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chikunguniya

Is Chikungunya causing you joint pains?

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Chikungunya is a viral disease, which is transmitted through the bite of infected mosquitoes. There have been several outbreaks of the disease in India, including the ongoing one which started a few months back.

The main symptoms of the disease are fever, rash, and joint pain. There’s no cure, vaccination, or treatment of the disease. Instead, treatment focuses on relieving symptoms.

A lot of people panic when they feel they have Chikungunya. On several Whatsapp groups, numerous fake messages go viral about medicines that can ‘cure’ the disease. In this post, we’ve tried to clear some of these misconceptions as well as share some pointers towards how you can detect, and prevent this disease.

SYMPTOMS OF CHIKUNGUNYA

Acute Phase of Chikungunya: The acute phase of a disease is a rapid, but short-lived period of time where you experience symptoms of the disease. There may be no symptoms for 2-12 days after being bitten by an infected mosquito. Once symptoms appear, you’ll probably experience about 10 days of chikungunya symptoms before getting better. You may experience these symptoms during the acute phase:
chikungunya treatment
Fever: The fever is Usually 102 to 105 °F (39 to 40.5 °C) and typically lasts from three days up to one week.

Arthritis (joint pain): You’ll usually notice arthritis in the small joints of the hand, wrist, ankles, and larger joints, like knees and shoulders, but not the hips. The pain is usually worse in the morning, but improves with mild exercise. Your joints may also look swollen or feel tender to the touch and you may have inflammation of tendons (tenosynovitis).

Rash: Approximately 40% to 50% of patients experience a rash. The most common type is a morbilliform eruption (maculopapular). These are red rashes with small bumps overlying them that appear three to five days after start of fever and subside within three to four days.

Chronic Phase of Chikungunya: This phase starts following the three months from the initial onset. It’s marked by the continuation of joint pain symptoms. Around 1 in 3 patients have reported to experience joint pains till 4-6 months after the initial set of the disease. Some patients may also have relapses of fever in this period.

DIAGNOSING CHIKUNGUNYA

If you suffer for fever for more than five days or above 103 °F, rash, overall body and joint pains, and low urine output, you should consult your doctor regarding the possibility of Chikungunya. Two tests are used most commonly for detecting Chikunguya:

ELISA (enzyme linked immunoassay) – This test looks for specific antibodies against the virus. These antibodies normally develop toward the end of the first week of illness and peak around three to weeks lasting up to two months. The price for ELISA test is approximately Rs.600.

RT-PCR (reverse transcriptase polymerase chain reaction) – This test uses virus-specific gene coding proteins to replicate specific genes of chikungunya. The price for RT-PCR test is approximately Rs.1,500.

TREATING CHIKUNGUNYA

There is no approved/specific treatment or cure for this virus nor a vaccine to prevent you from getting it. Treatment is purely symptom management. The World Health Organization recommends that you start home care treatment by resting. This will provide relief and time for your body to recover. Rest in an environment that is not damp or too hot, which could aggravate your joint symptoms. Other conservative treatment methods include:

Applying Cold Packs: Apply a cold pack to reduce pain and inflammation.Wrap a cold ice pack in a cloth/towel and apply to the inflamed areas. This will provide some pain relief.

Taking Pain Medication: If you’re experiencing fever and joint pain, take paracetamol or acetaminophen. Take up to two 500mg tablets with water up to four times a day. Be sure to drink plenty of water throughout the day.

Performing Simple Exercises: Perform mild exercises (like sitting on a chair and extending your legs, or standing and raising your legs) to strengthen your muscles around the joints which can reduce pain and stiffness. It is best to perform these in the morning.

Visit your pain physician: If pain continues 3-4 months after the initial onset and develops into the chronic phase, you should visit your pain physician.

At DELHI PAIN MANAGEMENT CENTRE, we provide ELISA and RT-PCR tests for diagnosing Chikungunya. Our pain physicians are well-trained to help you recover form your fever and joint pains.

 

back pain treatment

8 Tips to Reduce Back Pain

Today, in the fast moving world, there are many cases of different types of backaches. Most of the cases of back pain are because of stress and unhealthy postures. It is very necessary to maintain a healthy posture so that your back remains fit and fine. Bach ache remains an unavoidable discomfort for many of you. So here are 8 general tips to reduce back pain:

Maintain Good Posture
Since childhood, this thing has been taught that maintaining good posture is essential to keep your back and spine healthy. A sedentary lifestyle makes your back stiff and slouching makes it worse. Make sure you are sitting straight keeping your back upright.

