MD City Hospital

Hi,

I am Dr. Neeraj Jain, Pain Management Specialist. Today I will talk about arthritis. Ismien joint problem bohut common hai. Ye problem older age mein bohut common hai. Kayi baar young patients mein bhi ye problem hoti hai like in jumpers and in sportspersons. Treatment diya jaate hain and physiotherapy bhi di jaati hai. Kayi baar inflammatory arthritis hota hai, aise case mein proper treatment lena chahiyai. Jitna jaldi treatment lenge, utna jaldi recovery hogi. Tisra arthritis old age arthritis hota hai jismein cartilage wear and tear ho jaata hai. Ismein bone expose ho jaati hai. Padding khatma ho jaati hai jiski vajaha se jab aap chalte hain toh pain hota hai. Log chal nahi paate hain and sidhi bhi nahi chadh paate hain. Baithe rehne se weight gain hota hai jiski vajaha se patient ko aurr bhi jyada problem ho jaati hai.

Isliya patient ki movement jaruri hai. Patient avoid karte hain kahin bahar jaana, socialize hona. Lekin vo acha nahi hai kyuki life ki quality poor ho jaati hai. Isliya jaruri hai ki healthy rahein and quality life spend karein. Pain killers jyada lene se kidney damage ho jaati hai. Gastritis ka bhi issue ho sakta hai jismein bleeding ho sakti hai. Log chemist ke pass ja kar bhi pain killers lete hain. Aise painkillers lene se complications jyada aate hain. Medicines lene se dekha gaya hai ki kidney bhi damage ho jaati hai patient ki. Isliya painkillers avoid karein. Agar humein dikh raha hai ki kidney damage ho rahi hai toh humein medicines change and moderate karni padti hai. Kuch safe painkillers aa gaye hain. Agar aap movement rakhenege toh uske liya pain free hona jaruri hai. Toh aaj kal kuch latest treatment aa gaye hain. Ismein knee ki nerve ko block kar diya jata hai. Jis se patient ko pain nahi hota hai.

Cartilage tear hone par hum treatment PRP or stem cells ke through de sakte hain. It is called regenerative therapy. Jaise body mein power hoti hai development ki. Jab body mein power kam ho jaati hai age ki vajaha se toh hum stem cells daal dete hain. Is se joint reform ho jaate hain. Is se patient chal paata hai and pain free ho jaata hai. Patient normal life mein firse chala jaat hai. But still due to old age agar unki quality of life improve ho jaata hai toh humein aur treatment plan karne padte hain. Hum try karte hain ki patient ko osteoporosis na ho. Calcium lete rahein, vitamin D3 lete rahein. Agar kuch patients mein early stage hai toh physiotherapy ka role kafi acha hai. Home exercises karein. Carioseps and thigh muscles ko strong rakhein. Jaise hi aap baith jaate hain, muscles aur weak ho jaati hain. Isliya exercise regimen follow karein. Khush rahein, family ke sath mil ke rahein. Isliya hum chahte hain ki aap quality of life improve karein. Hum chahte hain ki old age people bhi achi life jeeyein.

Thank You!

Hi,

I am Dr. Neeraj Jain, Pain Management Specialist. Today I will talk about the treatment of spine problem, cancer without any surgery. Ye treatment aap ko daycare mein diya jaat ahi and general anesthesia ki bhi jarurat nahi padti hai. Ye treatment without incision kiya jata hai. Aap ise needle surgery bhi keh sakte hain. Aaj kal heart ka treatment bhi angiography or stenting se kiya jaata hai. Hum laser treatment bhi use karte hain or radiofrequency treatment kiya jaate hain. Slip disc bohut common hai. Cervical pain bhi aaj kal common hai kyuki log phone bohut use karte hain. Lumbar disc ka bhi problem ho raha hai gym karne ki vajaha se. Sabse pehle aap ko precautions lene hain. Prevention is always a better option than a cure. Hamesha sidha baithe.

Sidha chalein jis se ki aap ko kam disease hon. Couch and slouch na banein. Humara spine "S" shape ka hota hai and jab hum ise "C" curve mein le jaate hain jiske vajaha se disc pe loading aati hai. Disc buldge hone se nerve and spinal cord press hoti hai. Humne dekha hai ki log weight aage jhuk ke uthate hain. Jitna aap aage jhukenge, utna disc pe loading hoga. Disc burst ho jaati hai. Back pain se ye disc problem mein aa jata hai and disc burst ho jaati hai. Leg mein bhi pain aa jata hai jise hum sciatica pain kehte hain. Kayi baar ye problem jaldi ho jaati hai agar humnein jyada weight utha liya. Sun hona, chitti chalna, pair ka kamjoor hona, power nahi lena.

