#Pain specialist doctor in Delhi

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Pain is a personal experience and persistent pain can be challenging to treat as one therapy does not work for all. Patients with chronic pain require comprehensive solutions and these are best delivered by an experienced multi-disciplinary team which in simple terms means specialists from different fields work together to facilitate your recovery.

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Dr. Amod Manocha is the Head of Pain Management Services at Max Super Speciality Hospital, Saket. He is trained as a Pain Management Specialist and an Anaesthetist in the UK. He has over 13 years of work experience in the UK including working as a Chronic Pain Consultant in many UK hospitals. Dr. Manocha believes in multidisciplinary approach and providing evidence-based treatments at par with international standards. He is committed to providing quality care and believes in building long-term relationship with patients based on honest communication and keeping their interests foremost.

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[painspecialistindelhi]

Pain Specialist In Delhi and Gurgaon - Dr. Amod Manocha

DR. AMOD MANOCHA

Dr. Amod Manocha is the Head of Pain Management Services at Max Super Speciality Hospital, Saket. He is trained as a Pain Management Specialist and an Anaesthetist in the UK. He has over 13 years of work experience in the UK including working as a Chronic Pain Consultant in many UK hospitals. Dr. Manocha believes in multidisciplinary approach and providing evidence-based treatments at par with international standards. He is committed to providing quality care and believes in building long-term relationship with patients based on honest communication and keeping their interests foremost.

Experience

Dr. Manocha has over 17 years experience of which he had spent more than 13 years working in the UK. During this period he trained in Pain Medicine and Anaesthesia in many renowned London Hospitals including University College London Hospitals, Royal National Orthopaedic Hospital and Royal Free Hospital.

Dr. Manocha subsequently worked as a Chronic Pain & Anaesthesia Consultant in renowned UK hospitals like

National Hospital for Neurology and Neurosurgery- University College London Hospitals NHS Foundation Trust

Lister Hospital, East & North Herts NHS Trust

Barnet and Chase Farm NHS Trust

He has vast experienced in managing different types of chronic pain conditions including spine pain, nerve pain, musculoskeletal pain and persisting post surgical pain.

Dr. Manocha is part of teaching faculty for various international pain conferences, workshops and symposiums . 

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[dramodmanocha]

GROIN OR INNER THIGH PAIN DUE TO ADDUCTOR SPRAIN - REMOVEMYPAIN

                                Adductor Strain

What is adductor strain?

Adductor muscles are a group of five muscles located in the inner thigh. These muscles help to bring the legs close to each other and stabilise the pelvis during standing and walking.

Strain, injury or imbalance of the adductor muscles is a common cause of inner thigh and groin pain, especially amongst individuals who are physically active or in competitive sports. Soccer players are commonly affected and as per one study adductor strains account for 10% of all injuries in soccer players. Other sports where associated with adductor injuries include hockey, basketball, tennis, figure skating, baseball, horse riding and karate. Tight adductor muscles can lead to hip, knee and back pain and affect our gait. Of all the adductor muscles, one called adductor longus is the one most frequently injured.

What are the symptoms of adductor sprain?

Common presenting features include:

Groin, inner thigh and lower abdominal pain. In some cases, the pain is intense at the beginning of athletic activity and is later replaced by a dull ache

Pain on sitting cross legged or when with coughing/ sneezing

Pain on activity such as

Lifting one leg as while stepping down from height or getting out of car

Turning or changing direction

Walking. In mild cases pain may be provoked by more strenuous activities such as running, kicking or performing lunges

Bruising or swelling in the painful area in severe cases

Localised tenderness in the upper inner thigh, close to where the adductor muscles attach to the pubic bone

Adductor strains are classified as

First degree: Pain without loss of strength or range

Second degree: Pain with loss of strength

Third degree: Complete disruption of muscle or tendon fibers with loss of strength

What causes adductor strain?

Adductor strains form a significant proportion of groin injuries. In a study among European soccer players, adductor muscle injuries were the second most common (23%) after hamstrings (37%). Risk factors contribution to injury include

Previous hip or groin injury

Overuse, fatigue and muscle imbalances

Weak adductors with poor flexibility

Poor hip/pelvic stability and strength

Running on hard surfaces, excessive running

Footwear

Training associated factors such as inadequate stretching, and lower levels of sport-specific training changes in training intensity, volume or type of training

Age- tendons become less able to absorb force as they age

Biomechanical abnormalities including excessive pronation or leg-length discrepancy

Genetic factors such as poor collagen

Adductor sprain can be of sudden or gradual onset. Acute injury is associated with sporting actions such as suddenly changing direction at speed, sudden acceleration in sprinting, sliding sideways or kicking. One study analysed the videos of acute adductor injuries in professional male football players and found that majority of injuries occurred in non-contact situations (71%). Common injury actions included change of direction (35%), kicking (29%), reaching (24%) and jumping (12%).

How is this condition diagnosed?

Diagnosis can be usually made clinically. MRI is used for confirming the diagnosis and assessing severity especially in chronic injuries unresponsive to conservative treatment modalities. Ultrasound scan is the alternative imaging option.

