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Chronic pain following back or neck surgery

Nowadays, LBP is a very common complaint. Our sedentary life style, poor diet habbit and obesity are some of the common reasons. LBP is a very complicated pain because our spine structure is very complicated. It’s mandatory to find out the culprit or pain generator and its aggravating factor for correct diagnosis and treatment .

There are three type of LBP
* Acute
* Subacute
* Chronic

Acute and subacute pain are treated easily But management of chronic LBP is difficult because its pain generators vary with time due to Sensetization.

Some features are peculiar to indicate the cause of Pain. It’s compulsory to find out the cause for better treatment. Like, we use X-rays, MRI and blood investigations for confirming the diagnose of the cause.

** Treatment :-
1. In Conservative treatment , we use medicines which are prescribed according to the cause, and physio with some massage. Hot fomantation is also useful in LBP Psychological management is also equally important to treat the LBP.

2. In Interventional Pain Management,which is an advance technique used by pain consultants. With the help of advanced machine ,firstly a diagnostic injection to confirm the diagnosis and then use different kind of therapy like Ozone,Prolotherapy, PRP , endoscopic procedure and radio frequency ablation used to treat the pain. There is many advantages of IPM like
1.prevent from surgery in up-to 90%cases
2.Day care procedure
3.no need of hospitalization
4.early recovery
5.no need of long bed rest…
And many more

Surgery is indicated in Red Flag Ptn and those pth. Who’s pain is not control by medicine and Physio with IPM.

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