Patlapan bhi aana start ho jaata hai agar hum care nahi karenge. Humnine bohut baar dekha hai ki log iski care nahi karte aur fir ye disease advance ho jaati hai. Jab jayada problem hoti hai tab patient Dr ke pass aate hain. Islia pehle hi care karein kyuki iske non-surgical treatments available hain jo bohut ache hain. Needle ke through hum laser pass karte hain and shrink karte hain. Extruded portion ko nikal kar portion ko seal kar sakte hain. Ye latest technology hai jo daycare procedure hai. Same day aap ghar chale jaate hain. Chal fir sakte hain. Aap ko bed rest ki jarurat bhi nahi padti hai. Surgery ek major operation hai. Ismein surgery puri hogi, cut lagega aur kayi baar mobidity bhi hoti hai. Long-term rest bhi lena padta hai. Heart ka treatment bypass se bhi hota hai but angio hai isliya bypass ki requirement hi nahi hai. Same way jab spine ka treatment needle se ho sakta hai to surgery ki koi requirement hi nahi hai. Kuch cases hain jo advance ho jaate hai vahan hum open surgery hi suggest karte hain. Isliya prevent it. Agar ho gaya hai toh non-surgical option len. Agar effect na aaye toh surgical option len. Hum advice karte hain ki exercise karein. Muscles tone rakhen. 10 minutes of daily exercises are recommended. Is se muscles tone rehti hain and disc bulge nahi hota.

Thank you!

Hi,

I am Dr. Neeraj Jain, Pain Management Specialist. Today I will talk about cancer pain management. Humnein dekha hai jaise jaise logon ki age badh rahi hai and population badh rahi vaise cancer ke chances bhi badh rahein hain. Dekha gaya hai ki treatment lene ke bawajood bhi patient ko pain ki problem hoti hai. Cancer bohut badi entity hai and severe pain deta hai. Patient ko pata hota hai ki stage 4 mein unhe bachna nahi hai but still jab unhein pain hota hai toh vo tolerate nahi kar pate hain. Pain ki vajaha se unhein hospitalise hona hi padta hai.

Strong pain killer dene se patient almost bihosh rehta hai. But ye wise treatment nahi hai. Latest technology ke according bohut ache treatment aa gaye hain. Latest treatment ke according hum needle dalte hain and nerve ko block kar dete hain jis se patient ko bilkul bhi pain nahi hota hai. Thodi bohut medications deke patient imporve kar jata hai. Heavy medications dene ki jarurat nahi padti hai. Eg ke lia humare ek patient ko cancer tha, humne needle lagaya toh unka pain band ho gaya. Patient ne humse CT ke lia bola toh humnein kaha CT kis lia. Patient kehta hai ki mujhe lag raha hai cancer hi khtam ho gaya hai. patient ko sari problem pain se hi hoti hai. Agar pain nahi hota toh patient ko lagta hai ki cancer cure ho gaya hai. Pain aisi chiz hai jo patient ka apna symptom hai. Islia humare lia important hai ki patient ko pain relief ho. Pain se badi koi sensation nahi hai.

Agar aap pain kam kar sakte hain toh patient ko cancer ki itni preshani nahi hoti jitni pain se hoti hai. Jab vo kam ho jaata hai toh patient comfortable ho jaata hai. Islia cancer ka treatment apni jagaha hai and pain ka treatment bhi kiya jaa sakta hai. Cancer ka treatment ho ya na ho, pain ka treatment 100% hai. Agar hum patient ki age nahi badha sakte but hum patient ki quality of life improve kar sakte hain. You can't add days to life but add life to days. Cancer patient ki lia trauma toh hai hi but sath hi family ke lia bhi ye ek trauma hai. Family bhi ek dard mein reh jaati hai. Cancer management ke treatment toh hain but pain management ka treatment bohut kam hospitals mein hai.

So, care is the most important thing in cancer. Pain manage karna bohut jaruri hai and ye easily manageable hai. So, it is very much treatable. There is no point of suffering. Agar survival ho jaata hai toh acha hai and in any case survival ke chances kam hain to quality of life improve kariye. Hospital mein at least patient ke days pade hue nahi niklenge. Patient bhi Dr se puchta hai ki kya mein ghar jaa sakta hun? Humare hisab se agar aap ko pain nahi hai toh ghar jaa sakte hain. Patient ko malum hai ki uski life kam bachi hai toh vo apni family ke sath spend karna chahta hai. Humein is baat ki respect karni chahiyai. Try karein ki pain free ho ke jiyein. Logon ko khushiyan de saken. Cancer ke preventive measures hain and bohut ache treatments hain. Khushi se jiyein, acha jiyein, long jiyein aur cancer free rahein.

Thanks!

