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    Discogenic Back PainOccu
    Discogenic Back Pain Occurs as the Condition of the Discs in the Spine Gradually Changes Over Time As we get older, the discs in our back go through a natural aging process. For many, this occurs without causing any noticeable symptoms. For others, it can be the source of persistent lower Back or Neck Pain. Those most commonly affected are 30 to 60 years of age. If you are among those who suffer, the good news is that Discogenic back pain usually improves with the proper medical attention. Our Pain Management Specialists[Pain Physician] will help you understand what’s causing your Pain, develop personalized Non-Surgical Treatment regimens to resolve your Pain, and strengthen your Spine now and for years to come. How & Why Does Discogenic Back Pain Develop? Discogenic pain occurs as the condition of the discs in the spine gradually changes over time. It is one of the most prevalent causes of acute or chronic back pain. You may experience only a few days of pain, or you may suffer prolonged, moderate to severe, recurrent pain. Most discogenic pain occurs in the lumbar spine (lower back). When pain occurs, it may be spontaneous or it may result from an activity. The most frequent symptoms of Discogenic Pain are Lower Back Pain and Spasm. Occasionally, pain may radiate to the buttocks, groin, or thighs. Typically, the pain is made worse by bending, sitting, or standing in a stationary position, and often relieved by lying down. However, mild activity such as walking may actually provide some relief. Certain tasks, such as lifting or bending, will likely make the symptoms worse. The lumbar (lower) spine has five vertebrae with soft discs in between. Each disc is composed of a tough outer ring (annulus) surrounding a soft center (nucleus). When we are young, the discs consist predominantly of water (about 80%), but as we age, the discs lose hydration and become more susceptible to cracking and fissures called Annular tears. These tears lead to inflammation and pain. " Symptoms" *Lower (lumbar) Back Pain *spasms *Pain radiating to the buttocks, groin, or thighs Diagnosis Proper diagnosis starts with an experienced pain management doctor.The type of pain that you may have with Discogenic Back Pain can be similar to the symptoms of several types of disorders. Accurately determining the correct source of your pain is critical to successful treatment. Begins with a thorough clinical evaluation Including a complete medical history, analysis of your symptoms, and physical examination Testing may include xW-rays, MRI and/or CT scans, and electro-diagnosis (EMG) These advanced diagnostic techniques definitively pinpoint the source of pain Possible Treatments*** 1-Disc Regenerative Therapy 2-Epidural Nerve Block 3-Spinal Cord Stimulation We're Here to Help get Your Life Back Living with acute or chronic discogenic back pain is a daily struggle and finding relief can be challenging. We are here for you. Our highly skilled pain doctors get right to the source of your pain and will provide treatment tailored to your needs. Stop letting pain ruin your life, discuss in detail with Best Pain Specialist in Jaipur, Dr.sanjay sharma
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    trigeminal neuralgia?sui
    trigeminal neuralgia? suicidal disease-electric shock over face? dr sanjay sharma, interventional spine pain physician JPRC SPINE& JOINT CARE, JAIPUR expert view Trigeminal Neuralgia, or TN, is a cranial nerve condition that causes intense facial pain on one or both sides of the face in sudden and sporadic episodes. most often its noticed over one side of face but some timetimes happened on both side of face, Though the pain typically only lasts seconds, many people with Trigeminal Neuralgia describe the pain as debilitating and unbearable. Usually, this impulsive pain occurs unexpectedly and without warning, though some patients report tingling, Numbness or Achiness in the days leading up to an attack. Pain comes on quickly and frequently for several days, weeks or even months during each episode. Doctors are not sure of the exact cause of TN, but it is believed to be associated with pressure placed on the trigeminal nerve by surrounding blood vessels. Fortunately, treatments are available to help TN patients manage pain and reduce episodic recurrences. primarily most of general physician or Neurophysicians think its only managed by medicines, after a long fail trials, he refer to neurosurgeon for brain surgery, like open surgery of brain-patient become reluctant for any surgery. now we had many minimal invasive procedure like radiofrequency ablation, ballon decompression, GAMA knife etc radiofrquency ablation is one supposed to be safest and non cutting, bloodless day care procedure, under local anesthesia, and mild sedation.results of pain relief by rf ablation are immediately,
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    Steroid-induced Secondary
    Steroid-induced Secondary Osteoporosis Written by dr sanjay sharma interventional pain physician & dr lalit bhardwaj neurosurgeon department of neurosurgery and pain medicine apex hospital jaipur While osteoporosis is the main cause of spinal compression fractures, most of time patients use to ask for quick pain relief and treating doctors , compelled to prescribe corticosteroids or other high pain killers to gain confidence of patient that undoubetedly can cause your bones to weaken and become more prone to fractures. Older woman speaking to her Doctor, while Doctor has medication bottle in hand Corticosteroids (such as Prednisone) are medications that relieve inflammation. If taken too long and at very high doses, corticosteroids can cause bone loss and osteoporosis. As such, these medications can increase your risk for developing a spinal compression fracture. (You can learn more about them in our article about corticosteroids.) Corticosteroids work against bone health in a number of ways: 1-They promote the activity of osteoclasts (which are bone-absorbing cells). 2-They inhibit the formation of osteoblasts (which are bone-building cells). 3-They interfere with the small intestine’s ability to absorb calcium. Corticosteroids can prevent the small intestine from absorbing the calcium your body needs, and the calcium that’s not absorbed is excreted in your urine. When your body isn’t able to absorb calcium from the small intestine, it takes calcium away from your bones. Calcium is essential to bone health, and you can learn more in our article about calcium to build bone. Studies show that the greatest amount of bone loss occurs after the first year of corticosteroid treatment, and it’s estimated that as many as half of patients on corticosteroids will have a fracture at some point while on the medications1. Fortunately, research has also found that patients experience a significant decline in fractures after stopping corticosteroid treatment2. If you are taking corticosteroids and are concerned about your risk for spinal compression fractures, talk to your doctor. He or she will help you weigh the risks and benefits of corticosteroid treatment.