Your laptop or system should be kept on or above your eye level. Also, try to get up once in every hour and walk instead of sitting for hours together.

Daily Exercise
It is very important to keep your body active. Make sure you take out some time from your schedule daily to make your body active and warmed up.

Sleep the Right Way
One major issue that causes back pain and is known to a very few people is sleeping posture and sleeping mattress. If you are suffering from back pain, make sure you buy the right mattress for yourself.

If you have a never-ending back pain, consult your doctor about the mattress and buy. In general, if you want to take a precaution, then better is to opt for a mattress that gives you a firm support. Memory foam mattress is highly recommended for people with back pain.

Monitor your weight
Being overweight also causes back pain, so eat healthy and stay fit. Keep a check on your BMI and exercise regularly.

Quit Smoking
Smoking is not only bad for your lungs but also might cause back pain. So, if you are a smoker, quit it.

Yoga and Meditation
Relieving your stress will also help you with relieving your back pain. Practice yoga and meditation techniques to relax your body and mind.

Apply Ice and Heat
Hot and cold packs, when done alternatively, are very effective, especially during an injury. Try both and if you are comfortable with one, continue with that.

Improve Lifting Techniques
It is very important to know that when you are bending to life something, it affects your back. Try to always bend your knees rather than the abs.

If you are suffering from an injury or you have a severe back pain, better is to consult a physiotherapist or a physician without any delay.

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Fibromyalgia Treatment

Fibromyalgia: Facts that are better not ignored

A common tendency lies in most of us to overlook certain symptoms that leads towards Fibromyalgia. Chronic pain of a widespread nature is the foremost symptom that characterizes this arthritis-related condition. Accompanied by that is acute pain and stiffness of joints, musculoskeletal aches, fatigue, tissue tenderness, impairment of cognitive abilities and sleep disturbances. Neck, shoulders, back, hands and the pelvic girdles are common body regions affected, which may however spread to certain other areas too.

Common symptoms of Fibromyalgia

As stressed earlier, Fibromyalgia symptoms include fatigue, numbness of joints and muscles, increased pain sensitivity, headaches, dizziness, loss of concentration, memory and other cognitive abilities, difficulty in sleeping and the like.
In certain cases, there can be other issues like muscle knots or cramping, morning stiffness, brain fog or depression, irritable bowel syndrome and general anger and frustration.

Factors leading to Fibromyalgia

The exact cause of Fibromyalgia is difficult to ascertain. Often considered as a form of arthritis but it is not exactly so. Inflammation or joint, tissue and muscle damages are not common in this case. However, the similarity lies in the extreme pain and that can eventually cause the affected person to slow down his or her regular activities.
This is more of a rheumatic condition that is much deeper and multi-factorial. A combination of pain pathways, immune system anomalies and hormonal imbalance can result in this state. In fact, most patients have been studied and the presence of Fibromyalgia symptoms has been more or less similar.

Treating Fibromyalgia

Fibromyalgia treatment is difficult, for the diagnosis process itself is not an easy task. The challenge lies in finding the right doctor and not just a physician or rheumatologist who claims to treat this condition. The treatment sometimes requires a team effort, like the doctor, physical therapist and other health professionals who can get to the root problem and devise effective treatment measures.

For Fibromyalgia treatment, the best would be a combination of

  • Medication: Prescribed by health experts like painkillers, antidepressants.
  • Certain therapies: Like counseling sessions, swimming or hydrotherapy and Cognitive Behavioral Therapy (CBT).
  • Lifestyle modifications: Proper techniques of relaxation and exercise regimen must be included to reduce the pain significantly.

In addition to these, Fibromyalgia can be treated if the patient decides to get adequate sleep, eat well, include yoga and exercises in his or her daily schedule and stick to essential changes.

Headache

What is a Headache?

Headache is defined as pain in the head that is located above the eyes or the ears, behind the head, or in the back of the upper neck. Headache is one of the most common reasons for attending a general physician or a specialist doctor’s clinic. Headache affects everyone at some time of their life time and it is more commonly observed in women than in men. Some 15%-20% of the Indian adult population have migraine, and 80% have episodic headache from time to time.
Sometimes headache pain is mild and merely irritating, but often it is severe or chronic. Frequent headaches can seriously damage your quality of life, and even threaten your job. It has been seen that both social activity and work capacity are reduced in 60 percent of people who suffer from chronic headaches.

