a fracture or stroke) are also at higher risk for developing frozen shoulder.

What is capsular hydrodistention?

Hydrodistention or dilatation or hydrodilatation is a non-surgical procedure aimed at stretching of the tight shoulder joint capsule. This is achieved by injecting saline or a mixture of saline, steroids and local anaesthetics under ultrasound or x-ray guidance. Ultrasound guidance is preferred as it is quicker, can be performed in the OPD and does not involve any radiation exposure. This procedure is an alternative to a surgical procedure — manipulation under anaesthesia (MUA), with some studies indicating better results with hydrodistention.

How is capsular hydrodistention performed?

I perform this procedure under ultrasound guidance in a sitting or lying position. The injection area is cleaned with antiseptic solutions. Ultrasound scan is performed to identify the shoulder joint, its capsule and plan the best pathway into the joint. Local anaesthetic is used to numb the injection site. A fine needle is introduced onto the surface of the shoulder joint under ultrasound guidance. A solution containing saline, local anaesthetic and steroid is then injected below the capsule. As the injection mixture is given, the capsule can be seen lifting off the joint. Once the injection is complete the needle is removed and a small dressing is placed over the injection site. The procedure takes about 20- 30 minutes to complete.

How does capsular hydrodistention work?

Hydrodistension is thought to have a mechanical effect of opening up the joint and releasing sticky adhesions within the joint, although the exact mechanism of action is debated. With stretching, the pressure inside the joint is reduced and the shoulder volume is increased. These effects can help in reducing pain, stiffness and improving the range of motion.

There is research evidence supporting better outcomes with the combination of hydrodilatation with steroids and physiotherapy, compared to either of the modalities when used alone. Hydrodistension results are comparable or better to the surgical procedure manipulation-under-anaesthesia (MUA), although the risks are less. Diabetic patients with frozen shoulder have inferior outcomes and in these hydrodilatation is likely to be more beneficial. In case of incomplete recovery these patients can be considered for repeat injections.

The option of steroid injections directly into the joint is preferred over the oral steroid as they are associated with fewer side effects. Some studies have found that oral steroids are as much as 5 times more likely to give the typical steroid side effects one hears of, compared to the one-off joint injection. Also, the lack of long-term benefits makes oral steroids a less attractive option in this condition.

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The increasing number of pain management centres in Delhi is a proof of changing times and increasing awareness about pain management options. Neuropathic or nerve pain is one of the common reasons for pain clinic consultation.

Nerves act as the conduction pathways transmitting signals to and from the brain. Sensations including pain are transmitted as chemical and electrical signals to the brain where the pain is actually perceived. When the nerve become damaged or dysfunctional they start generating pain signals themselves. This category of pain is defined as neuropathic pain. Neuropathic pain can be severe, debilitating and you need to choose experienced doctors when it comes to neuropathic pain treatment in Delhi.

Let us first learn what causes neuropathic pain

Neuropathic pain is mainly caused by nervous system damage/dysfunction. Many factors and conditions can predispose to development of neuropathic pain.

Treatment Modalities

It is important to consult the best centres for neuropathic pain treatment in Delhi where the team understands your pain and has extensive experience in diagnosis and management of all kinds of neuropathic pain. Neuropathic pain increases the excitability of the nerves, receptors and produces changes in the spinal cord such as those in N methyl Daspartate or NMDA receptor. Moreover, there is an imbalance between the excitatory and inhibitory systems further increasing the perceived pain.

It is essential to consult the best Pain management centre in Delhi where an multidisciplinary approach is used and the emphasis is on improving quality of life and reducing pain, discomfort.

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What is piriformis syndrome?

Piriformis muscle is located deep in the buttock and helps to rotate the leg outwards. It extends from the side of sacrum and tailbone to the upper part of thigh bone. One of the main nerves of the leg (sciatic nerve) runs in close relation to this muscle. Problems of the piriformis muscle such as spasms or swelling, can cause irritation of the sciatic nerve leading to sciatica like symptoms. This condition is addressed as piriformis syndrome (PS). Other names for this condition include extra-spinal sciatica, deep gluteal syndrome or wallet neuritis.

What are the symptoms of piriformis syndrome?

