My Journey with Post-Cesarean Pain and Healing Through USGDN
The Unseen Struggle After a C-Section My name is Dr. Shalakha Desai, and like many new mothers, I had a C-section. As a doctor, I thought I knew what recovery would look like. But no textbook prepared me for the pain that lingered — the burning, the pulling, the tightness across the scar that made even […]
How Abdominal Organs Express Pain
Last week, we had two patients with abdominal pain, which responded beautifully to Ashirvad model of pain understanding and treatment, that muscles form an integral part of every pain and need to be addressed along with the involved nerves. Or as it happened in these 2 patients just muscle treatments like Ultrasound guided Botulinum toxin […]
Complex Regional Pain Syndrome (CRPS) – 2
Figure 16 USG showing muscle regeneration at 12 days Row 1: Right hand with CRPS swollen warm and painful cant bend the finges at all. Pinch gauge for finger shows very low pressure and dynamometer zero pressure. Row 2: The USG images on 6th December show that there are no clear outlines for muscles which are […]
Complex Regional Pain Syndrome (CRPS)
This is a pain condition that occurs after any injury, surgery, excessive use with overactivity (repetitive strain injury syndromes) and occasionally may occur spontaneously. It may involve any part of the body, but the upper limb is most commonly involved (figure 1) followed by lower limb (after knee or ankle/foot surgery or injury) It may rarely […]
Understanding and Treating Writer’s Cramp: A Neurological Movement Disorder
What is Writer’s Cramp? Writer’s cramp affects people between the ages of 30 and 50. It is more than just hand fatigue after a long writing session, but a neurological movement disorder. It affects coordination and control of finger movements to cause painful cramps or involuntary muscle contractions in the fingers, hand, or forearm, often […]
Avascular Necrosis (AVN) of Hip
Avascular necrosis occurs most commonly at the hip and has recently been a common complication of Covid. Many young people come with debilitating hip pain BBhaskar can you enumerate the conditions commonly associated with AVN and also the exact description of AVN? At Ashirvad Institute for Pain Management and Research, we consider that any joint pathology […]
Introduction: The Evolution of the Human Spine
The human spine has evolved from that of 4 legged animals where the stability was very well distributed between four legs. When humans adopted the erect posture we gained the benefit of height with a better vantage to survey the surroundings,]the hands were freed for skill development. However, the weight of the whole body came […]
Chikungunya Pain: Understanding Causes and Effective Treatment
Chikungunya is a viral infection which is commonly associated with incapacitating, severe joint pains after the infection has subsided . At Ashirvad Institute for Pain Management and Research, we consider that these joint pains are because of enthesopathies. Enthesopathy is when shortened muscles pull on their ends in the joint capsule to produce inflammation which then […]
Muscle: Blind Spot or Philosopher’s Stone of Chronic Pain?
Muscle has been considered as an ‘also ran’ structure amongst pain generators in pain literature. So much so, David Simmons who along with Janet Travell has done seminal work on myofascial trigger points and taut bands had to lament that “Muscle is an orphan organ, and no medical specialty claims it “As a result muscle […]
Chikungunya pain
Chikungunya is a viral infection which is commonly associated with incapacitating, severe joint pains after the infection has subsided . At Ashirvad Institute for Pain Management and Research, we consider that these joint pains are actually the shortened muscle pulling on their ends in the joint capsule. The muscles get shortened because of myositis (inflammation […]
