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Bone and Spine

Orthopedic health, conditions and treatment

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Pain Management

Intrathecal Pain Pump Concept, Use and Risks

By Dr Arun Pal Singh

intrathecal pain pump

An intrathecal pain pump is a surgically implanted drug delivery system that sends pain medication directly to the spinal cord. This unique treatment option may be recommended to selected patients of chronic pain who have not experienced adequate pain relief from conservative approaches. The intrathecal pain pump is a small battery-powered, programmable pump which is […]

Filed Under: Pain Management

Ketamine Use in Pain Management – First Guidelines Published

By Dr Arun Pal Singh

ketamine infusion therapy

Consensus guidelines for ketamine use in pain management have been developed jointly by the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists Ketamine is a drug that is used for the initiation and maintenance of anesthesia during invasive or non-invasive procedures. It produces […]

Filed Under: Pain Management

Postoperative Pain Management

By Dr Arun Pal Singh

postoperative pain management

Perioperative pain relief or postoperative pain management or postoperative analgesia deals with the treatment of pain that occurs after the surgery. Postoperative pain can be acute that occurs immediately after the surgery or chronic that occurs and continues over a period. This article mainly concentrates on acute postoperative pain and the term postoperative pain here […]

Filed Under: Pain Management

Myalgia or Muscle Aches – Causes and Treatment

By Dr Arun Pal Singh

Myalgia pain causes and treatment

Myalgia is a medical term for muscle pain. It is derived from the prefix my(o)-, meaning muscle, and the suffix –algia, which refers to pain or a painful condition. Muscle aches can be caused by diseases and disorders. It is a common complaint among adults presenting for medical care. Nearly everyone, at some point in […]

Filed Under: Pain Management

Epidural Steroid Injection Procedure

By Dr Arun Pal Singh

Epidural streoid injections

Epidural steroid injection, as the name implies, is a technique of injecting a steroid into the epidural space for relieving pain in the neck, arm, back, and leg, caused by inflamed spinal nerves due to spinal stenosis or disc herniation.   An epidural steroid injection typically includes both a corticosteroid like methyl-prednisolone, dexamethasone or other […]

Filed Under: Pain Management, Procedures, Spine

Sacroiliac Joint Injection Indications and Procedure

By Dr Arun Pal Singh

Sacroiliac Joint Injection as visualized under C-arm image intensifier

A sacroiliac joint injection is also called a sacroiliac joint block. It is primarily used either to diagnose or treat low back pain and/or sciatica symptoms associated with sacroiliac joint dysfunction. Relevant Anatomy The sacroiliac joint is an amphiarthrodial joint, formed between the auricular surfaces of the sacrum and the ilium. Interosseous ligament, the anterior […]

Filed Under: Pain Management, Procedures, Spine

Selective Nerve Root Block – Indications and Applications

By Dr Arun Pal Singh

selective nerve root blocks

Selective nerve root block is similar in approach to facet joint injections but they address different pathologies. Both of these might be used in the same patient for the diagnostic purpose [to find if the pain is due to facet joint or nerve root] but as therapeutic measure, they address different issues. As in epidural […]

Filed Under: Pain Management, Procedures

Meralgia Paresthetica

By Dr Arun Pal Singh

Distribution of Meralgia Paresthetica

Meralgia paresthetica is an entrapment neuropathy of lateral femoral cutaneous nerve resulting in pain in the outer thigh. Lateral femoral cutaneous nerve is a sensory nerve that supplies the lateral aspect of the thigh. Meralgia paresthetica comes from the Greek words meros (thigh) and algos (pain). The compression of the nerve commonly due to focal […]

Filed Under: Pain Management

Hand Pain Causes and Treatment

By Dr Arun Pal Singh

hand pain causes

Hand pain could be due to many causes many causes, including injury and disease. Fortunately, many of those causes can be treated and the symptoms eased. Here are some of the most common conditions that cause hand pain. But first an overview of the anatomy of hand. Anatomy of Hand Each hand contains 27 distinct […]

Filed Under: Pain Management

Platelet Rich plasma Therapy and its Uses

By Dr Arun Pal Singh

orthobiologics representation platelet rich plasma

Platelet rich plasma is platelet plasma fraction of blood drawn from patient [autologous blood] which contains concentrated platelet and used as orthobiologics to treat many musculoskeletal conditions. Orthobiologics are biological substances that are used to help injuries to heal more quickly. Orthobiologics are used to improve the healing of fractures, injured muscles, tendons and ligaments. […]

Filed Under: Pain Management

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Illustration of Posterior cervical spine surgery

Cervical Spine Surgery in Disc Disease

Cervical spine surgery for is most commonly performed for radiculopathy and cervical degenerative disc disease. The goal of cervical spine surgery is similar to lumbar spine surgery – adequate decompression of the nerve roots and stabilization of the spine Anterior cervical discectomy Anterior cervical discectomy  and fusion Anterior cervical discectomy  and fusion with internal fixation […]

back massage effective

Back Massage in Back Pain- Does It Help?

Have you ever considered a back massage for back pain? Do you wonder if it is really effective or would help you? Let us find out. Back pain and neck pain are often quite irritating and take time to go. Most of the back pains we have are due to postural abuse of the spine […]

complex-regional pain syndrome lower limb

Complex Regional Pain Syndrome or CRPS

Complex regional pain syndrome or CRPS is a chronic painful condition causing intense pain, usually in the arms, hands, legs, or feet. The cause of condition is poorly understood and there is no cure. The management involves control of symptoms by various modalities. The condition It may happen after an injury to a nerve or […]

intrathecal pain pump

Intrathecal Pain Pump Concept, Use and Risks

An intrathecal pain pump is a surgically implanted drug delivery system that sends pain medication directly to the spinal cord. This unique treatment option may be recommended to selected patients of chronic pain who have not experienced adequate pain relief from conservative approaches. The intrathecal pain pump is a small battery-powered, programmable pump which is […]

lateral View of Lateral Malleolus fracture With Ankle Subluxation

Fibula Fracture Presentation and Treatment

Fibula fracture occurs less commonly in isolation and more commonly occur in association with a tibia fracture. Therefore, if a displaced fibula fracture is encountered, fracture of tibia bone must be suspected and looked for. At either end of the bone, the fracture may also occur with ligament injuries. The fibula and tibia are the two […]

Normal Olecranon Bursa and Inflamed Olecranon Bursa or Bursitis

Bursa Anatomy and Significance

Bursa is a thin, lubricated fluid-filled sac located at points of friction between a bone and the surrounding soft tissue, such as skin, muscles, ligaments, and tendons like a fluid-filled balloon. About 160 bursae are present in adult body size of which depends on the location of the bursae. A bursal sac is made up […]

X-ray of Legg CalvePerthes Disease

Legg Calve Perthes Disease – Clinical Presentation and Treatment

Legg Calve Perthes disease is an idiopathic avascular necrosis of the proximal femoral epiphysis in children resulting from compromise of the tenuous blood supply to this area. Legg Calve Perthes disease usually occurs in children aged 4-10 years. Mean age is 7 years. Mostly, the disorder is unilateral. It affects 1 in 10,000 children with a male to […]

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