Those who suffered heart attacks and underwent stenting or surgery can be offered structures rehabilitation to resume the normal life. Also those who had damage to heart muscle may have limited abilities, can be rehabilitated to their best physical capabilities.
They feel troubled with pain, could not concentrate on their work and significant percentage of them are with depression and sleep disturbances.. The pain also comes spontaneously in some people and they feel it in multiple areas at a time. These are called fibromyalgia, a widespread inflammatory condition involving the musculoskeletal system.
Low back pain and neck pain can be due to stress on the muscles, ligaments, bone and joints of the spine due to unhygienic long positions like sitting on the chair for long time, bending without knee flexion etc.
Sciatica is type of common cause of back pain often radiating to the legs. Disc prolapse and spinal degenerative osteophytes compress the exiting nerve roots results in a shooting and radiating pain. Acute pain can be managed with medicines and bed rest. Chronic pain requires spinal interventions like transformational epidural steroids and per cutaneous discectomy. Facetal joints are the other pain common pain generators in the spine due to inflammation and degeneration. Radio frequency ablation of pain producing nerves offers a good pain relief.
Osteoarthritis is a common condition due to degeneration of cartilage covering joint bony surfaces leaves painful bone structures for stress during weight bearing. Weight reduction, analgesics, physical exercises, intrarticular injections and radio frequency ablation of joint nerves relieves pain.
Widespread inflammation and pain points are hall mark of this syndrome. It’s debilitating and requires multimodal management. Medicines and physical therapy offers good relief and significant number of patients have depression who requires counselling as well.
Dr Sivakumar Periasamy is our pain consultant who had his special interest in acute and chronic pain services. He had his special training from Singapore General Hospital and Interventional pain Center, Delhi.
