Neuropathic Pain | Max Hospital
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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Neuropathic Pain

Home >> Our Specialities >> Pain Management >> Conditions Treatments >> Neuropathic Pain

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

Overview

Neuropathic or nerve pain arises as a result to damage or improper functioning of the nerves/nervous system. It commonly presents as burning or shooting pain with altered sensation in the affected area. In neuropathic pain, non-painful stimuli like touch may be perceived as painful or patient may report having pain in areas that feel numb.

COMMON CAUSES

  • Diabetic Neuropathy which commonly presents as night time burning sensation in the sole of feet, worst at night time
  • Infections such as Post heretic neuralgia, HIV
  • Persistent post surgery pain or trauma involving nerve damage
  • Drug induced neuropathy including that after chemotherapy/radiotherapy
  • Cancer related neuropathy
  • Post Amputation- Phantom limb pain
  • Central causes such as spinal cord injuries, strokes, multiple sclerosis
  • Complex Regional Pain Syndrome
  • Nutritional deficiencies

Different types of Neuropathic Pain

Post Herpetic Neuralgia (PHN)

Herpes Zoster is caused by the reactivation of the virus that causes chickenpox. It produces the typical rash accompanied by pain, numbness, itching, skin pigmentation and sometimes scarring. One in five patients with Herpes Zoster develops PHN where the pain persists for more than 120 days after the onset of rash. It is most commonly observed in chest wall region (thoracic dermatomes) and in the distribution of ophthalmic branch of the trigeminal nerve (around the eye).

Chronic Post Surgical Pain (CPSP)

Chronic post surgical pain (CPSP) is pain localised to the surgical site or a referred area persisting 3 months after surgery. CPSP is a common complication of surgery. Rates varying from 0-80 % have been reported in different studies with some surgeries such as amputations, thoracotomy, and mastectomy being more prone to develop CPSP. It is also observed after common operations such as hernia repair, caesarean sections, knee replacement etc. A significant proportion of the cases are attributed to nerve damage.

MANAGEMENT

Neuropathic pain can be severe with significant impact on the quality of life. Sleep disturbances, anxiety and depression are frequently observed along with pain. Multi-disciplinary approach has the advantage of addressing all concomitant factors involved in exacerbating pain and affecting quality of life. Options for managing neuropathic pain include

  • Medications-Special type of painkillers called Neuropathic agents are used to treat nerve pain
  • Nerve blocks-Nerves carry the pain sensation to the brain and this transmission can be reduced/stopped by nerve blocks. The target nerves will depend on the area involved and may include sympathetic nerves as in Sympathetic blocks e.g. stellate ganglion block, Hypogastric plexus block. Interventions such as radiofrequency treatment and Neurolysis are often used to prolong the beneficial effects.
  • Intravenous infusions-Some drugs when given through the veins over a period of time can reduce the sensitivity of nerves at the site of lesion and in spinal cord. This in turn leads to reduced pain sensation being transmitted to brain.
  • Physiotherapy-As nerve injury /dysfunction may be accompanied by weakness/ atrophy of muscles; physiotherapy forms an essential pillar of overall management. It helps in preventing deconditioning of muscles and preserving the functionality.
  • Psychology –Options include cognitive behavioural therapy, coping strategies and relaxation techniques. It can be helpful in dealing with flare up episodes and any accompanying mood disturbances .
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