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Chronic Pain: Diagnosis and Management Strategies
The syndrome includes a broad spectrum of chronic pain that lasts longer than three to six months and frequently stems from an injury, illness, or other unidentified cause. An individual's quality of life can be severely compromised by chronic pain, which can result in physical limits, emotional misery, and social isolation. Furthermore, inadequate diagnosis and treatment of chronic pain can exacerbate opioid use disorders and raise the rates of morbidity and death in those who experience it. As a result, medical practitioners need to comprehend chronic pain and use the right treatment plans. Healthcare workers will leave this workshop with a thorough grasp of chronic pain, including how it is evaluated and treated. The many facets of chronic pain are examined by the participants, along with the underlying causes, diagnostic methods, and evidence-based treatments.
About the Speaker
Dr. Amod Manocha
Chief Pain Management, Palliative Care Specialist & Educator, Max Healthcare, Delhi
Dr. Amod Manocha, Chief Pain Management, Palliative Care Specialist & Educator, Max Healthcare, Delhi
Upcoming Case Discussions
Ulcerative Colitis: Treatment and Management review
Respiratory diseases in children, such as asthma, pneumonia, and bronchiolitis, are significant causes of morbidity and mortality worldwide. These conditions often present with symptoms like wheezing, coughing, and difficulty breathing, requiring prompt diagnosis and management. Advances in medical care have improved the treatment outcomes, but disparities in healthcare access still pose challenges. Preventative measures, including vaccination and reducing exposure to environmental pollutants, play a crucial role in mitigating the impact of these diseases. Early intervention and comprehensive care are essential to enhance the quality of life for affected children.
Tuberculosis Management
Tuberculosis (TB) management involves a comprehensive approach, from diagnosis to treatment, aimed at controlling and curing the infection. Early diagnosis is critical and is often done using sputum tests, chest X-rays, and molecular tests like GeneXpert. Once diagnosed, TB patients are typically treated with a standard regimen of first-line antibiotics, such as isoniazid, rifampicin, pyrazinamide, and ethambutol, over a course of six to nine months. Drug-resistant TB, particularly multidrug-resistant TB (MDR-TB), requires more complex treatment using second-line drugs for longer periods, often up to two years. Adherence to the treatment regimen is crucial, as incomplete treatment can lead to resistance.
Clinician’s Approach to Opioid Free Anesthesia
Opioids have long been used in general anesthesia to effectively manage pain. However, data suggests that using opioids during surgery may result in postoperative hyperalgesia, which can lead to chronic postsurgical pain (CPSP) and long-term opioid dependence. Indeed, opioid abuse has become a worldwide concern, with an estimated 40.5 million opioid dependent persons in 2017. Opioid-free anesthesia may thus be an appropriate option. A short time of opioid exposure has been demonstrated to cause epigenetic alterations and a pro-inflammatory state, resulting in nociceptive hypersensitivity. Opioids provided during tissue injury (e.g., surgery) may cause a paradoxical increase in acute postoperative pain and opioid-induced hyperalgesia (OIH), both of which contribute to the development of CPSP.
Ayurvedic Perspective of Healthy Bones
From an Ayurvedic perspective, healthy bones, or "Asthi Dhatu," are nourished by proper digestion and balanced doshas, particularly Vata. Ayurveda emphasizes a nutrient-rich diet, including calcium-rich foods like sesame seeds, almonds, and green leafy vegetables, to strengthen bones. Herbs like Ashwagandha and Shatavari are believed to support bone density and overall skeletal health. Regular oil massages (Abhyanga) with medicated oils help maintain bone strength and flexibility. Maintaining balance in lifestyle and diet is key to promoting long-term bone health in Ayurveda.
Rehabilitation Techniques for Post-Surgical Recovery
Rehabilitation techniques for post-surgical recovery are designed to restore function, reduce pain, and prevent complications. The process begins with a personalized assessment, followed by a phased approach that often includes physical therapy, occupational therapy, and patient education. In the early stages, passive movements and gentle range-of-motion exercises are employed to prevent stiffness and enhance circulation, reducing the risk of blood clots and swelling. As healing progresses, active exercises are introduced to strengthen muscles, improve flexibility, and restore balance and coordination.
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Dr. Amod Manocha's Talks on Assimilate
- 16th -Sep-2024, TIME : 5:00PM TO 6:00 PM
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The syndrome includes a broad spectrum of chronic pain that lasts longer than three to six months and frequently stems from an injury, illness, or other unidentified cause. An individual's quality of life can be severely compromised by chronic pain, which can result in physical limits, emotional misery, and social isolation. Furthermore, inadequate diagnosis and treatment of chronic pain can exacerbate opioid use disorders and raise the rates of morbidity and death in those who experience it. As a result, medical practitioners need to comprehend chronic pain and use the right treatment plans. Healthcare workers will leave this workshop with a thorough grasp of chronic pain, including how it is evaluated and treated. The many facets of chronic pain are examined by the participants, along with the underlying causes, diagnostic methods, and evidence-based treatments.