Most patients present with buttock and leg pain which is worse on sitting and with hip movements. Pain is described as a dull ache, shooting or burning sensation associated with buttock tenderness. Most patients sit with the affected side tilted upwards. Some patients complain of a swelling, sausage shaped lump sensation in the buttock. Pain commonly radiates towards hip or down the back of the thigh, leg. Walking upstairs or on inclines can increase pain, with relief on lying down. Sometimes when pain is severe it may cause individuals to limp while walking. In females there may be pain during sexual intercourse (dyspareunia).

What causes piriformis syndrome?

PS is six times more common in women and middle ages. Individuals sitting for prolonged periods (long-distance bikers, office workers) and occupations such as truck & taxi drivers, tennis players are at a higher risk. Variations in the anatomy of piriformis muscle, sciatic nerve or its path can predispose to the irritation of the nerve. In majority of individuals the nerve travels below the muscle, it may however travel through or over the muscle or may be split into two. Other causes of piriformis syndrome include

· Trauma or Injury to the muscle such as after a fall onto the buttock, surgery or lumbar and sacroiliac joint pathologies.

· Overuse and microtrauma such as during intense downhill or long-distance running/walking. This can cause muscle spasm and shortening.

· Direct compression as during sitting on hard surfaces may cause repetitive trauma

· Compression due to direct pressure from a tumour invasion, or abnormal dilatation of a nearby blood vessel (inferior gluteal artery aneurysm)

· Post-radiotherapy fatty atrophy of the piriformis muscle

· Altered leg, back or pelvis biomechanics

How is piriformis syndrome diagnosed? What are the treatment options for piriformis syndrome? Ultrasound Guided Injections

The commonest cause of sciatica is the irritation of the nerves in or near the spine. PS represents an extra spinal cause where the site of nerve irritation lies outside the spine although the symptoms are similar. Correct diagnosis helps to offer targeted treatment and increases the probability of a successful outcome. Another nearby muscle (obturator internus) can cause similar symptoms and this needs to be differentiated from the PS.

Diagnosis begins with a comprehensive history and physical examination. An MRI is useful for detailed evaluation of the lumbar spine & pelvis and ruling out other conditions with similar presentation. X-rays can be used for the evaluation of neighbouring bony structures such as the hip and sacroiliac joints. Electromyography (EMG) may help in differentiating PS from pain originating from the spine.

A local injection into the piriformis muscle is often used to confirm the diagnosis. This is discussed in the treatments section.

Treatment involves a combination of the following;

· Short term rest and activity modification

· Lifestyle modification

· Physical therapy including stretching exercises of the piriformis, hamstring muscle and strengthening of the abductor and abductor muscles

· Medications including anti-inflammatories, muscle relaxants, neuropathic medications (ones used for nerve pain).

If these measures fail to resolve symptoms, then the next step is injections.

Steroid injections are the most commonly used injection option. As stated previously injections can not only provide relief, but also help in confirming the diagnosis. Using ultrasound helps to improve accuracy and reduce chances of complications. X-rays guidance is an alternative, although ultrasound is preferred as it can be performed in outpatient settings and offers other advantages such as visualisation the piriformis muscle, blood vessels and the sciatic nerve. Local anaesthetic and steroid mixture is used for the injection. Local anaesthetics help to relax the muscle and steroids aid in reducing inflammation thus prolonging the effect of the injection.

Botox injections work by paralysing and relaxing the piriformis muscle, thereby taking the pressure off the sciatic nerve. The effect of these injections can last for a few months proving an opportunity to address the root cause and engage in physical therapy.

Surgery may be considered for severe cases not responding to other measures. It involves either cutting the piriformis tendon from its hip attachment or cutting through the piriformis muscle to take pressure off the sciatic nerve.

Return to sports and activities varies between individuals and depend on the time taken in reduction of the symptoms. Too early a return has the potential to cause worsening of injury and reoccurrence of the symptoms.

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Introduction:

Sciatica is a term used for pain radiating down from the lower spine to the legs. Most common cause of sciatica is irritation or compression of the nerves as they exit the spine on their way to the legs. It may be accompanied by numbness, tingling and weakness in the distribution of the affected nerve.

1. What is sciatica?

The term sciatica originated from the sciatic nerve, which is the single largest nerve in our body. This nerve is responsible for a significant proportion of leg sensation and movement. Sciatica represents pain in the area supplied by the sciatic nerve.

Radicular pain/ radiculopathy are medical terms which doctors use when describing this condition. There are numerous reasons for having leg pain and every leg pain is not sciatica. Commonly people misinterpret sciatica as a disease and need to be explained that it is a symptom of the underlying problem.

