Regenerative Therapy for Knee Osteoarthritis: Is It for Treating Pain or to Help Healing?
Understanding Knee Osteoarthritis Osteoarthritis (OA) is the most common degenerative joint disease, and the knee is its most frequent target. It is not simply “wear and tear” — it is a complex, progressive breakdown of the entire joint environment, involving cartilage, bone, synovial membrane, ligaments, and the muscles around the joint. Stages of Knee OA […]
A Journey into Pain Management: Moments That Changed My Perspective
How early clinical experiences and mentorship shaped my approach to treating chronic pain My journey into the field of chronic pain management began during my regional anesthesia fellowship. I, Rani Pashani, vividly remember a patient who arrived with a fracture, crying out in unbearable pain. After administering an ultrasound-guided nerve block, his pain reduced instantly, and […]
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 […]
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 […]
Why is Chronic Pain Increasing in India?
You require medical attention if chronic pain persists for three months or longer and goes beyond the typical healing period. The population is aging and living longer, causing a rise in the number of people with chronic pain. The lower back, neck, shoulders, knees, head, orofacial region, herpes, and cancer cases are the most prevalent. […]
