#chronic post surgical pain

[painspecialist]

In India, there is a huge variability in the services offered by the existing pain clinics. Lack of recognized comprehensive training curriculum in pain medicine with government approved minimal training standards may be one of the contributing factors. The focus of most specialists is on interventions rather than holistic management.

[layni17]

Life is so wild right now because I have so many things I’m happy about and enjoying (Fun K-Pop music, more Percy Jackson, more Our Life, more Sims, more Harvest Moon/Story of Seasons, more Critical Role, etc.) but simultaneously my life is falling apart and I’m miserable about many things (One of my cats and one of my dogs died, I’m suffering from yet-to-be-explained medical issues atop my usual chronic ones, having the worst anxiety I’ve had since I was in high school, can’t write anymore due to my chronic pain, etc.) so I’m like. Man. I want to be Happy but I just feel like a Wreck but I also have soooo many things I’m looking forward to.

[painspecialistindelhisblog]

Get Relief with Chronic Post Surgical Pain Treatment in Delhi

Navigating life with chronic post-surgical pain can be challenging, but relief is within reach. In Delhi, a city bustling with healthcare advancements, innovative treatments offer hope for those seeking to reclaim their lives from persistent discomfort. Let’s explore the landscape of chronic post-surgical pain treatment in Delhi and discover pathways to a pain-free existence.

Let’s explore the landscape of chronic post-surgical pain treatment in delhi and discover pathways to a pain-free existence.

Body:

Understanding Chronic Post Surgical Pain:Define chronic post-surgical pain: Chronic pain persisting beyond the normal healing time after surgery. Common causes: Surgical trauma, nerve damage, scar tissue formation, and psychological factors. Impact on life: Disruption of daily activities, decreased quality of life, and emotional distress.

Multidisciplinary Approach to Treatment:Collaborative efforts: Pain management specialists, surgeons, physiotherapists, and psychologists work together. Tailored treatment plans: Addressing the unique needs of each patient through a combination of therapies. Holistic care: Beyond medication, incorporating physical therapy, cognitive-behavioral therapy (CBT), and alternative therapies like acupuncture or yoga.

       3. Cutting-Edge Treatments Available in Interdenominational procedures

       4. Importance of Patient Education and Support:Empowering patients

Chronic post-surgical pain(CPSP) refers to pain that persists for at least three months after surgery, either in the surgical area or a nearby location. To diagnose CPSP, it is important to rule out other possible causes of pain such as infection or recurrence of the original problem. Additionally, the pain should have been absent before surgery or have different characteristics from preoperative pain.

[labsportstherapy]

Physical Issues that a Physical Therapist Resolve

Explore a list of common physical issues that physical therapists may resolve, highlighting the diverse ways in which they can positively impact your health and well-being.

[bronzecats]

Open question for those who have had top surgery (boobo removal)

Specifically those who have chronic pain and previous / on-going post-surgical pain from other surgeries:

In the long term, has your chronic pain increased and do you think it’s related to your top surgery?

Background info: I have chronic pain, partially related to scar tissue from a spinal fusion. I can’t wear a form fitting shirt due to pain, let alone a sports bra or chest binder. I have a very small chest, but it still bothers me. I certainly wouldn’t be in the position to have surgery soon (within the next two years), but it’s increasingly on my mind. My pain is where my issues lie.

[surabhi07]

 Back on Your Feet: The Role of Physiotherapy in Lower Limb Injury Recovery

Injuries to the lower limbs can have a crippling effect on one's movement, independence, and general quality of life. However, people can regain strength, function, and confidence if they receive the proper rehabilitation care. A key component of this procedure is physiotherapy, which emphasizes active care to speed up recovery and ward off further injuries.

[divinecarephysio]

Ask the Physiotherapist: Top 5 Frequently Asked Questions in Langley

Do you have nagging aches and pains but aren’t sure if physiotherapy is right for you? Perhaps you’ve heard conflicting information and need clarification. Worry no more! This blog post tackles the top 5 frequently asked questions about physiotherapy in Langley, addressing your concerns straight from the source.