Hi,

my friend, I am Dr Neeraj, I am a senior consultant in the spine and pain specialist. I own spine and pain clinic and I work as a senior consultant in Max Hospital in Shalimar Bagh and Balaji Action Hospital. Now let's understand, you know why the pain management what is the importance of the pain management and pain clinic for that matter. Pain is one of the most common symptom people present in the hospital and is the most common thing which the patient comes with. So we really have to look at the symptomatic part of it because is not blood sugar, blood pressure you know which affects the patient and patient doesn’t know about it and they go for treatment and talked on it what is blood sugar and blood pressure. Its something which patients come and tell that patient has got a problem, patients got a pain and patients come with the objective problem with that there is a problem pain coming from. So we have to take patient word into a count and treat it accordingly. Any pain which is not being treated in 4 weeks time that really needs some serious concern and serious treatment. So one should see a pain specialist if you think any treatment which is not good enough for next last 4 weeks, you should go and get more investigation and a targeted intervention done. Now what pain specialist, they do it the under one roof, they have always diagnostic and therapeutic interventions which is been done. So first we have an eye to have a look at like in cardiology in medicine there is cardiology, neurology, gastrology same way in there is a pain management which maintains all specialities put together. Any patient who is not being helpful last 4 week is the time they should see a pain specialist. no, what all we look at is if the patient got a back pain. Now it happens with almost 20% population any given point of time now Delhi has the population about 2 crores, let seek NCR for about 40 lakh people has got a back pain and of this 4 lakh people have a serious back pain which needs actual treatment you know. Maybe half question it may need be. Now what is to be done is if you don't treat in time the bigger problem is this become serious and then you obviously have to operative measures. Now what happens if you catch it early you can manage as the precautions lifestyle changes, some diet variation, some exercise and some medicines and some Physiotherapy, but if it is late then we have only option is the surgery. We won’t avoid the spine surgery because spine surgery is got a lot of hangover and over lace. The whole idea is if you can catch it in time precautions, conservative management and then if it is not really getting help before 30 days a very good Maternity these days which card information pain management where why you with non surgical treatment you can you can really manage all this back pain and slip disc, sciatica, cervical pain, cancer pain or fractures spin even all this or neuropathic pain for this matter. All this domain can very well be done including the cervical pain and headache. As well so what we do is we diagnose them, we do targeted management interventions, we go to the spot where is been coming from and block the pain from there. There is a best thing which is happened in the latest in the medicine you know. So what we do is like suppose there is a patient got a back pain and is being there for years together and suddenly the disc is with disease and is suddenly burst over one day and becomes a leg pain which is called a sciatica pain. Now what we have to see here to diagnose with the clinical aspect then MRI, once you have the exact diagnosed with you, you just have to take the patient on the see and just go to the days and 3 either days just with the needle. We can call and it needle surgery or needle dissect me. It's just like angiography patients have got a heart problem, there are 2 treatment which we have beyond conservative management which is the angiography or the heart surgery same way in spine also before any open surgery to be done there is something is very good modality interventions find management procedures which are almost non-surgical and minimally spin surgery are there you can call it. They work equally well as good as the surgery and without the competition surgery or without the surgery per safe.

The other ideas is patients has got a osteoporosis is got a pain, back pain is not getting adequately treated you can see a pain specialist and if there many issues there is a ruminant fracture or rib fracture we can simply put a needle, inject liquid cement inside now what we do is we get inside the body and inject liquid cement inside now this bone becomes the hardest bone of the body. Now understanding is important osteoporosis and the orthopaedic fracture is common in the spin, all over the body we know but hip fracture, shoulder fracture, disk fracture but people don't understand the severity of the spine fracture because if spine fracture is not taken care of in time it can go and pressurise the chord and they can be called damage or permanently paraplegic and the paralysis you can call it both legs they become dysfunction. So we should really treat in time if you don't get serious because the treatment is so simple and so easy. The whole idea is there are there are treatment available which are very effective which are almost non surgical. Why suffer, why allow complication to happen and then go for an open surgery, let it be in time. To this called a vertebroplasty or even if it is collapse you can do a kyphon ballooning and we can do a kyphoplasty. So this is about Cancer pain one important thing is don't die before actual death because cancer patients, they have been almost every day and they are almost dying every day, so I don't like that part of it because cancer is curable or not the different story altogether. Cancer pain is definitely curable we can treat cancer pain and the patient can have a quality life and whatsoever we call it, if you can't add days to your life we can add life to your days at this quality is better in patients back to the life, till the last day of life. This is due to the cancer pain and about the slip disc I mentioned you. But the other pain which is arthritis pain and headaches, they can also be taken care and adequately help without going for surgery. You don't have to go for like Trigeminal Neuralgia patient keep taking treatment for years together, you don't have to do that. Now what you have to do is you just go to the pain specialist, he will put in the needle in Trigeminal Neuralgia and block the Neuralgia with the radioactive machine and his pain is taken care for months and years together. With one injection any can be off medicine, the idea is one life to live, live it to firm, live it with quality why suffer in pain when the pain treatments are available. The whole idea is enjoy life pain free.

Thank you