2. What are symptoms of sciatica?

The severity and symptoms many vary considerably. In severe cases the affected individual may find it difficult to walk or even stand up straight.

Some of the commonly observed symptoms include

· Sharp, burning, stinging, shooting, electric shock or cramps like pain in one or both legs often as far down as the foot. Movement, coughing and sneezing can intensify the pain

· Tingling, pins and needles and/or numbness in leg or foot

· Muscle weakness with difficulty in weight bearing or walking.

· Buttock/low back pain and stiffness.

3. What causes sciatica?

· Disc herniation: Spine is formed of many bones called vertebrae arranged one above the other. In between these vertebrae are discs, which are like cushions or shock absorbers. The discs are made up of an outer tough substance and an inner soft jelly like substance. Herniation of the disc can occur if there is splitting or crack in the outer layers allowing the inner jelly like substance to protrude through the crack. This can cause inflammation and compression of the nerve roots in the vertebral column. Slipped disc is a commonly used term for this condition. There is an increased susceptibility to disc herniation as we age because the soft, jelly like substance dries out and shrinks with time, making the disc more fragile.

· Spinal stenosis: Stenosis means narrowing. The narrowing can be of the central canal of the spine or the passageways/ tunnels from which the nerves exit the spine. Besides disc problems, arthritis of the spinal joints or thickening of ligaments can also cause/ contribute to the narrowing.

· Spondylolisthesis: In this condition there is a problem with the alignment of vertebrae, where one vertebra is more forward or backwards, which can narrow the spaces for nerves and produce sciatica as a result.

· Piriformis syndrome: In this condition piriformis muscle in the pelvis is responsible for pressure on sciatic nerve.

· Trauma/ fractures

· Spinal tumors and infections are rare causes of sciatica

Back pain Treatment in Delhi is a common problem that must be consider that affects 8 out of 10 people at some point in their life. It can affect people of all ages and is a common reason for seeking medical assistance.

4. Can it resolve on its own?

Fortunately most cases of sciatica resolve within a period of weeks to months with conservative treatment. Specialist input and treatment can help. Painkillers, heat or cold pack, altered activity levels and physical therapy may be suggested depending on your condition. An injection of steroids into the epidural space within the spine can provide short-term pain relief in sciatica. Persistent pain can lead to changes in the nerves (referred to as plasticity). This can be a source of persistent pain even if the original inciting event is resolved … hence the importance of managing these sooner than later.

Having seen numerous cases over the years, I would say that it is not easy to predict the course. It can resolve but to what extend depends on numerous factors- some are modifiable and others are not. The recovery period varies from individual to individual.

5. What are the warning signs I need to be watch for?

Some symptoms point towards a serious problem and require urgent medical attention. Ignoring these could lead to permanent nerve damage. Some of these include

· Loss of urinary control/ inability to pass urine

· Loss of control over stools

· Numbness around the bottom

· Worsening leg weakness / loss of control

6. What can I do to reduce my risk of having sciatica?

Though it’s not possible to completely eliminate the risk of sciatica, however adopting a healthy life style can help in reducing the risk. This includes

· Giving up smoking

· Regular exercises

· Right posture and work ergonomics

· Healthy diet and maintaining weight in the normal range

· Using proper manual handling techniques while lifting to avoid back injury

· Stress Management

7. What investigations are generally considered for sciatica?

Your doctor may request for investigations such as magnetic resonance imaging (MRI) scan and blood tests. Sometimes computerized tomography (CT) scans may also be required. X-rays are not as helpful and they can provide only limited information.

Bulging discs on an MRI scan are not an uncommon finding. It is important not to get fixated on the MRI findings. A bulging disc is not permanent and can reverse. The investigation results should be interpreted in combination with patient history, examination findings to assess their significance. A number of patients with severe MRI findings may be asymptomatic and vice versa.

8. What are the other treatment options?

Sciatica is different from common ailments we all suffer and hence taking professional help is recommended. Your doctor can help to confirm that you have sciatica and help identify the cause. A range of different options- non surgical (such as injections- nerve root blocks, epidurals, piriformis injection etc) or surgical may be considered. There is no one solution for sciatica pain and the options are numerous — some with good evidence and others with not so robust evidence.

