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Specialized Pain Management

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I cannot sit in this one, need to lie down, it hurts!!!!! It’s paining!!!!!!!!

How many times have you heard this above phrase rhyming like a song in almost every 5th person who you have interacted or known, from Tiger Woods to a CEO of a company to a worker doing some simple chores at your home and even you at some point in your life, must have gone thru this terrorising experience of pain specially back pain.

WHAT ARE THE TYPES OF PAIN?

They are usually classified as acute pain which last less than 6 weeks, to sub-acute which have a time interval of 6 weeks to 12 weeks, the most dreadful and agonizing of them all the chronic pain which will last and persist for more than 12 weeks to years together.

Chronic pain is like a Shakespearean tragedy, it will affect your body, mind, emotions, financial health as well as your family relations. It leaves a person high and dry and at mercy of elements.

There are various causes of pain. The most common of them which should be remembered as not hard laborious breaking jobs but the stale, couch potato life style which the urban population leads. Excessive sitting is the most harmful job that a person can do to break his back in years to come. It not only weaken your entire musculoskeletal support but causes excessive stress and pressure on your joints, ligaments and muscles which may get damaged and lead to excruciating pains. The other causes of pain frequently seen are degeneration, hypertrophy etc.

HOW DOES IT AFFECT YOU?

Pain is one of the most common causes of loss of productive work, work compensation and leave from office/work. It is an endemic problem breaking the back bone of your enterprise as well as of the country.

MANAGEMENT STRATEGIES

Pain gets resolved with proper management in around 80 per cent of cases . The best management strategy for first time incidence of acute pain is exercise, stretching, modifying your ergonomics at your work place, simple walk for 30 minutes a day. Specific modalities like heat and cold compression go a long way in muscular pains and should be started immediately .The recent norms are avoid bed rest and remain as active as possible.

In few cases the patient develops specific red flags or pain may persist for more than 6 weeks, these are the cases who require timely investigations from X-rays, to MRI and have to undergo specific management strategies based on an algorithmic approach as evidence has suggested form specific nerve pain medications, to specific nerve root blocks, epidural steroid injections to even surgery if required.

Surgical indication can be avoided in many and most of the cases can be managed by conservative approach which include exercise, positive thinking, medications and specific minimal interventions like nerve blocks to epidural injections and radiofrequency denervation of the spinal nerves.

Your strength is your pain free body, protect it preserve it to lead a healthy and meaningful life.

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