Headaches occur because areas around your head — including your scalp, blood vessels, and brain lining — contain pain-sensitive nerve endings that send impulses to your brain, telling it you’re in pain. But what triggers this pain in the first place is of far more interest, because when you identify your triggers, you can often keep headaches from occurring in the first place. Establishing the cause of the headache, arriving at effective treatment(s) for the headache, and taking measures to prevent or reduce headache episodes will require cooperation between you and your doctor. Following are suggestions on how to work with your doctor in finding out the cause and managing your headaches.

What are the types of Headaches? Headaches have numerous causes, and the International Headache Society agreed upon a classification system for headache. Because so many people suffer from headaches, and because treatment is sometimes difficult, this classification system allows your doctor to understand a specific diagnosis more completely to provide better and more effective treatment regimens.
There are three major categories of headaches:
1. primary headaches,
2. secondary headaches, and
3. cranial neuralgias, facial pain, and other headaches

What are primary headaches? Primary headaches include migraine, tension, and cluster headaches, as well as a variety of other less common types of headache.
Tension headaches are the most common type of primary headache; as many as 90% of adults have had or will have tension headaches. Tension headaches are more common among women than men. The headache pain may be described as:

  • Dull, pressure-like (not throbbing)
  • A tight band or vise on the head
  • All over the head (not just in one point or one side)
  • Worse in the scalp, temples, or back of the neck, and possibly in the shoulders

The pain may occur as an isolated event, constantly, or daily. Pain may last for 30 minutes to 7 days. It may be triggered by or get worse with stress, fatigue, noise, or glare.There may be difficulty in sleeping. Tension headaches usually do not cause nausea or vomiting.People with tension headaches tend to try to relieve pain by massaging their scalp, temples, or the bottom of the neck.

Migraine headaches are the second most common type of primary headache. .Migraine headaches affect children as well as adults. Before puberty, boys and girls are affected equally by migraine headaches, but after puberty, more women than men are affected. Vision disturbances, or aura, are considered a “warning sign” that a migraine is coming. The aura occurs in both eyes and may involve any or all of the following:

  • A temporary blind spot
  • Blurred vision
  • Eye pain
  • Seeing stars or zigzag lines
  • Tunnel vision

Migraine headaches can be dull or severe. The pain may be felt behind the eye or in the back of the head and neck. For many people, the headaches start on the same side each time. The headaches usually:

  • Feel throbbing, pounding, or pulsating
  • Are worse on one side of the head
  • Start as a dull ache and get worse within minutes to hours
  • Last 6 to 48 hours

Cluster headaches are a rare type of primary headache, affecting 0.1% of the population.. A cluster headache begins as a severe, sudden headache. The headache most commonly strikes 2 to 3 hours after falling asleep, usually during the dreaming phase. However, the headache may occur while you are awake. The headache tends to occur at the same time of day.
The pain occurs on one side of the head. It may be described as:

  • Burning
  • Sharp
  • Steady

The pain may occur in, behind, and around one eye. It may:

  • Involve one side of the face from neck to temples
  • Quickly gets worse, peaking within 5 to 10 minutes

The strongest pain may last 30 minutes to 2 hours.

The eye and nose on the same side of the head pain may also be affected. Symptoms can include:

  • Swelling under or around the eye (may affect both eyes)
  • Excessive tearing
  • Red eye
  • Rhinorrhea (runny nose) or one-sided stuffy nose (same side as the head pain)
  • Red, flushed face

Cluster headaches may occur daily for months, alternating with periods without headaches (episodic), or they can recur for a year or more without stopping (chronic)

What are secondary headaches?
Secondary headaches are those that are due to an underlying structural problem in the head or neck. There are numerous causes of this type of headache ranging from bleeding in the brain, tumor, or meningitis and encephalitis.

Prevention of Headaches
The following healthy habits can lessen stress and reduce your chance of getting headaches:

  • Getting enough sleep
  • Eating a healthy diet
  • Exercising regularly
  • Learning proper posture
  • Learning to relax using meditation, deep breathing, yoga, or other techniques
  • Quitting smoking
  • Stretching your neck and upper body, especially if your work involves typing or using a computer
  • Wearing proper eyeglasses, if needed

Treatment of headaches
The treatment of headaches is generally dependant on the type of headache you are suffering with and requires the help of a number of medications from over the counter pain killers to preventive therapy with special drugs such as triptans to the use of advanced methods such as injections of botulinum toxin in the head muscles or occipital nerve stimulation.