Generally a multimodal multidisciplinary approach is preferred as this helps in addressing not only the pain but also the impact of pain on one’s life. I ensure that the patient understands the nature or problem and the do’s and don’ts. Time spent in explaining the conditions and the expected course goes a long way in fostering realistic expectations. I generally use a combination of the modalities mentioned below to enhance the chances of quicker recovery.

Pain relief: Pain reduction achieved by medicines help to maintain activity and improves physiotherapy compliance. The medications used depend on the type and severity of pain, duration of symptoms and individual factors such as co morbidities and allergies. Some of the commonly prescribed pain killers include

· Non steroidal anti-inflammatory drugs (NSAIDs) This includes drugs such as DIclofenac, Naproxen, Aceclofenac, Ibuprofen etc. NSAIDs are prescribed to reduce the pain and inflammation during periods of acute sciatica although the evidence supporting their use is not very robust. The risk benefit ratio needs to be evaluated while prescribing any drugs.

· Neuropathic pain killers This group includes antidepressants and anticonvulsants both of which are well known painkillers for nerve pain. It generally takes a few weeks for the full effects of these drugs to become apparent. Effects such as reduced anxiety and sedation can be used beneficially by tailored selection to suit individual patients. Their use is supported by the NICE guidelines, UK.

· Opioids Weak opioids such as tramadol are often prescribed during pain flare up episodes. It is a good practice to be aware of the side effects of a medicine prior to using it.

· Muscle relaxants These are used for short duration to relieve any muscle spasm contributing to the back pain.

Spinal Injections:

The use of epidural steroids/ Nerve root blocks has been shown to have beneficial improvements in leg pain and disability scores in short term. Steroids help by their anti-inflammatory and analgesic (pain relieving) effect. Epidural steroids are preferred to oral steroids as they are given close to site of actual problem and have less adverse effects.

Physiotherapy:

Physiotherapy is an essential component of sciatica treatment. Your physiotherapist can help with posture advice, do’s and don’ts relevant to your condition, understanding the concept of pacing of activities, setting practical goals, teaching strengthening exercises for core, leg muscles and manual handling techniques.

Surgery:

If a combination of above fails to provide adequate relief then surgical options such as discectomy (operation to remove bulging part of the disc or separated disc fragments) and microdiscectomy can be considered for sciatica resulting from disc bulge. Surgical options will vary depending on the cause of sciatica and sometimes may be the first choice, depending on the actual pathology and its severity.

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Unlocking Comfort: Neck Pain Treatment in Delhi Unveiled

Neck Pain is a pain posteriorly anywhere between the skull base and thoracic spine. It is the largest cause of musculoskeletal disability after low back pain.

Approximately two-thirds of the population will suffer from neck pain at some time in their life with high prevalence in middle ages. Fortunately for most people the acute pain resolves within days or weeks although in some it may reoccur or become chronic.

Neck Pain Treatment in Delhi

Are you tired of dealing with neck pain? We have the perfect solution for you! Come and experience the finest Neck Pain treatment and say goodbye to neck pain for good! Under the Supervision of Dr. Amod Manocha specializes in providing top-notch neck pain treatment in delhi tailored to your specific needs. Say goodbye to discomfort and hello to relief!

Why Choose Us?

Expert Care: Our team consists of experienced professionals who are dedicated to delivering the highest standard of care for your neck pain.

Personalized Approach: We understand that each individual is unique. That’s why we offer personalized treatment plans designed to address your specific concerns and preferences.

Comprehensive Solutions: We provide a wide range of treatments, from advanced therapies to holistic approaches, to ensure that you find relief.

Cutting-Edge Facilities: Our state-of-the-art facilities are equipped with the latest technology to ensure the best possible outcomes for our patients.

Results-Driven: Your satisfaction and well-being are our top priorities. We strive to deliver results that exceed your expectations.

Don’t let neck pain hold you back any longer. Take the first step towards a pain-free life today! Contact us to schedule your consultation and embark on the journey to a happier, healthier you.

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The commonest cause of sciatica is the irritation of the nerves in or near the spine. PS represents an extra spinal cause where the site of nerve irritation lies outside the spine although the symptoms are similar. Correct diagnosis helps to offer targeted treatment and increases the probability of a successful outcome. Another nearby muscle (obturator internus) can cause similar symptoms and this needs to be differentiated from the PS.