1. What conditions can physiotherapy help with?

Physiotherapy is a versatile treatment approach that addresses a wide range of musculoskeletal issues. This includes:

Sports injuries: From sprains and strains to torn ligaments and post-surgical rehabilitation, physiotherapists assist athletes in recovering safely and efficiently.

Chronic pain: Whether you experience back pain, neck pain, or joint pain, physiotherapy helps manage your pain and improve mobility and function.

Post-surgical rehabilitation: Physiotherapy plays a crucial role in recovery after surgery, aiding in regaining strength, flexibility, and movement patterns.

Neurological conditions: Physiotherapy assists individuals with neurological conditions like stroke, Parkinson’s disease, and multiple sclerosis in improving movement and managing symptoms.

Balance and fall prevention: Physiotherapists help individuals improve balance and prevent falls, particularly for seniors.

2. Is physiotherapy painful?

While some physiotherapy techniques may involve gentle discomfort, the overall goal is not to cause pain. Your physiotherapist will work within your tolerance and use various techniques to manage any discomfort during your treatment.

3. Do I need a referral to see a physiotherapist?

In most cases, a referral from a doctor is not mandatory to see a physiotherapist. Many clinics, including those in Langley, offer direct access to physiotherapy services. However, it’s always recommended to consult your doctor if you have any concerns or questions.

4. What can I expect at my first physiotherapy appointment?

During your first appointment, your physiotherapist will:

Discuss your medical history and current condition in detail.

Perform a physical examination to assess your range of motion, strength, and any limitations.

Develop a personalized treatment plan based on your specific needs and goals.

Educate you on your condition and provide self-care strategies to manage your symptoms.

5. How long does physiotherapy typically last?

The duration of physiotherapy treatment varies depending on your individual condition and goals. Your physiotherapist will develop a treatment plan based on your needs, which might involve several sessions or a longer-term program.

Ready to take the first step towards a pain-free and active life? Contact a physiotherapy clinic in Langley today!  Sure, here is some information about DivineCare Physiotherapy in Langley: 

DivineCare Physiotherapy, located in the heart of Langley, British Columbia, is dedicated to providing exceptional physiotherapy services and invigorating massages to help you achieve your optimal well-being. Their team of highly skilled and compassionate physiotherapists is passionate about helping you move better, feel better, and live a pain-free life.

[cocklessboy]

I see a lot of people saying that gender-affirming health care like top surgery for trans people like myself should be freely available (which is correct), but one of the reasons they often give is that top surgery is very safe and has a very low rate of complications compared to other surgeries. And I often see transphobes clutching their pearls over the few people who do have complications. What about them?! What if you're one of the unlucky ones?! Should we really let those transes risk it??!!!

Setting aside the fact that no one raises such concerns over other types of surgery, I'd like to use myself as an example for anyone who needs one.

In May of 2022 I had top surgery (double mastectomy). The surgery was done by a gynecological surgeon, not a plastic surgeon, because that way my insurance would cover it.

The surgeon did his job and removed the breast tissue, but he did not make it look pretty. I have dog-ears at both ends of both scars (extra bits of skin that hang off in a very unappealing fashion), my chest still looks unnaturally flat with no muscle or fat despite a lot of working out, and one of the stitches didn't heal properly and was left as an open wound through "secondary healing" for several months before it finally healed over into a very large scab (and eventually a very large scar). My nipples are uneven and irregular and look... well, just awful, really. Due to bad genetic luck, I wound up with keloid scars which, instead of getting smaller and lighter over time, have instead expanded, becoming thicker and darker. Worst of all, I now have chronic nerve pain in my chest. My GP thinks the surgeon must have hit a nerve during the procedure, and now I have random sharp pains all over my chest even now, nearly ten months later. The pain might improve with time, or it might not.

I basically had almost every possible complication one can have from this surgery short of infection or death. Some of the aesthetics might be fixable with more surgery (though plastic surgery will be expensive). Some are probably permanent. I might never feel comfortable taking my shirt off in public again. I might have to tattoo over the scars.

And pay attention to this next bit, because it's the most important part of this whole post: I do not regret the surgery. Even with all the complications and the ugly state of my chest and the pain. If someone said they could push a button and make it so that the surgery never happened and I'd have a perfect, unmarred chest with C-cup breasts again, I would tell them to take their button and fuck right off. Because even with basically the worst of all possible outcomes, that surgery was the best thing that ever happened to me.

