Pain specialist doctor in Delhi

  Shoulder pain   may be an isolated problem localised to the shoulder or be a part of widespread pain as in rheumatoid arthritis. A combination of history, examination and diagnostic investigations is utilised to identify the pathology and guide further management .  Diagnostic ultrasound scan   is an effective bedside tool as it can reliably identify common shoulder pathologies and reduce the requirement of additional investigations. I routinely perform ultrasound scans at the time of initial assessment. This reduces the requirement of additional investigations and if required a guided injection can be performed at the same time. Some of the common reasons for shoulder pain include Inflammation, injury or weakening/tear of muscles and tendons around the shoulder joint (rotator cuff) Damage to bones, cartilage of shoulder joints as in arthritis of glenohumeral, acromiocalvicular joint Bursitis (Bursa allow for smooth sliding of tendons or muscles over the joint or f...

Pain in cancer may arise due to many reasons and is often the presenting complaint leading to the diagnosis of cancer. It may be Related to cancer itself or its spread to other body parts A late presentation due to side effect of treatments such as chemotherapy, radiotherapy and surgery A result of extra stress placed on other body parts for example shoulder pain due to using of a stick for walking A totally unrelated coincidental problem such as arthritis Pain can be of differentiated into  background pain  (which is always present in the background and is managed with regular medications) and  breakthrough pain  (pain which breaks through your regular pain relief). Breakthrough pain may occur unprovoked or may be triggered by external or internal factors. In cancer patients different types of pain may coexist. It is not just limited to pain arising from inflammation and tissue damage for example cancer of pancreas spreading to neighbouring organs and nerves leadin...

Neuropathic or nerve pain  arises as a result to damage or improper functioning of the nerves/nervous system. It presents as poorly localised burning, shooting or electric shock like pain with altered sensitivity in the affected area. Sudden increase in pain severity is commonly observed. Over the period of time sometimes skin changes, weakness and wasting of muscles can develop. The affected area may develop increased sensitivity perceiving non painful stimuli such as touch to be painful. Alternatively patient may report having pain in areas which feel numb. Some examples of  common conditions with neuropathic pain include Diabetic Neuropathy  where patients complain of a burning sensation most commonly in the sole of feet, worst at night time,. Infections such as  Post heretic neuralgia,  HIV Persistent post surgery pain or trauma involving nerve damage Drug induced neuropathy including that after chemotherapy/radiotherapy Cancer related neuropathy Post Amputa...

Knee pain can be a source of significant disability in all age groups as it limits mobility. It can be classified into traumatic or non traumatic and based on the site of pain into anterior, medial, lateral and posterior. The common reasons for knee pain vary with age group and pain site. Pain from other sites such as hip and lumbar spine can also present knee pain. In the above 50 years age group raised BMI is an important risk factor for developing symptomatic osteoarthritis. Genicular nerve blocks & radiofrequency ablation This procedure is performed for   chronic knee pain   which may be secondary to various reasons such as osteoarthritis, degenerative joint disease and persisting pain after knee replacement.   It offers a   safe,   effective   non surgical alternative to knee replacement   for patients who are either not keen or are unfit or have persisting pain after knee replacement . Genicular nerve radiofrequency is performed as a day cas...