DIABETIC NEUROPATHY

DIABETIC NEUROPATHY: Are you aware

If you are having Diabetes mellitus, there are certain things you need to be aware of. Most important among the complications of Diabetes mellitus is peripheral neuropathy. At the end of this article, most of you will be in a position to relate your symptoms with diabetic neuropathy which you have been ignoring since long but suffering from.
Diabetic neuropathy is the most common complication of diabetes mellitus (DM), affecting as many as 50% of patients with type 1 and type 2 DM. Over time, the high blood sugar levels associated with diabetes can damage the nerves. So we suggest you to look at the list below which gives you an idea about the symptoms and signs with which it presents, which need to be noted and shared with your doctor during your next visit.
Tingling: My feet tingle. I feel “pins and needles” in my feet.
Pain: I have burning, stabbing or shooting pains in my feet.

  • My feet are very sensitive to touch. For example, sometimes it hurts to have the bed sheets touch my feet.
  • Sometimes I feel like I have socks or gloves on when I don’t.
  • My feet hurt at night.
  • My feet and hands get very cold or very hot.

Numbness or Weakness:

  • My feet are numb and feel dead.
  • I don’t feel pain in my feet, even when I have injuries or ulcers.
  • I can’t feel my feet when I’m walking.
  • The muscles in my feet and legs are weak.
  • I’m losing balance when I stand or walk.
  • I have trouble feeling heat or cold in my feet or hands

Others:

  • It seems like the muscles and bones in my feet have changed shape.
  • I have ulcers on my feet and legs. These ulcers heal very slowly.
  • indigestion, nausea, or vomiting
  • diarrhea or constipation
  • dizziness or faintness after standing or sitting up
  • problems with urination
  • erectile dysfunction in men or vaginal dryness in women
  • weakness

Symptoms that are not due to neuropathy, but often accompany it, include weight loss and depression.
People who are at risk among those suffering from Diabetes mellitus are:

  • People with diabetes can develop nerve problems at any time, but risk rises with age and longer duration of diabetes.
  • The highest rates of neuropathy are among people who have had diabetes for at least 25 years.
  • Diabetic neuropathies also appear to be more common in people who have problems controlling their blood sugar, as well as those with high levels of blood pressure and those who are overweight.

Why do I need to be aware of the symptoms? Can diabetic neuropathies be prevented?
Yes .The best way to prevent neuropathy is to keep blood sugar levels as close to the normal range as possible. Maintaining safe blood sugar levels protects nerves throughout the body. Blood sugars monitoring, meal planning, physical activity, and diabetes medicines or insulin will help control blood glucose levels.

Diagnosis

  • Foot Examination
  • Nerve Conduction Studies and Electromyography (EMG)

Treatment
To treat nerve damage, you will need to keep your blood sugar levels in your target range; stopping smoking and cut down on alcohol, manage your pain and protect your feet. Many people get depressed when they have nerve damage and may need medication for depression as well as counseling.

Medications to relieve pain and reduce burning, numbness and tingling are available. CONSULT OUR PAIN PHYSICIAN TO FIND OUT BEST TREATMENT OPTIONS FOR YOU.

 

 

cerebral palsy treatment

Severe Causes And Types Of Cerebral Palsy

Cerebral Paralysis (CP) is a wide term used to portray a gathering of chronic “palsies” – disorders that hinder control of development because of harm to the creating cerebrum. CP for the most part creates by age 2 or 3 and is a non-progressive mind disorder, which means the brain harm does not keep on worsening all through life. Be that as it may, the side effects because of the brain harm regularly change after some time – here and there showing signs of improvement and here and there deteriorating. CP is a standout amongst the most well-known reasons for chronic childhood disability.

Around 10,000 newborn children are determined to have CP and up to 1,500 preschoolers in the U.S. are perceived as having it every year. The United Cerebral Palsy Association measures that more than 764,000 Americans have CP.