MRI Scans can give prognostic information as tears involving >50% of the cross-sectional area, tissue fluid collection, or deep muscle tears indicate more severe injury with prolonged recovery. The location of the tear is important as tears at the junction of the muscle with tendon (musculotendinous junction) can be more aggressively rehabilitated compares to one close to the joining of the tendon with bone, due to differences in the blood supply of the two areas. Tendons can be viewed as ropes tying the muscles to the bones. The musculotendinous junction is the most common site of injury in a muscle strain.

What are the treatment options for adductor strain?

Once the diagnosis has been established, treatment and prognosis are influenced by factors such as

Location of tear as those at the junction of the muscle with the bone can be dealt by aggressive rehabilitative treatment

Degree of strain/ tear

Duration of symptoms- acute or chronic

Presence of any biomechanical abnormalities such as muscular imbalances, leg length discrepancy

Acute injuries are initially treated with rest, ice, compression anti-inflammatory drugs and physical therapy with further management dependant of factors discussed earlier. Early treatment is recommended, and injections are used as required.

Education about load management and avoiding provoking factors is important. Activities like running can be replaced with swimming, walking, cycling as having baseline activities is preferred to absolute rest. Specific and individualised exercise programs have a role. A slowly progressive loading program can be used to improve strength and control of adductors, pelvis and lower limbs. The aim of the treatment initially is preventing further injury and inflammation and proving an optimal environment for healing to take place. As recovery occurs, this changes to restoration of range of motion and prevention of atrophy and then subsequently to regaining strength and flexibility.

Injections

This option is considered for individuals’ not responding to conservative measures. Injections are used in combination with physical therapy can help in confirming the diagnosis, providing early, lasting relief and possibly facilitation early return to usual activities. The options include

Steroid injections

PRP with or without needle tenotomy

Obturator Nerve block

Regardless of whichever option is used, ultrasound guidance is valuable in improving accuracy and reducing complications. Sometimes injections of the muscle in the lower abdomen (rectus abdominis muscle) are performed at the same time.

Steroid injections: There are quick to work, commonly performed injections. Steroids have anti-inflammatory effects and it may be all that is required to reduce the pain and help you actively engage with physical therapy. Some studies have shown better effects if the duration of symptoms is less that 6 weeks and hence the importance of early treatment.  Post injection graded increase in activities can be commenced once the pain remains controlled for two weeks.

Platelet Rich Plasma (PRP): PRP injections are commonly used for treatment of tendinopathy and the evidence supporting their use is slowly accumulating. The procedure involves spinning one’s blood in a special machine which separates the platelets (containing the growth factors) from the other blood components. This concentrated platelet layer is then injected into the problem area to induce tissue healing. These injections take time to work with benefits becoming apparent 6 to 12 weeks after treatment. PRP injections are frequently used in combination with needle tenotomy which essentially implies repeated puncturing of the tendon to promote blood flow to the area and induce long-term healing.

Obturator Nerve Block: This injection can have added effect on top of the injections discussed previously. Obturator nerve supplies most of the adductor muscles and hence blocking this nerve can help in reducing the pain signals being transmitted. Injury or compression of the nerve leads to symptoms similar to adductor sprain and is addressed as obturator neuralgia.  Obturator neuralgia can also be secondary to adductor strain and is a known cause of exercise induced groin, inner thigh pain. In this situation obturator nerve block can be especially useful.

Surgery: This option may be considered for acute complete tears with limb weakness or chronic tears with non-satisfactory response to other treatment modalities for a minimum of 6 -12 months. Surgery involves tendon release or dividing the tendon (tenotomy) and this may help to reduce the pain

Restarting activities: Return to play and activity is guided by symptom recovery as well as progress with treatment. Too soon a return is risk factor for repeat injury, which can cause chronic symptoms. Generally, after an acute strain return to sports is recommended on regaining 70% of strength and a painless range of motion. This can be usually achieved between 4 to 8 weeks, although can take up to 6 months chronic injuries. Maintaining adductor strength at a minimum of 80% of abductor strength has been shown to reduce adductor injuries.

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Expert Stomach Problem Doctor in Delhi | Dr Monga Clinic

At Delhi's Dr. Monga Clinic, get relief from a range of stomach problems, including bloating, abdominal pain, and a heavy stomach. Effective diagnosis and treatment of stomach issues is our team's area of expertise.

To book an appointment, visit our website - www.drmongaclinic.com/ or you can call at [phone] #DrMongaClinic #StomachHealth #GastricRelief #piles #constipation #liver #ayurvedictreatment

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TMJ Headache Treatment

TMJ disorders are the diseases of joints connecting the lower jaw to the skull. Joint derangement, muscle disorders, and degenerative joints are the common causes behind TMJ headache treatment. Get it treated effectively by the specialists at Dr. Garg’s Multispeciality Dental Center.

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Experienced TMJ Doctor Near Me

If you are searching for a dependable dental hospital or dental clinic for affordable and convenient TMJ pain treatment in New Delhi/ NCR, Dr. Garg’s Multispeciality Dental Center is the best choice. TMJ specialists treat muscle disorders, degenerative joint disorders, and joint derangement disorders.

