Pain specialist doctor in Delhi

  What is frozen shoulder? Frozen shoulder  is a shoulder pain condition where there is significant loss of motion of the shoulder joint accompanied by stiffness. The shoulder joint is surrounded by the strong capsule and the main problem in this condition is believed to be the tightening of this capsule. The resulting pain is generally deep seated and poorly localised. It may be constant or present only at night when lying on the affected side. All movements of the joint are affected, especially the ones involving reaching straight up and rotation of joint such as while reaching behind the back. Frozen shoulder is seen more commonly in women, especially between the ages of 40-60 years. Non-dominant side is more commonly involved, although in 20% to 30% of individuals both sides may be affected. Diabetics have five times more chances of developing this condition and about 30% of people with frozen shoulder have diabetes. Patients with overactive or underactive thyroid or those...

  June 15, 2021 What is hip osteoarthritis (OA) and why does it hurt? Osteoarthritis is the commonest form of arthritis and is a common cause of hip pain, especially amongst older people. It affects about 7% of men and 10% of women over the age of 45 years. The main problem in this condition is the degeneration of the cartilage covering the ends of the bones. The loss of cartilage and its shock absorbing, cushioning effect leads to the bones coming closer to each other and their thickening in an attempt to protect the joint. Bony growth called osteophytes form around the joint edges. The joints and the surrounding ligaments, tissues may also develop swelling (inflammation). Pain in arthritis may result from Inflammation (swelling) of joints Damage of joint tissues Overloading of surrounding structures such as the muscles and ligaments fatigue and extra effort required in mobilisation Many people are not able to able to identify the symptoms of hip arthritis and often ignore it as a...

  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 ...

  What is the relation between pain and sleep? Does, not being able to sleep make the pain feel worse or is severe pain responsible for inability to sleep? The answer is both are true. Sleep is a natural analgesic (pain reliever) and a good night’s sleep can improve one’s ability to tolerate pain.For some chronic pain patients, the only respite is when they are sleeping, and loosing this luxury can have adverse consequences. Amount of sleep required by an individual varies depending upon many factors including age, but most adults require between 7 to9 hours a night, although it can range from 5 to 10 hours.Healthy sleep comes in waves during the night and every night we cycle 4-6 times, through different stages of sleep- light sleep, deep sleep and REM (rapid eye movement) sleep. Usually we wake up after the REM stage. If pain disturbs the sleep, we end up spending too much time in light sleep reducing the REM sleep and this may result in increased pain sensitivity. Inadequate sle...

  Learn more about Chemotherapy Induced Peripheral Neuropathy (CIPN) What is peripheral neuropathy? Peripheral nerves  carry sensations from the different parts of your body to the brain and control the movement of our arms and legs. The set of symptoms resulting from damage to these nerves is addressed as Peripheral neuropathy. Symptoms are usually symmetrical starting from toes and fingers, and progress towards the body. Common symptoms include Tingling or pins and needles sensation in hands of feet Numbness and reduced ability to feel hot and cold Sharp, electric, burning pain Sensitivity to touch, pressure or temperature  Balance issues and difficulty walking Leg cramps  Weakness Difficulty with fine activities such as writing, buttoning and unbuttoning  What is Chemotherapy Induced Peripheral Neuropathy (CIPN)? Some of the chemotherapy drugs used to treat cancer can cause peripheral nerve damage. This is addressed as  chemotherapy-induced peripheral ne...

  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...