Somewhere around 35% and half of all youngsters with Cerebral Palsy will have a going with seizure issue and some level of mental impediment. They additionally may have learning inabilities and vision, discourse, hearing, or dialect issues.
Much stays obscure about the disorder’s causes, yet confirm underpins hypotheses that contamination, birth wounds, and poor oxygen supply to the cerebrum some time recently, amid, and promptly after birth result are regular variables. Untimely babies are especially powerless. Serious ailment, (for example, meningitis) amid the main years of life, physical injury, and extreme lack of hydration can bring about brain damage and result in CP.

What are the sorts of cerebral paralysis?
Based upon the type of motor impairment, cerebral paralysis can be partitioned into sorts:

  1. spastic cerebral paralysis,
  2. dyskinetic cerebral paralysis (as indicated by the dominating manifestations dyskinetic CP might be either dystonic or choreoathetotic), which incorporates ataxic cerebral paralysis, and
  3. hypotonic cerebral paralysis.

These classifications are not unbending, and the dominant part of patients most likely has a blend of them.

Moms who had draining or serious proteinuria (overabundance protein in the pee) recent in their pregnancy have a higher shot of having a child with Cerebral Palsy Treatment, as do moms who have hyperthyroidism or hypothyroidism, mental impediment, or seizures.

Not all youngsters who are presented to these danger variables create CP. Be that as it may, guardians and specialists ought to know about these dangers and watch an at-danger youngster’s development precisely. There is various cerebral palsy treatment in Delhi. Delhi includes the best hospitals for this disease treatment.

Sport Injuries Specialists

Important Methods To Treat Most Common Sport Injuries?

“Sports injuries” are the injuries that happen when playing games or working out. Some are from accidents. Others can come about because of poor training rehearses or not good apparatus. Some individuals get harmed when they are not in proper condition. Not warming up or extending enough before you play or practice can likewise prompt wounds. The most widely recognized sports injuries are:

  • Sprains and strains
  • Knee wounds
  • Swollen muscles
  • Achilles tendon wounds
  • Torment along the shin bone
  • Fractures
  • Separations

There are two sorts of sports injuries: acute type and chronic type. Acute injuries happen all of a sudden when playing or working out. Sprained lower legs, strained backs, and cracked hands are acute injuries. Indications of an intense damage include:

  • Sudden, serious agony
  • Swelling
  • Not having the capacity to place weight on a leg, knee, lower leg, or foot
  • An arm, elbow, wrist, hand, or finger that is exceptionally delicate
  • Not having the capacity to move a joint as should be expected
  • Compelling leg or arm weakness
  • A bone or joint that is noticeably strange.

Chronic injuries happen after you play a game or practice for quite a while. Indications of a ceaseless damage include:

  • Torment when you play
  • Torment when you work out
  • A dull hurt when you rest
  • Swelling

What Should I Do in the event that I Get Injured?

Never attempt to “work through” the agony of sports injuries. Quit playing or practicing when you feel pain. Playing or practicing all the more just motivations more damage. A few injuries ought to be seen by a specialist immediately. Others you can treat yourself.

Call a specialist when:

  • The damage causes extreme agony, swelling, or numbness
  • You can’t put any weight on the region
  • An old harm aches or hurts
  • An old harm swells
  • The joint doesn’t feel typical or feels flimsy.

In the event that you don’t have any of these signs, it might be protected to treat the harm at home. In the event that the agony or different side effects deteriorate, you ought to call your sports injury treatment specialist. Utilize the RICE (Rest, Ice, Compression, and Elevation) technique to calm pain, diminish swelling, and speed recuperating. Take after these four stages directly after the damage happens and do as such for no less than 48 hours:

  • Rest. Lessen your standard exercises. On the off chance that you’ve harmed your foot, lower leg, or knee, take weight off of it. A prop can offer assistance. On the off chance that your right foot or lower leg is harmed, utilize the brace on the left side. On the off chance that your left foot or lower leg is harmed, utilize the prop on the right side.
  • Ice. Put an ice pack to the harmed range for 20 minutes, four to eight times each day. You can utilize a chilly gather or ice pack. You can likewise utilize a plastic sack loaded with squashed ice and wrapped in a towel. Take the ice off following 20 minutes to evade frosty damage.
  • Compression. Put even weight (pressure) on the harmed territory to diminish swelling. You can utilize a versatile wrap, extraordinary boot, air cast, or brace. Ask your specialist which one is best for your harm.
  • Elevation. Put the harmed region on a pad, at a level over your heart, to decrease swelling.

How Are Sports Injuries Treated?

