Low Back Pain And Slip Disc With Sciatica: A Nascent Treatment
A young lady came to me with disabling back pain for last 5 years which made her leave the job. She is not marrying due to same problem.
A schoolgirl of 10th class is not able to focus on studies since past 6 months because of back pain which she relates to dance competition preparation 7 months back. She has her board exams coming making her & family all the more worried.
“Because of my back pain I can’t play with my children or sleep comfortably.” Said a patient.
A patient had to change his job because he could not commute distances for same reason.
I keep getting this neck pain as & when I have to spend extra hour on my computer at duty in the bank.
A patient requested me to get rid of her back pain as her daughter is getting married in two months.
“Help me doctor as my married life is getting ruined” said a young back pain patient.
For all these and many like them Dr. Neeraj Jain`s massage is “pain is real and treatable- there is no merit in suffering” “No one needs to suffer as so many good and effective treatments are now available at specialty pain clinics”. You must see a pain specialist if you still suffer from pain after a month of conservative treatment. Sooner your pain is managed better are the overall results.
It’s a pandemic disease having 80% of lifetime prevalence, affecting 15-20% population at any point of time, as such pain (the 5th vital sign as per W.H.O.) is the commonest symptom to consult a doctor. It is the commonest cause of young age disability (3-4% annually with 1% permanently disabled). 30-60% of all acute LBP relapse & develop chronic LBP. It has significant financial, socioeconomic, emotional & physical morbidity. It needs an integrated multidisciplinary proactive treatment approach
“Do not take your back for guaranteed” says Dr. Jain who is heading pain clinic at Sri Balaji Action Medical Institute inNew Delhi. One can avoid back pain with spine care and avoiding risk factors like osteoporosis, obesity, smoking, prolonged driving, sedentary lifestyle, too heavy or too little exercise, bad spine postures and wrong way of pushing or lifting heavy objects.
While spinal arthritis is the common reason of young age back pain at prime of their carriers including some bollywood celebrities, disc diseases including slip disc is prevalent in all age groups, in young age due to trauma & in old age due to degeneration.
With interventional pain management patients are getting back to life. It has both diagnostic and treatment values, as sometimes all investigations put together do not give the exact diagnosis.
Newer technologies like ozone injection cures most of the patients of slip disc & sciatica, as ozone’s nascent oxygen atom shrinks the disc so taking away pressure from pain sensitive nerves. It is a non surgical, outpatient procedure done under local anesthesia not requiring bed rest for more than day or two & prolonged absence from work realizing the importance of time, at much lower cost with almost no complications. This procedure is done under radiological guidance for precise needle targeting and best results. There after patient is given advice for spine care & healthy habits. This technology is latest & many people including medical caregivers don’t know about it. It has benefited millions in developed world and is now available inIndiaalso.
CHRONIC PAIN: A MENACE
Pain is one of the most common reasons for patients to seek medical attention and one of the most prevalent medical complaints in today’s world. Chronic pain has many causes and can affect any part of the body. Conditions most associated with pain include arthritis, headache, neck and back problems, cancer, neuropathies eg. Diabetic, chronic regional pain syndromes (CRPS), pelvic pain disorders, fibromyalgia, myofacial pains, herpes and trigeminal neuralgias.
Chronic pain can lead to depression, anxiety, marital & interpersonal problems, decreased productivity, unemployment, compromised social roles, isolation, financial burden, dependence, prolonged analgesics usage, decreased self esteem with behavioral changes adversely affecting mental and physical abilities, activities of daily living & ruining quality of life
Pain still remains inappropriate & inadequately treated. Although tremendous scientific & technological advances have been made, the knowledge & techniques are highly underutilized. Untreated pain destroys people’s lives. I have had patients come in who couldn’t work or sleep or play with their children. Good pain management gave them their lives back. It is cruel to deny people in pain access to effective pain treatment. People should not be suffering needlessly.
Thus, pain clinics are specialized areas that are now assuming the role of an essential service as they meet a need unmet by any previously existing medical facility. They help by simultaneously treating the physical, emotional, cognitive, behavioral, vocational and social aspects of chronic pain cost-effectively.
Our ultimate goal is to cure & care people suffering from pain, make them productive human beings for the society and increase their self esteem so that they can live life as normal individuals.
Interventional pain procedures scores over both medicine and surgery, as they do not have side effects like medicines. Surgeries for pain, have now limited indications, usually as a last resort.
The interventional pain procedures produce immediate pain relief, can be performed with ease by pain physicians without anesthesia as outpatient or daycare and adequate duration of pain relief obtained and suitable for surgically unfit & debilitated patients, procedure can be repeated safely if required.
In the absence of proper education among health care professionals and lack of awareness in the public mind inIndia, there is misuse of painkillers resulting in high incidence of complications like gastritis, kidney failure, bone marrow depression and bleeding from gut which can be catastrophic.
The Indian health care scene has a curious mix of paradoxes. Advances in cardiovascular surgery or high-tech investigative facilities inIndiaare on par with any advanced country, at least in some cities. Though skills, advanced equipments are available, still pain relief is not available to majority of its population. At least a million people inIndiasuffer unrelieved cancer pain. The number of people suffering other chronic pain conditions is anyone’s guess. Paradoxically,Indiastands high chance to become the health destination for pain management for the world, by using interventional pain therapies and very effective traditional therapies unique toIndia.
“Stop pain from managing you.”
“No one dies of pain but many people die in pain and even many more live with pain”
“Enjoy a pain free life”
“Pain relief is a human right.”
W.H.O. has assigned pain as 5th vital sign.
“Don’t let pain control your life. Be proactive to manage pain.
Intractable pain ruins patient’s life. It robs the patient of his life.
“Pain has the thousand teeth”.
“The pain of mind is worse than the pain of body”
“Chronic pain is something you wear on inside, not on the outside”
We work with the patient to identify the root cause of the problem and create a treatment plan to alleviate the pain.
We offer the full range of advanced treatment for chronic pain.
A good treatment improves patient’s quality of life.
State of the art pain clinic is benefiting many patients with intractable pains..
Under treatment of pain is a major public health concern.
Pain is the 1st reason for work abstinence.
Because of increase in age expectancy pain is becoming more prevalent.
Pain should be managed promptly before it gets complexed & centralized to brain.
One in every four persons suffers from pain of which 50% have serious pain issues so as to affect them physically, mentally, socially and financially.
Chronic pain is a disease in and of itself. It not only affects the patient, but also impacts the lives of family and friends.
Pain is one of the most neglected problem of the patient and has very serious and lasting consequences.