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[painmanagementindelhi]

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[painspecialist]

Dr. Amod Manocha is the Head of Pain Management Services at Max Super Speciality Hospital, Saket. He is trained as a Pain Management Specialist and an Anaesthetist in the UK. He has over 13 years of work experience in the UK including working as a Chronic Pain Consultant in many UK hospitals. Dr. Manocha believes in multidisciplinary approach and providing evidence-based treatments at par with international standards.

#Dr. Amod Manocha #Best pain specialist in Delhi #Best Back Pain Doctor in Delhi #Neck Pain Treatment In Delhi #Pain Specialist in Delhi #Pain specialist doctor in Delhi

[bestbackpaindoctor]

Herpes Zoster is caused by the reactivation of the same virus which causes chickenpox. If you have had chickenpox before, the virus lies inactive in the nervous system till the time it gets an opportunity (such as in old age or when body’s immunity is reduced) to spread along the nerve. This produces the typical rash of Herpes Zoster accompanied by pain, numbness, itching, skin pigmentation and sometimes scarring. One out of five patients goes on to develop PHN where the pain persists for more than 120 days after the onset of rash. PHN is rare in age group below 50 years and incidence increases after the age of 60 years. Risk factors for PHN or persisting pain include older age and widespread rash with severe pain at onset.

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Dr. Amod Manocha leading pain specialist in delhi offer Thoracic spine treatment and Chest wall Pain treatment in delhi.

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[asian763]

Understanding Back Pain Surgery: Is It the Right Choice for You?

Experiencing chronic back pain can profoundly affect your daily life, leading many to seek various treatment options. One such option is back pain surgery, which might seem daunting at first. In this blog post, we'll explore what back pain surgery entails, identify who might benefit from it, discuss potential risks, and look at what post-surgery care involves.

With insights from renowned Best Spine Doctor In Delhi, Dr. Amit Chugh, we aim to provide a comprehensive guide to help you decide if this is the right treatment for your back pain.

What is Back Pain Surgery?

Back pain surgery involves various surgical procedures that aim to relieve back pain caused by structural abnormalities or damage to the spine. The specific type of surgery recommended can depend on the underlying cause of the pain and the severity of the symptoms. Procedures can range from minimally invasive techniques, which involve smaller incisions and typically quicker recovery times, to more complex surgeries like spinal fusion or disc replacement.

Who Benefits from Back Pain Surgery?

Back pain surgery is not a universal solution for all types of back pain. It is generally considered when other less invasive treatments such as physical therapy, medication, or injections have not provided sufficient relief. Ideal candidates for surgery often include:

Individuals with persistent pain that impairs daily function.

Those with structural spine issues like herniated discs, spinal stenosis, or degenerative disc disease.

Patients who experience nerve pain that results in weakness, numbness, or pain radiating to other parts of the body.

Choosing the Best Doctor for Back Pain in Delhi

When considering back pain surgery, choosing an experienced and highly skilled surgeon is crucial. Dr. Amit Chugh, recognized as one of the best spine doctors in Delhi, specializes in advanced spine surgery techniques. His expertise and patient-centered approach make him a trusted choice for those seeking relief from chronic back pain.

Potential Risks of Back Pain Surgery

Like any surgery, back pain surgery comes with potential risks. While modern techniques have significantly improved safety, it's important to be aware of possible complications:

Infection: Although rare, there's a risk of infection at the surgery site.

Nerve damage: There's a small chance of accidental nerve damage during the operation, which could result in weakness, pain, or loss of function.

Blood clots: Surgery can increase the risk of blood clots, particularly in the legs or lungs.

Recurring symptoms: There's always a possibility that the surgery might not entirely relieve the pain or that pain might return later.

Post-Surgery Care

The recovery process after back pain surgery varies depending on the type of procedure performed and the individual's overall health. Dr. Amit Chugh emphasizes the importance of following a carefully planned post-surgery care regimen to ensure the best possible outcome:

Physical Therapy: Rehabilitation typically starts with gentle physical therapy to help strengthen the back and improve flexibility.

Medication Management: Pain management immediately after surgery is crucial and may involve medications to help control pain and inflammation.

Lifestyle Adjustments: Patients may need to avoid certain activities and learn new ways of bending, sitting, and lifting to protect the spine.

Reassurance for Potential Patients

If you are considering back pain surgery, know that you are not alone in this journey. With advancements in medical technology and the expertise of specialists like Dr. Amit Chugh, many patients have successfully regained a pain-free life. Discussing all available options, understanding the potential benefits and risks, and choosing a skilled surgeon are essential steps in your path to recovery.

Conclusion

Back pain surgery is a significant decision and should be considered carefully. If you're searching for the Best Doctor For Back Pain In Delhi, Dr. Amit Chugh offers the expertise and compassionate care needed to address complex spine issues. With the right approach and specialist, back pain surgery can potentially offer a new lease on life for those suffering from chronic pain.

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