Max super speciality hospital Saket

Causes and treatment for Fibromyalgia Syndrome

Hello friends, main Dr.(major) Vipin Kakar. I am an ENT surgeon. Aaj main aapko kuch aise tips batauga hearing loss ke baare mein, bachho aur bado mein jo aapke bahut kaam aa sakte hai aur aap uspe amal karke uska faida utha sakte hai. Aajkal hearing loss navjaat shishu, jo ek din ka paida hua bachha, usme bhi pata chal jata hai ke hearing loss hai ya nahi hai. Ab hum hearing loss ki kyun baat kar rahe hai?  Kyunki hearing loss ek bahut hi common janam jaat problem hai jo ki 1 lakh mein se 250-400 bachho mein paayi jaati hai.

Agar hum thyroid ki problem ko socho toh wo 1 lakh mein se sirf 40 bachho mein hai, jab ke hearing loss 250-400 bachho mein hai. Toh videsho mein toh koi bhi discharge nahi ho sakta hospital se bina hearing ki jaach karaye. Toh ab hum 1 din ke bachhe ka hearing test karke ye pata laga lete hai ki usko aage treatment ki zarurat hai ya nahi. Ab hume ye jaanna hai ki hum kyun itna jaldi pata lagana chahte hai? Agar treatment hoga utna hi bachhe ko faida hoga. Jo janam se suntan aur bolta nahi hai, wo bachhe ka agar ilaaj der mein karayege toh results bilkul aadhe ho jayege. Aaj ki date mein hearing loss ka ilaaj sambhav hai. Ab hearing loss alag alag cheezon se hota hai toh aap agar apne kisi bachhe mein aapko lagta hai ki hearing loss hai ya wo theek tarah se aawazo pe response nahi de raha hai toh aap kripya karke apne ENT surgeon ke paas jayiye. Hearing loss ki treatment ke liye jis tarah ki bimaari hogi jis wajah se hearing loss hoga use treat kiya jaa sakta hai.

In case, agar usko hearing loss 90% se zada hai jisme hum koi dawai se nahi thik kar sakte toh unke liye aajkal humlog Cochlear implant bhi kar rahe hai. Cochlear implant ke liye ek surgery hai jisme do tarah ki machine lagti hai, ek sir ke andar jo surgery se lagayi jaati hai aur ek machine bahar lagti hai. Bahar wali machine aawaz ko catch karti hai aur andar wali machine ko bhejti hai. Toh kuch saal, therapy ke baad bachha ekdum normal bolne lag jaata hai. Main aapko Cochlear implant ka ek demonstration dena chahta hu. Jo machine andar lagti hai wo toh surgery madhyam se andar lag jayegi lifelong, dusri machine jo bahar lagti hai wo ye ek coin ke jitni hoti hai. Ye coin taqreeban itna bada hota hai aur ye sir mein baalon mein chup jaata hai. Bas itna hi aur ye aawaz catch karke andar wale implant ko bhejta hai aur therapy ke baad aapka bachha, agar aapne timely ilaaj karwaya hai toh woe k normal school mein jaane laayak ho jaata hai.

Kuch bachhe toh itna acha karte hai ke aap pata nahi laga sakte ki unka implant bhi hua hai ya nahi. Lekin har case mein implant nahi ho sakta hai. Kuch hearing loss simple kaan ki machine se bhi thik ho jaate hai aur kuch jinme kaano mein paani bhar jata hai. Toh paani nikaalne se bachha normal sunne lag jata hai. Ab main aapko kuch aisi cheezein videos mein dikhana chaahuga jisse aap dekh kar aapko vishwaas bhi ho jayega ki bachha implant ke baad ek normal school mein jaane laayak ho jata hai aur aapko ye pata lagana bahut hi mushkil hai ke kis bachhe ko implant hua hai aur kaunsa bachha normal hai.
(Another person in a video) Swar clinic mein ek choti si class thi ya conference tha usme bataya gaya ke Bilateral implantation bahar hone shuru ho gaye hai aur agar aap chaahe toh aap apne bachhe ka….aap aayiye, aap suniye ke kya kaha jaa raha hai aur aap decide kijiye. Toh humne wo class attend ki, then and there after the conference, we decided that we will go for this Bilateral Implantation. Aur Bilateral implant 2 saal baad hua, first implant and the second implant, mtlb 4 saal aur 6.5 saal uski age thi jab ye implant hua.