Treatment frequently starts with the RICE strategy. Here are some different things your specialist may do to treat your games harm.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Your specialist may propose that you take a nonsteroidal calming drug (NSAID, for example, headache medicine or ibuprofen. These medications decrease swelling and torment. You can purchase them at a medication store. Another regular medication is acetaminophen. It might soothe torment, yet it won’t diminish swelling.

Immobilization

Immobilization is a typical treatment for games wounds. It keeps the harmed region from moving and counteracts more harm. Slings, props, throws, and leg immobilizers are utilized to immobilize sports wounds.

Surgery

Now and again, surgery is expected to alter sports wounds. Surgery can alter torn tendons and ligaments or set up crushed bones spirit. Most games wounds needn’t bother with surgery.

Recovery (Exercise)

Recovery is a key some portion of treatment. It includes practices that regulated recover the harmed zone to ordinary. Moving the harmed range helps it to recuperate. The sooner this is done, the better. Practices begin by delicately moving the harmed body part through a scope of movements. The following stride is to extend. Before long, weights might be utilized to fortify the harmed region.

Rest

Despite the fact that it regards begin moving the harmed range at the earliest opportunity, you should likewise require some serious energy to rest after damage. All wounds need time to recuperate; appropriate rest helps the procedure. Your specialist can manage you on the best possible harmony amongst rest and recovery.

Today, treating sports injuries is vastly improved than previously. Many people who get sports injuries play games and practice once more. Keep up the hope!

A Perfect Night’s Sleep

Don’t miss these five healthy tips to abstain back pains

Today almost everyone in Delhi suffers from acute back pains. Entailing several reasons like prolonged working hours and improper postures, back pains can be seriously a real pain. But the good news is you can actually protect yourself and can prevent these pains, thus helping your back to stay in good condition. Keep a track on the following tips and you can keep your back pains at bay.

  • A Perfect Night’s Sleep

Sleep disturbances are one of the most common issues suffered by back pain sufferers. The more peaceful sleep you get, the more you shall be able to repair your strained muscles. A peaceful slumber is also a way out to soothe your inflamed joints. To get that good night’s sleep, a good and a comfortable bed is a must. Try experimenting with different comfortable sleeping positions. Try to sleep on your side on a firm surface. This can prevent any further curvature of your spine, which further can lead to back pain or can even worsen it. You can also try sleeping by keeping a pillow between your knees. Some people actually found this comfortable.

  • Gentle Workouts or Exercises

One of the worst mistakes that most people generally commit when they suffer from back pains is to rest. Resting is not always a good option. In fact, in some cases, resting can actually worsen your back pain, while decreasing your muscle strength. In such cases, try getting some walks, slow but easy walk. Regular exercise can help strengthening as well as stretching your muscles, which can further help in various back pains. However, before choosing any kind of exercise it would be better to get consulted with a good pain specialist.

  • Having a Healthy Weight

Lauri Grossman, the founder of the Department of Homeopathic Medicine at New York University, and a licensed chiropractor, says, “Having excess weight pulling on your back 24 hours a day except when you’re laying down is just bad news for the back.” Shedding few pounds can actually be equivalent to several medicines and vitamins as that help eradicating your back pains, if not forever, then at least for a good deal of time.

  • Natural Supplements

Grossman also goes ahead advising her patients recommending them to include 500 gms of glucosamine, to be taken thrice a day. She also recommends two teaspoons of flaxseed oil, 50 mgs of zinc and 2,000 mgs of Vitamin C to be taken per day. She further says, “”Those are the best supplements for back pain…and in terms of topical treatments, arnica gels and creams can be very helpful and won’t interfere with anything you’re taking. And they’re inexpensive, too.” However, before including them for a regular dosage, you should definitely consult your physician as every system and every pain can be different.

  • Use of Heat and Cold

The usage of heat and cold are one of the most effective methods of handling back pain. However, it is important to understand that you cannot simply apply heat or cold whenever you want. Cold therapy with the help of ice generally works good for inflammation, thus helping to reduce swelling. Contrary to this, applying heat via hot bottle or simply via heating pad can be apt for the reduction of cramping and muscle spasms.

Even after applying all these, if you suffer from a typical back pain, you should then consult a good pain specialist. Like migraine treatment in Delhi and like headache specialist in Delhi, there are several back pain specialists present in the national capital who can help you to get rid of your back pains in no time. Seek expert help and your back pains can be kept at bay.

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