Pain specialist doctor in Delhi

  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 chro...

  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...