I don't feel good about taking my shirt off in front of people now. I do think my chest is ugly. But it's a male chest now. When I put on a t-shirt, it rests flat against my chest. No one will ever mistake me for a woman again. I'll never have to wear a bra or binder ever again.

The dysphoria I felt from having breasts was so severe that a hideously scarred chest and chronic pain are vastly preferable. The euphoria I feel when I look in the mirror with a shirt on is something I never knew I was capable of feeling.

And it's my fucking body, and it's up to me what I do with it. If I wanted to tattoo myself from head to toe, or file my teeth into fangs, or have a doctor break my legs and surgically implant extensions to make me taller, that's my right because it's my body. The fact that all those things are regarded as basically acceptable (if a little weird), but I had to have a dehumanizing interview with an old cis psychiatrist who hates trans people and wants us all sterilized just to get a piece of paper giving me permission to have my tits removed, is fucking absurd.

Top surgery (of any kind) is generally very safe, and complications are rare. But even with the worst outcome, a trans person will basically never regret it.

And frankly, if a cis woman wants her tits cut off, or a cis man wants a pair of boobs to play with on his own chest, more power to them because literally who gives a fuck what people do to their own bodies? I saw a dude on TV when I was a kid who'd tattooed his whole body to look like a cat, filed his teeth into fangs, and had loads of plastic surgery to surgically implant whiskers and make his face look more feline. It was weird! But literally no one said that should be banned because he might regret it. It's his body to do whatever weird shit he wants with.

The next time someone clutches their pearls and kicks and screams about how you can't let someone permanently alter their body in a way they might regret, feel free to point to me and my complete and utter lack of regret.

(Or have a little fun with it, go hard in the other direction, and say you absolutely agree, which is why we should ban ALL non-emergency surgeries until the patient has been FULLY evaluated by three psychiatrists - along with tattoos and piercings. Oh, and ballet lessons for anyone under the age of 25, since ballet changes the structure of a child's body FOREVER.)

[painspecialist]

Why Does Cancer Cause Pain?

Sources of pain in cancer may not be easy to identify and often require detailed assessment with attention to detail. Identification of the source often holds the key to correct treatment and ability to provide relief. Pain in cancer may originate from

Cancer itself – When cancer grows it damages the tissues. It causes inflammation, unusual stretching, irritation and all this can lead to pain. Like if we talk about a pancreatic cancer, when it grows or stretches it can irritate the diaphragm (main breathing muscle) and that cause shoulder pain

Cancer spread – when cancer grows uncontrollably then it can spread to the nearby or distant body parts like the bone, liver, kidney, lymph nodes etc.

Associated problems like bloating, constipation, blockage of ducts, clotting problems, distention of liver or abdomen etc.

Cancer treatments like radiotherapy or chemotherapy are known to cause nerve pain (peripheral neuropathy. Surgery may also be associated with chronic persistent pain.

Extra stress on other body parts – Often to protect one part of our body, we put pressure on other parts for example using crutches to offload a leg may become the source of shoulder pain as the crutches place extra load on my shoulder

Other coincidental problems – it is not necessary that all pain that every cancer patient suffers is due to cancer. There could be other coincidental problems like in the general population such as arthritis. So it is important to identify not only the type of pain but also the source of pain, before we plan treatment.

Pain related to cancer may have different components such as background pain and breakthrough pain. These need to be taken into account while making treatment plans. Let’s take an example of pain due to pancreatic cancer. These patients may have a constant pain (background pain) and there may be increased pain that comes after eating (breakthrough pain). Breakthrough pain may happen due to provoked or unprovoked factors and when we make a treatment plan it is important to have a plan for breakthrough pain.

TAG :Best Back Pain Doctor in Delhi, Cancer Pain treatment in Delhi, Chronic Post Surgical Pain treatment in Delhi, Cancer Pain treatment in Delhi

[morbidology]

In a medical rarity that captured worldwide attention, a 36-year-old man from Nagpur, India, was discovered to have been carrying the remains of his twin inside his body for his entire life. This extraordinary case, known as 'fetus in fetu,' involves the presence of a malformed fetus inside the body of its otherwise healthy twin.