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All you need to know about Sciatica | Pain Management in Delhi | Pain Specialist Doctor in Delhi

Sciatica is a term used for pain radiating down from the lower spine to the legs. Most common cause of sciatica is irritation or compression of the nerves as they exit the spine on their way to the legs. It may be accompanied by numbness, tingling and weakness.

Radicular pain/ radiculopathy are medical terms which doctors use when describing this condition. There are numerous reasons for having leg pain and every leg pain is not sciatica. Commonly people misinterpret sciatica as a disease and need to be explained that it is a symptom of the underlying problem.

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Introduction: Nestled within the bustling streets of Delhi lies a beacon of hope for individuals grappling with thoracic spine issues. With advancements in medical science and a commitment to compassionate care, Delhi’s healthcare landscape offers a transformative journey toward relief and rejuvenation for those afflicted with thoracic spine conditions.

Dr. Amod Manocha is the Head of Pain Management Services at Delhi. He is trained as a Pain Management Specialist and an Anaesthetist in the UK. He has over 13 years of work experience in the UK including working as a Chronic Pain Consultant in many UK hospitals. Dr. Manocha believes in multidisciplinary approach and providing evidence-based treatments at par with international standards. He is committed to providing quality care and believes in building long-term relationship with patients based on honest communication and keeping their interests foremost.

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Pain is something that every human being experiences at some point in their lives. However, when it becomes chronic or debilitating, it can have a significant impact on one's quality of life. The good news is that residents of delhi have access to a wide range of pain specialist in delhi who are dedicated to diagnosing, managing, and alleviating different types of pain.

Whether you're grappling with back pain, migraines, arthritis, or any other painful condition, Delhi's pain specialists offer expertise, compassion, and innovative treatment options to help you find relief and reclaim your life.

Once the root cause of the pain is determined, pain specialist in delhi devise personalized treatment plans tailored to each patient's specific needs and goals. These plans may incorporate a combination of evidence-based interventions, including:

·Medications: Prescription medications, such as analgesics, anti-inflammatories, muscle relaxants, and nerve pain medications, may be prescribed to manage pain and improve function.

·Interventional Procedures: Delhi's pain specialists are adept at performing a variety of minimally invasive procedures to target and alleviate pain at its source. These may include nerve blocks, epidural steroid injections, radiofrequency ablation, and spinal cord stimulation, among others.

·Physical Therapy: Physical therapy and rehabilitation play a crucial role in pain management by strengthening muscles, improving flexibility, and enhancing overall physical function. Pain specialists collaborate closely with physiotherapists to design personalized exercise programs tailored to individual needs.

·Psychological Support: Chronic pain often takes a toll on mental and emotional well-being. Pain specialists in Delhi recognize the importance of addressing the psychological aspects of pain and may incorporate techniques such as cognitive-behavioural therapy, mindfulness-based stress reduction, or relaxation techniques into treatment plans.

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 Breast cancer is a common cancer among women worldwide. A variety of problems can occur during treatment, and persisting pain after surgery is one such issue. It can affect 20% to 50% of women after mastectomy (operation involving removal of breast) and is defined as pain in the chest, armpit, upper arm, and shoulder persisting for more than 3 months post-surgery. 

Treating this pain is important as persisting pain besides causing suffering, can negatively impact on mood, sleep, activities of daily living, social interactions, and overall quality of life. Reduced working ability and financial implications are obvious consequences as shown in one study where 54% of individuals reported reducing their workload to part-time as a direct result of pain.

 As the survivorship is increasing, enabled by the technological advancements in medicine, the focus needs to be equally on quality of life and reducing suffering. Phantom breast sensation (where one feels that the removed breast is still present) has an even higher incidence (60–80% of patients). 

The actual problem and pain may be underreported due to reasons such as worries about cancer reoccurrence, barriers in discussing personal issues, fear of being misconstrued etc.

Another subgroup of patients undergoing mastectomy are those who want to reduce their risk of developing breast cancer such as those with gene mutations (e.g., BRCA1, BRCA2) and a strong family history. Advances in surgical treatment like breast-conserving approaches have enabled patients to realistically consider this option.

Who are at risk of developing persisting pain ?

Some factors associated with increased risk of persisting pain include:

Type of surgery: Nerve preservation approaches are associated with reduced incidence of sensory deficits (53 % vs. 84 %) but may not be possible in all cases.

