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Showing posts from June, 2021

Persisting Pain After Knee Replacement

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  How Common Is Persisting Pain After Knee Replacement And Why Is It Important ? Pain is the most important indication for joint replacement surgery and although surgery is successful in a vast majority of patients, some continue to have persisting pain.  As per research evidence, approximately 9% after hip and 20% after knee replacement have an unfavourable pain outcome .  20% implies 1 in 5 patients, a significant number.  Despite the high prevalence, the condition remains under acknowledged and can be rightly addressed as a  silent epidemic . Persistent pain not only has an adverse impact on the quality of life but often leaves patients confused or blaming themselves for the pain or the decision to go ahead with surgery. It can have an impact on mobility, general health, mood, sleep and lead to functional limitation with social isolation. When no obvious cause is found, the problem may be downplayed leading to the dissatisfaction, frustration, anger, tension ...

Iliotibialband Syndrome - Pain Specialist in Delhi

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  What is Iliotibial band syndrome? Iliotibial band (ITB) is a thickened band of tissue that runs along the outer side of thigh from the pelvis to the shinbone (just below the knee joint). It helps to transmit forces from the hip to the knee and acts a stabiliser of the outer side of knee, playing an important role in postural control. With bending and straightening of the knee this band moves over the lower outer end of thigh bone and sometimes repeated motion can cause the ITB to irritate the surrounding tissues. This is addressed as iliotibial band syndrome (ITBS) or IT syndrome. It manifests as pain along the outer side of knee after repetitive motion. Although anyone can develop this condition, it occurs more frequently in athletes and those participating in activities involving frequent knee bending and straightening. Key points about iliotibial band syndrome Iliotibial band syndrome causes pain on the outer side of the knee This condition can affect anyone, although is more ...

A New Treatment For Frozen Shoulder Ultrasound Guided Capsular Hydrodistention

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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 with s...

Pains Associated With COVID-19

  WHO declared COVID-19 outbreak as a   global pandemic   on 11th March 2020. One year on and we are still haunted by the mysteries of this virus as more and more evidence accumulates supporting COVID-19 as a complex multisystem disease rather than just being restricted to the lungs. The widespread perception is that COVID infection has the following probable outcomes – recovery in two to three weeks, hospital admission or mortality is severe cases. For some patients however, COVID 19 is not a discrete infection lasting a few weeks but marks the start of a long-term illness with ongoing and often debilitating symptoms. This is addressed as Long COVID. This diagnosis brings more uncertainty into picture and challenges the clinical, governmental assumptions about COVID. Long COVID is perhaps the first illness name to be coined by patients themselves through social media. Persisting pain and fatigue is one of the prominent symptoms of  Long COVID . This blog explores th...

Chronic Pain Burden ( Back Pain Treatment in India )

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  Pain affects more people than heart disease, diabetes, and cancer combined International Association for the Study of Pain (IASP) If you do not believe this statement then let me remind you of some common scenes from your daily life. You may have stopped noticing these believing that nothing can be done or accepted them as a part of aging.  BUT IS THAT SO? …remember the grandma who grunts in pain every time she tries to get up …. the husband who complains of a backache every morning, taking his time to overcome the stiffness before he can start his day ….aunt who finds it difficult to get out of the car because of pain ….your colleague who has to randomly take time off work because of severe headaches …your work colleague who keeps pressing his neck complaining of neck pain ….your friend who gave up badminton because of shoulder pain ….diabetic uncle who cannot sleep as he feels his feet are on fire ….your close friend who underwent breast surgery a few years back and still ...