The patient, Sanju Bhaga, had been experiencing chronic stomach pain and bloating for years. After numerous consultations and inconclusive treatments, he visited the Acharya Vinoba Bhave Rural Hospital in Wardha, where doctors conducted a detailed examination. Imaging tests revealed a large mass in his abdomen, prompting immediate surgical intervention.

Dr. Ajay Bhandarwar, a senior surgeon at the hospital, led the surgical team. They were astounded to find a 15-centimeter mass that contained hair, bones, and other bodily structures – the remnants of Mahesh's parasitic twin. This condition, where one twin is absorbed by the other during early stages of pregnancy, results in the retained twin surviving as a parasite inside its sibling’s body, drawing blood supply but failing to develop fully.

The surgery, which lasted several hours, successfully removed the parasitic twin. Dr. Bhandarwar explained that the mass was surrounded by a sac and connected to Sanju’s blood supply, making the operation particularly delicate. Post-surgery, Sanju recovered well and reported a significant relief from the symptoms that had plagued him for decades.

Fetus in fetu is an extremely rare condition, with fewer than 200 cases documented worldwide. This phenomenon typically presents in infancy or early childhood, making Sanju’s case unusual due to the length of time the twin remained undetected within his body.

[howtofightwrite]

If someone was shot through the thigh (Nothing major hit, clean entry/exit wounds if logistically possible, how long would it take before they could walk without an aid of some kind? I'm counting hobbling and limping as walking.

Follow Up Question: Any idea what kind of med care that would need without getting a hospital involved with it?

So, this is one of those times where the answer really is, “it depends.” While you can't walk off a gunshot wound, getting shot in the leg might not actually stop you from walking or running, though this comes with a caveat that you're not going to make it especially far. Though the answer to, “how far?” could easily be, “as far as adrenaline will carry you.” This includes cases where the bullet fractures the bone, but doesn't completely shatter it. Though, those cases are going to be extremely unpleasant (for obvious reasons.)

Actual recovery times will vary wildly depending on far too many factors, and you can end up with chronic pain that never heals. Best case, you're looking at a couple weeks before the wound heals, most of the time you're looking at a few months, and lingering pain could last for over a year (if it ever does go away.)

While this is an unusual example, the warning about not aggravating a wound still applies, and trying to hobble around after getting shot is a fantastic way to inflict more harm on yourself. Figure it will take roughly ten weeks for the meat to properly heal up, and while you might be somewhat mobile before that time, it's probably a good idea not to overly stress it before it has fully recovered.

As for medical treatment, most of that is going to be packing it with gauze and (ideally) getting dosed out of your gourd on antibiotics. Gauze is easy, and the only real concern there is keeping you from leaking blood all over the place (while also providing some protection against future infection. The gauze needs to be changed, at least, daily, and the wound will need to be packed with gauze (so, not just wrapping it around the leg.) Getting the latter without a hospital is going to be a lot harder these days. The rise of antibiotic resistant bacteria strains means that these kinds of antibiotics are kept on a much shorter leash today. Unfortunately, it's also kinda critical for the whole, “not dying,” thing.

It turns out that the whole part about a bullet being hot enough to sterilize itself is a myth, so any bacteria on the bullet, and of course, any bacteria that gets into the wound itself after the fact, will have a very easy path to infection. Deep tissue wounds like this are a hugeinfection risk, and these are the kinds of infections that can easily turn lethal.

Of course, a doctor will be better able to assess whether the injury was actually a clean through'n'through, or if something was nicked. A bullet can easily graze an artery, leading to persistent bleeding that will kill the victim without surgical assistance, but won't be fast enough to look worrying. It's just when it doesn't stop after several days of bleeding, that they might realize this is very bad.

So, again, they could potentially be on their feet immediately after being shot. How long it would take them to recover is a lot harder to assess, and if they did insist in walking around, that could make things much worse.

-Starke

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[cannabiscomrade]

It's Gastroparesis Awareness Month

Hi! I have gastroparesis and I'm an insufferable know-it-all so let's talk about it!