Different breast cancer surgery options include

Radical mastectomy — involves removing the breast, skin, fat, chest muscles (pectoralis major and minor), and all the lymph nodes of the affected side.

Modified radical mastectomy spares the chest (pectoral) muscles when compared to the surgery mentioned previously.

Lumpectomy with axillary node dissection involves removal of the tumour with surrounding margin of normal tissue and the axillary (armpit) lymph nodes.

Breast-conserving surgery (lumpectomy) also known as breast preservation, conservative breast surgery, wide local excision, partial mastectomy is generally used in early breast cancer and involves removal of the tumour and a margin of normal tissue.

Lumpectomy with sentinel lymph node biopsy involves removal and examination of the first axillary node (sentinel node) receiving drainage from the breast. The node is identified by injection of a special dye/ radiolabeled substance prior to the operation. If this node is free of disease, axillary dissection is not required.

Axillary nodes dissection leads to increased chances of lymphedema (arm swelling due to inadequate drainage) and poses risks to one of the nerves (intercostobrachial nerve) which is responsible for the sensation of the inner aspect of the upper arm. Both of these factors can become a source of persisting pain. The wide variation in the size, location, and branching patterns of the nerve make it more vulnerable to injury. Damage may occur as a result of stretching during surgery or direct nerve injury, presenting with numbness and pain in the area supplied by the nerve. As per one study women with axillary node dissection are 3.1 times more likely to experience moderate-to-severe pain at rest.

Other nerves in the area are also at risk of injury and can become a source of persisting pain. These include

Medial cutaneous nerve of the arm (provides sensation to the lower medial skin of the upper arm (damaged during section of the tributaries of the axillary vein)

Medial and lateral pectoral nerves (control the chest wall or pectoral muscles)

Long thoracic nerve (controls the serratus anterior muscle present along the side of chest wall close to armpit)

Thoracodorsal nerve (controls the latissimus dorsi muscle)

Other treatments like radiation therapy administered in conjunction with surgery increase risk of persisting pain. This may be due to increased tissue fibrosis, neural entrapment, and impaired shoulder movement. Moreover, radiotherapy also increases risk for lymphedema which is another reason for persisting pain. Later-stage disease also is likely to require more aggressive treatment (i.e., chemotherapy) and may be associated with higher rates of pain. Regardless these are necessary treatments and when indicated should be pursued.

Pre-existing pain prior to surgery is one of the most consistent factors related to increased risk of persisting cancer pain after surgery. Even those patients with unrelated pain conditions such as headaches or low back pain are more likely to develop chronic pain after surgery.

Severe pain after the operation requiring high doses of painkillers increases the likelihood of persisting pain.

Age: In several studies, younger age was seen to be associated with greater likelihood of persistent pain. Although the exact reason is not known, some postulated factors include presence of more aggressive cancers requiring more aggressive treatment, higher preoperative anxiety, and the need for adjuvant chemotherapy in this group.

Psychosocial distress can be both a risk factor for and a consequence of chronic pain. Preoperative anxiety has been found to be related with immediate postoperative pain levels. Numerous studies have found correlations between persisting pain after surgery and depression, stress, and psychological vulnerability.

What are the symptoms of postmastectomy pain syndrome?

Postmastectomy pain syndrome may cause persistent or intermittent burning, shooting, stabbing, pulling, tightness, heaviness sensation or aching pain. 

Other symptoms in addition to pain may include

Numbness

Tingling or prickling pain

Increased sensitivity in the area

Spasms

Severe itching

Phantom breast sensation & pain

Struggling with pain after Breast Cancer Sugery

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https://www.nairaland.com/8177084/back-pain-which-should-not#131362713

In simple words, low back pain can be defined as pain experienced in the bottom region of spine (between lower margins of ribs and the gluteal folds). It may remain localised to back or radiate to the legs.

Back pain is a common problem affecting 8 out of 10 people at some point in their life. It can affect people of all ages and is a common reason for seeking medical assistance. Back pain treatment in Delhi can arise due to many reasons and accounts for significant suffering & financial loss worldwide.

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Embarking on a journey toward pain relief is often challenging, particularly when it comes to neuropathic pain. However, for those in Delhi seeking solace from this often-debilitating condition, hope shines bright. Dr. Amod Manocha is one of the leading pain specialists in respect of providing Neuropathic Pain Treatment in Delhi.

