Know All About the Treatment Options for neuropathic pain treatment in Delhi

The increasing number of pain management centres in Delhi is a proof of changing times and increasing awareness about pain management options. Neuropathic or nerve pain is one of the common reasons for pain clinic consultation.

Nerves act as the conduction pathways transmitting signals to and from the brain. Sensations including pain are transmitted as chemical and electrical signals to the brain where the pain is actually perceived. When the nerve become damaged or dysfunctional they start generating pain signals themselves. This category of pain is defined as neuropathic pain. Neuropathic pain can be severe, debilitating and you need to choose experienced doctors when it comes to neuropathic pain treatment in Delhi.

Let us first learn what causes neuropathic pain

Neuropathic pain is mainly caused by nervous system damage/dysfunction. Many factors and conditions can predispose to development of neuropathic pain. Some of the common reasons include:

• Diabetes mellitus leading to a condition known as polyneuropathy where multiple nerves of the peripheral nervous system are affected
• Certain Medications
• Nerve compression
• Nutritional deficiencies
• Neoplasms
• Chronic Alcoholism
• Toxin exposure
• Immunological diseases
• Infections
• Idiopathic

Treatment Modalities

It is important to consult the best centres for neuropathic pain treatment in Delhi where the team understands your pain and has extensive experience in diagnosis and management of all linds of neuropathic pain. Neuropathic pain increases the excitability of the neves, receptors and produces changes in the spinal cord such as those in N methyl D aspartate or NMDA receptor. Moreover, there is an imbalance between the excitatory and inhibitory systems further increasing the perceived pain.

If the predisposing factors or the pre-existing damage is unmodifiable then the focus shifts to stopping the condition from worsening, pharmacological management and symptom/ pain control.

• In the reccase of diabetic polyneuropathy, management of blood sugar levels along with exercise and medication is helpful, especially in type 1 diabetes
• In case of vitamin deficiency, vitamin administration and diet changes are recommended.
• In cases of nerve entrapments, local injections can help if providing relief
• Along with the management of the pain, it is equally important to alleviate other associated symptoms such as sleep disturbances and low mood.
• Pharmacological Management: The use of tricyclic antidepressants, anticonvulsants, opioids, topical numbing agents and patches help in managing the symptoms of neuropathic pain. Interventions such as Nerve blocks, sodium channel blocking agents and neuromodulation is often utilised in combination with pharmacotherapy. These may not remove the causative factors but they certainly help in the management of the pain.

It is essential to consult the best pain management centre in Delhi where a multidisciplinary approach is used and the emphasis is on improving quality of life and reducing pain, and discomfort.

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Cervicogenic Headache Treatment In Delhi - Removemypain

What is Cervicogenic Headache?

Cervicogenic headache in simple terms means headache originating from the neck. Even though the pain you experience is in the head or part of the face, the actual problem in lies in the neck. The possible pain generators in the neck include the joints, discs, surrounding tissues such as the neck muscles, coverings of the spinal cord, and blood vessels.

Headaches afflict people of all ages. The impact is variable from mild discomfort to severe incapacitation, depending on the severity and the frequency of headaches. Often the causative factors are numerous and difficult to pinpoint. Cervicogenic headaches represent one such condition that is easily overlooked and under diagnosed, due to limited awareness about the condition. This is a treatable cause of headaches with possibility of good relief if the diagnosis is correct.

Signs & Symptoms of Cervicogenic Headache:

Some of the pointers towards cervicogenic headache include:

• Increase in headache with neck movements such as nodding or rotation of neck
• Increase pain with pressure on certain sensitive points in the neck
• Stiffness and reduced range of neck movements
• Pain is generally one sided and does not change sides. Sometimes both sides are involved
• Generally described as a pressure sensation at the back, side or front of head or in the area around the eye. It may be episodic with varying duration or present constantly. During severe episodes nausea and vomiting and other features similar to migraine can be present making the diagnosis more challenging.

The headaches often start after trauma/ injuries such as whiplash. Conditions such as occipital neuralgia (a problem associated with the nerves at the back of head) are closely linked to cervicogenic headaches.