Gastroparesis, or a paralyzed stomach, is a condition that causes delayed gastric emptying.

This can cause a range of symptoms and complications:

nausea

vomiting

early satiety/fullness

upper gastric pain

heartburn

malabsorption

dehydration

malnutrition

Gastroparesis can be treated by a gastroenterologist, but often needs to be managed by a motility specialist due to a lot of misconceptions about the condition. Providers, especially in the emergency department, will commonly misdiagnose gastroparesis as cannabis-hyperemesis syndome, cyclic vomiting syndrome, gastritis, food poisoning, etc.

There are several commonly known causes of gastroparesis like vagus nerve damage from diabetes, injury to the stomach, and stomach surgery like hernia repair or bariatric surgery. There are also idiopathic cases with no known cause. Other causes of gastroparesis are:

Connective tissue disorders like HSD and EDS (commonly hEDS and cEDS)

Post-viral (like COVID, viral gastritis, mononucleosis/Epstein-Barr)

Restrictive eating disorders

Autoimmune diseases like Systemic sclerosis (scleroderma), Lupus, Hashimoto's

Central nervous system disorders

Gastroparesis also has common comorbidities with conditions like:

POTS and other forms of dysautonomia (POTS, EDS, and gastroparesis are a common triad of diagnoses)

MCAS

SMAS (which can also present with similar symptoms to GP)

Intestinal dysmotility and esophageal dysmotility disorders (known as global dysmotility)

PCOS with insulin resistance

Endometriosis

SIBO/SIFO

Chronic intestinal pseudo-obstruction

Migraines

Certain medications like Ozempic and other drugs in that class act on the digestive system to delay gastric emptying, which has caused people to be diagnosed with gastroparesis. Some people report that their cases have not gone away since stopping the medication, others report feeling better after stopping. Other drugs like opiates and narcotics can cause delayed gastric and intestinal motility as well, but these are commonly known side effects of those painkiller classes.

Gastroparesis is classed based on severity and graded based on how you respond to treatment.

Severity of delay ranges from mild to very severe, and this is based on your actual stomach retention calculated at 4 hours into a gastric emptying study.

The grading scale ranges from one to three, one being mild and three being gastric failure.

There is no consistent single treatment that is proven to work for gastroparesis, and there is no cure. Treatments can consist of:

Diet changes (3 Step Gastroparesis Diet, liquid diet, oral sole source nutrition)

Prokinetic (motility stimulating) drugs

Anti-nausea medications

Proton-pump inhibitors

Gastric stimulator/gastric pacemaker

Pyloric botox and dilation

G-POEM/pyloroplasty

Post-pyloric tube feeding

Gastric venting/draining

Parenteral nutrition

IV fluids

Other surgical interventions like gastrectomy or rarely, transplant

Gastroparesis is a terrible disease and I hope that if any of these symptoms resonate with you that you can get checked out. I was misdiagnosed for a long time before getting a proper gastroparesis diagnosis, and all it took was a gastric emptying study. This is ESPECIALLY true if you're having post-COVID gastrointestinal problems that are not improving. I almost died from starvation ketoacidosis because of how serious my GP got in a short period of time post-COVID (I had GP before COVID), and now I'm tube reliant for all my nutrition and hydration.

Stay safe friends!

[official-megumin]

I guess I should mention this sooner or later.

So uh, it's not as bad as it's gonna sound. But I've been diagnosed with a brain cyst. It's been causing me a lot of trouble for the past few years and have gotten a lot worse over the past 6 months.

I don't know for sure how many of these problems are directly related to the cyst. But the things I've noticed are of course extreme chronic headaches that don't get better at all with ibuprofen or anything but the strongest pain killers I can find. And even then it only helps for an hour or two.

But I've also noticed cognitive decline, I've developed a bit of a speech impediment that has gotten noticeably worse, as well as just trouble remembering things for finishing thoughts.

I'm expecting and hoping to get it removed surgically very soon, but I don't know for sure till tomorrow when I have an appointment about it at the hospital.

I don't know what the recovery period is gonna be like, how long it's gonna take or even what I'll be allowed to do during that time.

So I suppose a period of time where I won't be posting much if at all should be expected soon.

