Pain Management

Ambulatory Pain Management Programme
The recent advancement in medicine in the field of pain management has been Ambulatory Pain Management Program (APMP), an out patient care for the patients suffering with varied pain symtomatology.

After clinical evaluation and medical diagnosis of pain at Orth Medical Associates, our consultant physicians and surgeons have been trained extensively in the management of pain on an out-patient basis with the help of neuromyotherapy, a recognized branch of medical science evolved on the Eastern world for the manageemnet of pain. Neuromyotherapy involves locating the trigger points and blocking the pain through local injections (nerve block) to manage the pain in our APMP program.

Neuromyotherapy has been developed in the past 20 year on the scientific and anatomical knowledge of distribution of peripheral nerves in the body including spinal nerves originating from the spinal cord in the vetebral column, primarily responsible for localized pain and muscle apasm giving rise to disabling functions.

Joint Pains
After initial clinical evaluation and medical diagnosis of joint pains, we administer intra-articlar injections at reccommended doses of safe steroids on selected group of patients in order to minimize their functioning disability and t facilitate rehabilitation.

In patients with early signs and symptoms of Degenerative Joint Disease/Ostearthritis we recommend Sodium Hyaluronate intra-articular injections to restore joint physiology, provide joint lubrication and synovial balance in order to increase the functioning life of natural huma joints.

Common Causes of Joint Pains:
One of the most common causes of joint pain is arthritis. The pain can also be caused by deformity or direct injury to the joint. In some cases, joint pain is made worse by the fact that a person will avoid using a painful joint, weakening the muscles and making the joint even more difficult to move.

Obtaining a Medical Diagnosis:
The medical management of arthritis and joint degeneration may be handled by a family doctor, a physician, or a rheumatologist. However, when medical management is not effective, an orthopaedic surgeon should be consulted to determine if surgery is an option. In some cases, the orthopaedic surgeon may be the first physician to see a patient and make the diagnosis of arthritis.

The Orthopaedic Evaluation:
While every orthopaedic evaluation is different, there are many commonly used tests that an orthopaedic surgeon may consider in evaluating a patient’s condition.In general, the orthopaedic evaluation usually consists of :

A thorough medical history
A physical examination
X-rays
Additional tests, as needed

What the physician sees during the physical examination, which includes standing posture, gait analysis , sitting down, and lying down, helps confirm the possible diagnosis. The physical exam will also enable the orthopaedic surgeon to evaluate other important aspects of your hips,knee and legs, including : Size and length,Range of motion, Reflexes, Strength, Swelling, Skin condition.etc

If you are experiencing pain in your hip joint, your back may be examined because hip pain may actually be the result of problems in the lower spine. After the physical examination, X-rays evaluation is usually the next step in making the diagnosis. The X-rays help show much joint damage or deformity exists.An abnormal X-ray may reveal :

Narrowing of the joint space
Spurs on the edge of the bone
Areas of bony thickening called sclerosis
Deformity or incorrect alignment
Cysts in the bone

Occasionally, additional tests may be needed to confirm the diagnosis. Laboratory testing of your blood, urine, or joint fluid can be helpful in identifying specific types of arthritis and in ruling out certain diseases. Specialized X-rays of the back can help confirm that hip pain isn’t being caused by a back problem. Magnetic Resonance Imaging (MRI) or a bone scan may be needed to determine the condition of the bone and soft tissues of the affected joint.

Treatment Options:
Following the orthopaedic evaluation, the orthopaedic surgeon will review and discuss the results with you. Based on his or her diagnosis, your treatment options may include :

Medication
Physical therapy
Joint fluid supplements
Joint replacement