Leading pain specialists in Delhi emphasize the importance of personalized care in neuropathic pain management in delhi. By tailoring treatment plans to individual needs.Delhi’s medical landscape offers a myriad of innovative treatments, providing a beacon of hope for those grappling with neuropathic pain.

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Cooled Radiofrequency treatment has recently become available in New Delhi, India. It is an alternative for those suffering from chronic knee pain secondary to various reasons such as osteoarthritis, degenerative joint disease and persisting pain after knee replacement. It offers a safe, effective non surgical, minimally invasive alternative to knee replacement for patients who are either

Not keen on surgery or

Not fit for surgery due to other medical problems or

Have persisting pain after knee replacement.

This procedure can also be used for sacroiliac joint pain as in patients with ankylosing spondylitis and for low back pain secondary to facet joint arthritis. It is a day care procedure performed under local anaesthesia with no requirement for hospital stay or prolonged rehabilitation.

Normal activities can generally be resumed soon after the procedure with little or no recovery time. Less pain can lead to improved functionality and reduced medication requirements.

Knee joint is supplied by branches from many nerves and these are collectively addressed as genicular nerves. The initial diagnostic procedure involves local anaesthetic injections close to the nerves supplying the knee joint.

If the diagnostic procedure produces good pain relief then it is beneficial to proceed with radiofrequency treatment from pain specialist. Radiofrequency treatment aims to reduce the pain signals being transmitted by the nerves to the brain.

for more information, visit- Cooled Radiofrequency Treatment In Delhi for Chronic Knee and Sacroiliac Joint Pain

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Cooled Radiofrequency Treatment In Delhi for Chronic Knee and Sacroiliac Joint Pain

Cooled Radiofrequency treatment has recently become available in New Delhi, India. It is an alternative for those suffering from chronic knee pain secondary to various reasons such as osteoarthritis, degenerative joint disease and persisting pain after knee replacement. It offers a safe, effective non surgical, minimally invasive alternative to knee replacement for patients who are either

Not keen on surgery or

Not fit for surgery due to other medical problems or

Have persisting pain after knee replacement.

This procedure can also be used for sacroiliac joint pain as in patients with ankylosing spondylitis and for low back pain secondary to facet joint arthritis. It is a day care procedure performed under local anaesthesia with no requirement for hospital stay or prolonged rehabilitation.

Normal activities can generally be resumed soon after the procedure with little or no recovery time. Less pain can lead to improved functionality and reduced medication requirements.

Knee joint is supplied by branches from many nerves and these are collectively addressed as genicular nerves. The initial diagnostic procedure involves local anaesthetic injections close to the nerves supplying the knee joint.

If the diagnostic procedure produces good pain relief then it is beneficial to proceed with radiofrequency treatment from pain specialist. Radiofrequency treatment aims to reduce the pain signals being transmitted by the nerves to the brain.

This is achieved by heating up a small area of the nerve using the electric current produced by radio waves. The procedure involves placing needles close to these nerves under x ray or ultrasound guidance followed by heating of nerves. Cooled differs from conventional Radiofrequency as it has water circulating through the device, needle tip and can create a larger treatment area increasing the chances of success. It can provide lasting pain relief for up to a period of 18- 24 months and has a low complication rate. I trained in this procedure in Germany a few years back and I use a combination of ultrasound and x rays to improve the chances of having a successful outcome.

Consult Best Pain Specialist In Delhi, Dr. Amod Manocha.

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Pain Management…Your spring in winter

Worried about winter joint pain in the journey of life, one may not even realize when the association of winter leads to joint pain.

Do winters remind you of painful stiff joints and reduced mobility? Do they remind you of the phrase” feeling under the weather”?

It is not only the joint pains which flare-up, but other pain conditions such as muscular pains, nerve pains, headaches,  backaches, fibromyalgia etc may also increase in severity.

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Living with chronic pain can be a daily struggle, impacting every aspect of your life. Finding the right pain specialist doctor in Delhi can make all the difference in managing your pain effectively and reclaiming your quality of life.

But with so many options available, how do you choose the right one? This blog post will help you navigate the process and ensure you find a specialist who meets your unique needs.

Choosing the right Pain specialist doctor in Delhi is a crucial step in managing chronic pain and improving your quality of life. By considering factors such as qualifications, experience, treatment approaches, and patient reviews, you can find a specialist who meets your unique needs. Don’t let chronic pain control your life—take the first step towards effective pain management by finding the right pain specialist today.