It's a benign cyst, and I've been told the surgery is minimally invasive, but I'm still scared. And with how my life usually goes, I am preparing for the worst.

[surabhi07]

Strengthening the Foundation: Core Physiotherapy Exercises for Limb Injury Recovery

[samd1o1]

The Disability Coding Of Aphelios

Hey everyone! Today I thought I'd write a little post about my comfort character Aphelios; The Weapon Of The Faithful from League Of Legends!

Specifically I wanted to talk about the disability coding of Aphelios. For those who don't know; coding means the character is written to be an allegory for a life experience. It's about the closest you can get to canon without being necessarily canon. Many stories in magical fantasy universes use this technique. The most common reasons are for hiding from censorship and backlash, and creativity. I personally find coding way more interesting because of all the ways people can think to use magic as an allegory. But I also understand the importance of canon representation. Luckily, Aphelios does both!

So let's start with base main universe Runeterra Aphelios. To be able to talk to his sister and access her weapons he has to drink a special moon flower poison. This poison causes him immense constant pain. It also renders him mute. Obviously he isn't technically disabled. He can choose to not drink the flower (though that would be a dumb decision). But the fact he *must* drink it to save his people and it leaves him to chronic pain and muteness to the point of becoming numb to the world. That screams chronic illness's that cause pain.

Now many League lore nerds are always quick to do an "uhm actually" when you call Aphelios mute. But they're not thinking of the coding of it. Like I said earlier; fantasy stories using coding is very common for many types of minorities, not just disabled people.

My favorite example of disability coding is Hunter from The Owl House. Hunter lives in a world full of witches but he has no magic. He struggles at times but is able to find a way to navigate the world. He uses his palisman as a disability aid and makes do.

Now I'd understand some people not seeing this or just denying it. But what they did with HEARTSTEEL Aphelios basically confirms to me the disability coding was intentional (or at the very least something they're sticking with).

HEARTSTEEL is a boy band in the League musicverse. If there was ever a time to make Aphelios speak, it would be a boy band that sings. But no they didn't do that. In fact they understood the music verse is a more grounded universe (hinted to be our own even) so they made him CANONICALLY disabled.

When Aphelios was younger he had nodes in his vocal cords and they had to be surgically removed. Aphelios never fully recovered and lost his singing voice and the majority of his normal voice. He can't really speak above a whisper. In interviews he whispers to his sister Alune and she answers for him. (Someone teach this poor man sign language).

Another thing I find cool about HEARTSTEEL Aphelios is how he copes. Aphelios is the lyricist of the band. Kayn and Sett's verses are very in character for themselves but K'sante's fits Aphelios as a character way better.

"They wanna kiss me long good night with a rose

Hoping that the Eiffel falls, of course

You don't understand the life we chose

(On life support, life goes)

I need my silence, my privacy so I can heal

And even rockstars got feelings that they feel

In reality, this just repeats like a drill

Always"

This verse shows Aphelios struggle with being disabled. He didn't choose this life, but life goes on. The best part of this verse is that his friends are his voice. The fact K'sante sung his lyrics is very powerful. Shown in the music video, his friends metaphorically (and literally) saved him from drowning.

I can speak from experience that friends are very important. They really can help you through the toughest times and save you from drowning.

(I also feel it is important to mention; that while it's beautiful that someone sung Apehlios thoughts for him. It is suspicious they chose the ONE black champion in the band. The other two who sang solo verses got to have screen time all to themselves for their verses. K'sante isn't present at all for his verse and it is instead Aphelios and Yone.)

Anyway that was a little infodump about Aphelios and why I love his disability coding. I really appreciate that Riot are keeping him mute in all universes so far. (My worst fear is a legendary skin where he speaks.) Riot has stated that while champions are different people with different life experiences in the alternate universes that the champions will keep their core identities. They were mainly referring to LGBTQ champs in this statement, but disability is also a major part of identity. I'm sure it applies here too. Sona has also stayed mute in all universes as far as I know (she just uses aids like telepathy and text to speech).

Anyway see you all later on the rift where I will OTP HEARTSTEEL Aphelios and maybe some Sett support because I'm gay.