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Hip Pain & Other Musculoskeletal Conditions

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  Globally,   musculoskeletal pain   is a common reason of disability and seeking medical advice. It may be localised to one area or present as a widespread/ multisite pain. Musculoskeletal symptoms may be a consequence of orthopaedic, neurologic or rheumatologic processes and hence a comprehensive history and examination is required. Based on the findings further tests and imaging are requested to confirm the diagnosis or rule out other serious conditions. This section focuses on  minimally invasive non surgical interventions  available via pain clinic for joint pain and some other common musculoskeletal conditions. The interventions listed below are most often used as a part of  multi-disciplinary management  in combination with  medications ,  physiotherapy , complementary therapy and  psychology  input  as required. Hip Pain Hip pain  is a common condition and can be quite disabling because of the impact on walking. Pa...

Back Pain (Slipped disc) and Sciatica

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 Best Back Pain Doctor in Delhi  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. 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. Globally low back pain (LBP) is one of the leading causes of disability. LBP is an important cause of limitation of activities, absence from work with resultant economic implications. In industrialised countries lifetime prevalence of non-specific low back pain is estimated at 60–70%.Despite the high incidence and intensive research into this area, pain generators are not easy to identify and the diagnosis  Nonspecific L...

Cancer Pain

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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 Pain

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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...

Neck (Cervical) and Arm Pain

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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 may be a result of... Local pathology Whiplash (flexion-extension) injuries/ trauma Be a part of a more widespread systemic problem such as ankylosing spondylitis, rheumatoid arthritis, fibromyalgia etc. Be a result of referred pain from neighboring areas for example the shoulder joint. Neck pain  usually has a multifactorial etiology -poor posture, neck strain/injuries, anxiety, depression and stress can play a role in magnifying the perceived pain. Quite often the diagnosis of simple or nonspecific neck pain is used implying postural and mechanical causes; thi...

Knee Pain

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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...