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    Minimally Invasive Treatm
    Minimally Invasive Treatment of #Vertebral Compression Fractures: Vertebral Augmentation Implant, #Kyphoplasty, #Vertebroplasty Written by dr lalit bhardwaj neurosurgeon, dr sanjay sharma interventional pain physician from apex hospital neurosurgery and pain medicine department jaipur, india. Spinal compression fractures may be treated with surgery. Vertebral Augmentation Implant, Kyphoplasty, and Vertebroplasty are three minimally invasive treatments for thoracic and lumbar spinal compression fractures. These procedures use bone cement. A newer type of vertebral augmentation system is now performed that is different from vertebroplasty and kyphoplasty. This minimally invasive treatment for thoracic and lumbar spinal compression fractures utilizes a continuous loop-like spinal implant. Like other procedures, it is performed using image-guidance. During the percutaneous (through the skin) procedure, the implant is delivered through a small, single incision. After the implant is in place, bone cement is injected and the implant is removed. Kyphoplasty During kyphoplasty, also called balloon kyphoplasty, a thin tube is inserted into the collapsed vertebra. Attached to the tube is a small balloon that, when inflated, moves the broken bone creating a space. The balloon is removed and the space is filled with thick liquid bone cement. Balloon kyphoplasty can relieve pain and stabilizes the compression spinal fracture. In addition, kyphoplasty may also restore vertebral height thus reducing spinal deformity. Vertebroplasty During vertebroplasty, the cement is injected into the collapsed vertebrae. The bone cement rapidly hardens and stabilizes the fracture. Vertebroplasty can help to relieve pain and may strengthen other vertebrae that are weak but not fractured. Kyphoplasty and vertebroplasty are peformed using thin tubes (called cannulas). A cannula is passed through the skin and into the vertebral body. The patient usually goes home the same day. Some patients may stay overnight in the hospital. The small incision(s) where the cannula(s) was inserted often do not require stitches. Vertebral Augmentation Implant, Kyphoplasty and Vertebroplasty These procedures may decrease or eliminate pain associated with a thoracic or lumbar vertebral compression fracture. With kyphoplasty or vertebroplasty, there is a risk of bone cement migrating out of place (called extravasation). As with any surgical procedure, there are risks such as infection.Your interventional physician or surgeon will explain each procedure's benefits and risks.
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    Minimally invasive spine
    Minimally invasive spine surgery (MISS) uses advanced technology and innovative techniques to treat back pain and neck pain caused by a variety of spinal disorders .dr sanjay sharma interventional pain physician says, Some of the spinal conditions MISS can treat are: *degenerative disc disease *herniated discs *scoliosis *spinal stenosis Through computer-assisted technology and highly specialized tools, minimally invasive surgery is an attractive option for patients who want a quicker recovery after surgery, less post-operative pain, and smaller incisions.from few milimeter to centimeters but not a big incision, what it was practice in past years, or by conventional spine surgeons. Minimally invasive spine surgery minimizes soft tissue damage (eg, muscles). MISS may be a less risky, less invasive option compared to traditional open spine surgery. Although there are advantages of MISS, the goals of MISS procedures are the same as open traditional procedures. The 2 main goals of minimally invasive spine surgery are: 1-Decompression: This is used to take pressure off (to decompress) your spinal cord or nerve roots. That pressure can cause pinched nerves and pain. The goal of this procedure is to relieve the pressure and reduce your pain. 2-Stabilization: Sometimes a mobile segment can be the source of pain or abnormal movement can cause pain. When this happens, a stabilizing surgery may be needed. This is typically a fusion, often done with instrumentation. There are 3 main minimally invasive spine surgery techniques: 1-Mini-open: This is similar to an open procedure, but has fewer risks, such as less blood loss during surgery and less risk of infection because the incision is much smaller. Advances in visualization have made mini-open procedures possible. 2-Tubular: This surgery involves a tubular retractor, which acts as a tunnel that passes through your back muscles to access your spine. MISS with a tubular retractor is commonly referred to as a "muscle-splitting" approach. Compared to open spine surgery, there is less muscle damage and less blood loss when using a tubular retractor. 3-Endoscopic: This spine surgery uses a tiny video camera called an endoscope—which is smaller than a dime—to pass through small surgical incisions (usually less than 2 cm) to access your spine. According to the American Association of Neurological Surgeons, this procedure is commonly referred to as a "keyhole surgery" because an endoscope guides surgeons by showing them an internal view of your body on screens in the operating room. However, there are only a few spine surgeries that use endoscopes. These 3 types of MISS can be used in specific spine surgeries, such as [a]discectomy, [b]foraminotomy, [c]laminectomy [d] laminotomy. Sometimes a fluoroscope is used during minimally invasive spine surgery. Fluoroscopes are x-ray machines used to guide your surgeon during your procedure. They give your surgeon the best views of your spine. Keep in mind, though, that surgery should be a last resort for treating your pain caused by a spine condition. If you've tried non-surgical treatments, such as pain medications, rest, and physical therapy, in the last 6 to 12 months and they're not working for you, then you may want to consider spine surgery, and minimally invasive spine surgery may be an option for you.
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