Pain Management

Cervical Myofascial Pain- Causes, Symptoms and Treatment

Cervical myofascial pain is a type of myofascial pain syndrome that originates from neck muscle and surrounding fascia which becomes tight or damaged. Cervical myofascial syndrome is characterized by Stiff neck with limited range of motion Tight painful neck muscles Pain that goes to surrounding parts like head or shoulder Trigger points- Sharp small knots […]

Neck Pain Causes and Treatment

By Dr Arun Pal Singh

Neck pain is almost as common a complaint as low back pain. Most cases of neck pain are due to minor muscular or ligament stresses. But there could be many other causes including the serious ones. Most of the neck pain cases are short-lasting and often can be managed at home. But a chronic pain […]

Pain – Causes, Types, Diagnosis and Treatment

By Dr Arun Pal Singh

The pain is an unpleasant discomforting sensation caused by injury or disease. Depending on the cause the pain may be acute onset or chronic in nature. The word pain comes from the Latin poena which stands for punishment, as it was considered punishment from Gods. Pain occurs very frequently in the people and often signifies […]

Immune Response to Orthopedic Implants

Immune response to orthopedic hardware after implantation could be due to metal sensitivity or against other components, usually of bone cement. The condition though rare, metal hypersensitivity should be considered. In cases of recurrent pain and aseptic loosening related to implanted hardware. The first report of cutaneous hypersensitivity caused by a metallic orthopedic implant was […]

Sacroiliac Joint Injection Indications and Procedure

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 […]

Osteopoikilosis or Spotted Bone

Osteopoikilosis is a benign, autosomal dominant skeletal dysplasia that manifests radiographically as multiple bone islands which are especially seen near the joints, epiphyses, metaphyses of long and short tubular bones. The condition is also known as the spotted bone. The islands are also seen in in the pelvis and scapulae. The distribution is typically bilateral […]

Ulnar Nerve Anatomy, Course and Supply

The ulnar nerve, an extension of the medial cord of the brachial plexus, is a mixed nerve (both motor and sensory) that supplies hand muscles and medial aspect of the skin of the hand. The ulnar nerve and median nerve are responsible for the supply of flexor muscles and skin of the hand. These nerves […]

Ganglion Impar Block

The ganglion impar is a sacrococcygeal ganglion, also called ganglion of Wather. It is a retroperitoneal structure located at the level of the sacrococcygeal junction. It is the final terminus of sympathetic chains formed by the fusion of both the chains. Therefore, the ganglion impar block is used in patients with the pain in pelvic […]

Dupuytren Contracture – Presentation and Treatment

Dupuytren contracture is a thickening of the fibrous tissue layer underneath the skin of the palm [fibromatosis] and fingers leading to painless thickening and tightening (contracture) of this fibrous tissue which causes fingers to flex. It is also known by the names of morbus Dupuytren, Viking disease or Celtic hand. It is named after surgeon […]

Purines and Foods Rich in Purines

Purines are natural substances that form part of the chemical structure of our genes and the genes of plants and animals. Though these are present in many foods, a relatively small number of foods contain concentrated amounts of them. By and large, these foods are also high-protein foods. Examples are meats like kidney, fish like […]