Pain specialist doctor in Delhi

  What is Iliotibial band syndrome? Iliotibial band (ITB) is a thickened band of tissue that runs along the outer side of thigh from the pelvis to the shinbone (just below the knee joint). It helps to transmit forces from the hip to the knee and acts a stabiliser of the outer side of knee, playing an important role in postural control. With bending and straightening of the knee this band moves over the lower outer end of thigh bone and sometimes repeated motion can cause the ITB to irritate the surrounding tissues. This is addressed as iliotibial band syndrome (ITBS) or IT syndrome. It manifests as pain along the outer side of knee after repetitive motion. Although anyone can develop this condition, it occurs more frequently in athletes and those participating in activities involving frequent knee bending and straightening. Key points about iliotibial band syndrome Iliotibial band syndrome causes pain on the outer side of the knee This condition can affect anyone, although is more ...

  Cervical radiculopathy or pinched nerve in the neck is a common problem. Irritation or compression of the nerves coming out of the spine can cause severe pain travelling (radiating) to the shoulders and arms. The arm pain is often more severe although the root of the problem lies in the neck. This pain can be associated with tingling, numbness, weakness in the arm and hand. To understand a bit more about these pains it is essential to have an understanding of the anatomy of the neck. The neck or the cervical region consists of seven bones (vertebrae) stacked one above the other. There are labelled as C1-C7, where C stands for cervical and 1-7 are the numbers to identify the level being referring to. These vertebrae are separated from one another by discs which are like cushions allowing the spine to move freely. Each vertebra encloses a hollow space which lines up with the space of the vertebrae above and below, running along the entire length of the spine. This hollow space is c...

  July 7, 2021 The word cryoablation is formed of two words – “cryo “meaning cold and “ablation” meaning removal or destruction. In simple words cryoablation in pain management is freezing of the nerves to reduce pain. This technology has undergone significant advancement over the years and can be used for relief in a magnitude of pain conditions including Arthritis of the large joints such as the knee, hip and shoulder . This procedure is especially helpful in young patients with arthritis pain who want to avoid or postpone joint replacement surgery Arthritis of joints in the spine, sacroiliac joints Cancer pain Nerve pains  such as postherpetic neuralgia, phantom limb pain, neuroma, thigh pain due to lateral femoral cutaneous nerves (meralgia paresthetica), pain after nerve injuries Post surgery pain  such as Post hernia repair and Post thoracotomy (open chest surgery) pain Pain after rib fractures The primary aim in cryoablation treatment is deactivation of the nerves ...

  What is trigger finger/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. What are the causes of trigger finger/thumb? Tendons are rope like structures which attach the muscles to the bones. These are surrounded by a covering (sheath) and are held attached firmly to the bones by anchors called pulleys. A disparity in the size of the tendons and the sheath or the anchors results in the disruption of the smooth gliding mechanism and the resulting snapping or locking sensation is addressed as trigger finger. The exact cause of this condition is ...

  Everyone knows about the relationship between cigarettes and heart disease or lung cancer, but are you aware that  Smoking Can Increase the Chances of Your Having Disc Problems By 4 Times.  When I inform my patients about this they are very surprised. Cigarettes contain more than 7000 toxic chemicals and we know at least more than 250 of them are harmful to our body. Numerous studies have reported that smoking is associated with chronic pain, especially back and joint pains. Increased chronic pain is due to the ability of nicotine and other chemicals to: Narrows blood vessels, reducing the blood flow to the muscles, bones and other body parts Impact on brain circuitry Impact on immunity and slow healing Increased fatigue Increase blood pressure The incidence of  chronic low back pain  among smokers compared to non-smokers is higher, and smokers experience more severe pain. This is true irrespective of the sex and nature of work (manual laborers Vs white-collar...

  Back Pain Treatment By Dr. Amod Manocha 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  can arise due to many reasons and accounts for significant suffering & financial loss worldwide. Many people choose to treat their back pain at home with pain relieving medications, heat and ice, or stretching. So, if it’s so prevalent what are the warning signs of something serious which requires medical attention. Some of these are addressed as red flags in medical terminology to warn the clinician of the possibility of serious underlying pathology. Persistent or worsening back pain.  Back pain often goes away in a few days or weeks but if it is persisting or progressively increasing then its reason to seek medical attention.  Back pain associated with progressive numbness, tingling, or weakness.  This could be a sympto...

  Thoracic spine and Chest wall Pain This section covers pain anywhere between shoulders to the bottom of ribs. It can arise from Inside the thoracic cavity (inside chest) From the chest wall including the thoracic spine Be referred from the neighbouring areas and structures such as abdomen, cervical spine. Chest wall pain  can originate from any of the chest wall structures including bones, joints, muscles, cartilage, ligaments, tendons, nerves, skin and soft tissue. It generally increases with arm movement and is accompanied by localised tenderness. Some common conditions/situations leading to chest wall pain are Prolonged unaccustomed physical activity. This may cause  muscle soreness  which can persist Trauma/fall with  fracture of ribs or vertebrae . In presence of osteoporosis even trivial trauma can lead to fractures. The event may be difficult to remember specially when the onset of pain is delayed Spine  can be a source of posterior chest pain. Pai...