Causes of Cervicogenic Headache:

A number of neck conditions have been attributed to cause cervicogenic headaches including:

• Degenerative changes in the joints of the cervical spine such as osteoarthritis
• Discs of the cervical spine
• Whiplash injury to the cervical spine or other sports injuries
• Spasms of the neck muscles
• Bad posture of the neck for long periods of time, such as when working or sleeping

Diagnosing Cervicogenic Headaches:

Diagnosing a cervicogenic headache can be tricky, as a number of headaches can present with similar features. Your doctor will obtain a detailed history often taking you back to when it had first started. You will be asked in detail about your pain symptoms, stress levels, work, eating and sleep habits, medication usage etc. This is usually followed up by examination. Diagnostic investigations such as X-ray, MRI, CT scans cannot conform the diagnosis but do provide support to the diagnosis. An injection is often used for confirmation of the diagnosis.

Cervicogenic Headache Management Options:

There are a variety of treatment methods for helping with cervicogenic headaches. These include:

• Lifestyle changes such as regulation of sleep cycle, workplace ergonomics
• Medication may include mild or potent pain killers
• Interventions such as joint, nerve or muscle injections. These generally involve injection of local anaesthetics with or without steroids. Sometimes Botulinum toxin injections are used for muscles
• Radiofrequency treatment can help relieve/ reduce these headaches for a prolonged duration

Management Options continued:

• Physical therapy can help to stretch and relax the muscles in and around your neck. They can help deal with the muscular trigger points
• Psychology input may involve biofeedback, relaxation therapy and cognitive behavioural therapy
• Complimentary and alternative medicine including meditation, yoga, TENS, acupressure and acupuncture
• Surgery – this may be used in cases with severe joint changes or nerve compression causing severe headache remains unrelieved by other modalities, but this is rare

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Cancer Pain Treatment In Delhi and Gurgaon - Dr. Amod Manocha

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 that 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 the pancreas spreading to neighboring organs and nerves leading to visceral and neuropathic pain respectively and a distant spread to bones producing bone pain. Different types of pain present differently for example

• Neuropathic/ Nerve pain is generally described as burning, shooting, electric shock-like, or stabbing pain with associated tingling or numbness. It may be a consequence of cancer itself or a result of treatments such as chemotherapy (chemotherapy-induced peripheral neuropathy- CIPN).
• Visceral Pain originates from the viscera (organs in the body cavity) and is generally described as deep aching, squeezing, and cramping sensation
• Bone pain presents as an aching, throbbing sensation. Some cancers have a preference to spread to bones

Pain Management

Pain relief needs to be tailored to the cause, severity, and duration of pain. In most cases, a reasonable control can be achieved by using a combination of methods. Multimodal, Multidisciplinary approach provides the opportunity to maximize pain relief and provide support not only for the physical needs but also for the emotional, spiritual, and social needs.  

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Cervical Pain Treatment in India - Removemypain

Cervical radiculopathy or pinched nerve in the neck is a common problem. Irritation or compression of the nerves coming out of the spine can cause severe pain travelling (radiating) to the shoulders and arms. The arm pain is often more severe although the root of the problem lies in the neck. This pain can be associated with tingling, numbness, weakness in the arm and hand.

To understand a bit more about these pains it is essential to have an understanding of the anatomy of the neck. The neck or the cervical region consists of seven bones (vertebrae) stacked one above the other. There are labelled as C1-C7, where C stands for cervical and 1-7 are the numbers to identify the level being referring to. These vertebrae are separated from one another by discs which are like cushions allowing the spine to move freely.

Each vertebra encloses a hollow space which lines up with the space of the vertebrae above and below, running along the entire length of the spine. This hollow space is called the spinal canal and houses the spinal cord which is a thick bundle of nerves connected to the brain. Between every two vertebrae there are openings on the sides called the foramina. A pair of spinal nerves (one on each side) exit through these foramina and supply a specific part of the body for example the nerves coming out of the neck would go to the arm and hands. When these nerves are irritated, either inside the spine or as they come out of the spine, it leads to the pain being felt in the area supplied by the nerve and this explains when we get arm pain whereas the actual problem lies in the neck.

Tag = Cervical Pain Treatment in India, Pain Management in Delhi, Pain Treatment in South Delhi, Best Neck Pain Specialist in Delhi, Best pain specialist in Delhi

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