(The kid who got the implant) I thank cochlear implant company and Swar clinic, it is because of the innovation of Cochlear Implant Company and efforts of Swar clinic that I can hear and speak like other children. I am very happy that I am studying in a regular school and talk to my friends comfortably. I am thankful to Dr. Vipin uncle and Dr. Suneeta aunty for their efforts and making me what I am today. I would like to add that I have two implants, with two implants I have no problem in school and I have no fears also. I request all parents to go for Bilateral implant for their children. Thank you.

(Dr. Vipin Kakar in the video again) ab in cheezon ke baad agar aapko apne bachhe mein ya parivaar mein agar aapko koi sunne se related queries hai toh aap Lybrate ke through aap mujhe contact kar sakte hai.
 

Injections for Osteoarthritis and Knee Pain Relief

Hello friends, mera naam Gaurav Chanana hai. Mai Delhi Pain Management mein consultant hoon. Hum Delhi Pain Management me aapke dard ka har tarike se non surgically ilaaz karne ki koshish karte hai. Agar hum baat kare knee pain ki ya ghutne k dard ki to jo zyada dar humare paas mareez aate hain wo osteo-arthritis k shikaar hotein hai. Unko dard hota hai chalne mein, sidiya chadne mein, to aise dard k liye hum pehle unhe advice karte hain kuch medications jinhe hum ensage kehta hai, paracetamol aur kuch exercises, knee braces hotein hai aur kuch physical therapy like hot and cold formentation.

Agar in sab cheezo se unka dard thik nahi ho paata hai to humein kuch interventions ya injections ka sahara lena padta hai. Knee pain mein kayi prakar k injections diye jaate hai jaise ki cortisone injection, ozone gas, PRP injections, Hyaluronic acid injections ar radio frequency injections. Jo sabse zyada commonly used injections hotein hai wo cortisone ya ozone gas hotein hai jo ki kuch samay tak aap k ghutne ka dard kam kar dete hai. Aur agar hum baat kare kuch zyada samay tak k liye injections jo useful rahe to usme hotein hai Hyaluronic acid injection. Hyaluronic acid ek tarah ka joint fliud hota hai jisko hum ghutne k andar inject karte hai aur wo ghutne k jodh ka lubrication aur dard kam karne mein humari madad karta hai.

Agar hum baat kare ghutne me jo damage hota hai aur osteo-arthritis me cartilage k regrowth k liye to humein usme PRP injections use karne padhte hai. Grade I aur II osteo-arthritis me PRP injection k acche results hai. Iss k 3 session diye jaate hai. PRP aap k blood se banaya jata hai jisko centrifuge machine k zariye PRP m convert kiya jaata hai. PRP mein bohot saare growth factors hotein hai jo aapke cartilage regrowth me madad karte hai. Agar in sab injections se aur kayi karano se patient operation k liye bhi nahi ja sakta hai, bimaari k wajah se, wazan ki wajah se ya fir umar ki wajah se to un cases mein hum radio frequency k zariye se ghutne me dard paida karne wale nassoun ko dead kar dete hai. Ise hum Radio Frequency of Genicular Nerves kehte hai. Ye sab injections kaai kam risk waale injections hotein hai, humare centres pe usually kiye jaate hai.

Agar aapko knee pain k liye ya inse judein kisi injection k baare me koi bhi information chahiye ho to aap hum contact kar sakte hai Librate.com k through ya fir www.painhospital.in k through. Thank you, have a good day.
 

Hello, I am Dr Gaurav Chanana. I’m working as a consultant at Delhi Pain Management Centre. At Delhi Pain Management Centre, we are managing pains of every kind like muscular skeletal pain, back pain, heel pain and cancer pain also.

Cancer pain is one of the difficult pains to treat, difficult because cancer patients suffer from pain during the course of the disease either from the treatment like surgery, chemotherapy, radiotherapy or due to the spread of cancer to the various tissues when we say it is metastatic cancer.

For management of cancer pain, we need an expert doctor who is comfortable with using of opioid in managing cancer pain. It’s associated with side effects like constipation or drowsiness or the drugs are not being able to control the pain of the patient. At Delhi Pain Management Centre we try to manage cancer pain with various non-drug modalities, pharmacotherapy and also some interventions if and when needed.

If you have any query about cancer pain you can contact me via Lybrate through audio, video or in person consultation at any of our centers across the various parts of Delhi.