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Back Pain & Spine Pain

“Technically I am still young but according to my back pain I am actually 97”

Back pain is one of the most frequent problems of people for which they go to the doctor or miss work. It is a leading case of disability globally.

Fortunately, you can take steps to prevent or mitigate back pain. If prevention fails, simple home therapy and proper physiotherapy often will heal your back within a few weeks and keep it functional. Surgery is rarely required to treat back pain.



Back pain can vary from a muscle aching to a shooting, burning, or stabbing sensation. Also, the pain may transmit down your leg or worsen with bending, twisting, lifting, standing, or walking.

When to see a doctor

Most back pain gradually recovers with the home treatment and self-care, usually within a few weeks. Contact your doctor if your back pain:

  • Continues past a few weeks
  • Is severe and doesn't improve with rest
  • Radiate down one or both legs, especially if the pain extends below the knee
  • Causes weakness, numbness, or tingling in one or both legs
  • Is accompanied by unexplained weight loss

In a few cases, back pain can show a serious medical problem. Seek immediate care if your back pain:

  • Makes new bowel or bladder problems
  • Is accompanied by a fever
  • Follows a fall, blow to your back, or other injuries

The most common causes of Back Pain are cited below

  • Disc Prolapse/Slip Disc (Radicular or Sciatica Pain)
  • Degenerated Disc
  • Failed Back Surgery Syndrome
  • Facet Joint Pain
  • Sacroiliac Joint Pain
  • Coccydynia (Tail Bone Pain) / Perineal Neuralgia
  • Fractured Disc Pain (Osteoporotic/Malignant Fracture)


“Some pain you can distance yourself from, but a headache sits right where you live“

A headache is a very common condition that causes pain and discomfort in the head, scalp, or neck.

Almost everyone has had a headache pain, and most of us have had it many times. A minor headache is little more than a nuisance that's relieved by an over-the-counter pain reliever, some food or coffee, or a little rest.


Headaches can occur as a result of several conditions. Causes of headaches may include dehydration, weakness, sleep deprivation, stress, the effects of medications, the effects of recreational drugs, viral infections, loud noises, common colds, head injury, rapid ingestion of very cold food or beverage, and dental or sinus issues.

A headache can affect any part of the head, and pain may be present in one or several locations.

Headaches can cause various types of pain, and analyzing the pain can help a doctor reach a diagnosis.

Major causes of Primary headaches are…

  • Migraine Headache
  • Cluster & Tension Headache
  • Trigeminal Neuralgia
  • Facial Pain

Neck Pain

“When your neck is hurting, it really can put a damper on any physical activity you are trying to do.”

Many people experience neck pain or stiffness. In many cases, it’s due to poor position or overuse. Sometimes, neck pain is caused by injury from a fall, contact sports, or trauma.

Most of the time, neck pain isn’t a serious disease and can be relieved within a few days.

But in some cases, neck pain can indicate serious injury or weakness and require a doctor’s care.

If you have neck pain that continues for more than a week, is severe, or is accompanied by other symptoms like headache, numbness, weakness, or tingling or spreads down the arm, seek medical attention immediately.

  • Cervical Disc Prolapse
  • Cervical Spondylosis
  • Facet Problems

Joint Pains

“Cancer may kill you, but when you look at the numbers, arthritis ruins more lives.”

Joints are the connections between bones. They provide support and help to move. Some damage to the joints from disease or injury can interfere with the movement and cause a lot of pain.

Various conditions can lead to painful joints, including osteoarthritis, rheumatoid arthritis, bursitis, gout, strains, sprains, and other injuries. Joint pain is an extremely common disease.

Knee pain was the most frequent complaint, followed by shoulder and hip pain, but joint pain can affect any part of your body, from your ankles and feet to your shoulders and hands. As you get older, painful joints become increasingly more common.


You should also consult a doctor if:

  • the area around the joint is swollen, red, tender, or warm to the touch
  • the pain continues for three days or more
  • you have a fever but no other signs of the flu

Most common pain clinic visits are because of the following conditions…

  • Elbow Pain (Tennis/Golfer'S Elbow)
  • Knee Pain (Osteoarthritis)
  • Ankle Pain
  • Pain At Wrist (Carpal Tunnel Syndrome)
  • Arthritis Pain
  • Heel Pain & Plantar Fasciitis
  • Periarthritis shoulder
  • Frozen shoulder

Cancer Pain

“Don’t let pain define you, let it refine you. You are a warrior & warriors don’t quit. Cancer is just one chapter in your life, not the whole story.”

Not everyone with cancer has cancer pain, but some do. If you have cancer that's spread or repeated, your chance of having pain is higher.

Cancer pain takes many forms. It can be dull, achy, sharp, or burning. It can be constant, irregular, mild, moderate, or severe. How much pain you feel depends on a number of factors, including the type of cancer that you have, how advanced it is, where it's situated, and your pain tolerance.

Keep in mind that most cancer pain is manageable and that controlling your pain is essential to your treatment.


Most cancer pain is caused by the tumor pressing on bones, nerves, or other organs in the body.

Sometimes the pain is due to your cancer treatment. For example, some chemotherapy drugs can cause numbness and tingle in your hands and feet. or they might cause a burning sensation at the spot where you have the drug injection & Radiotherapy can cause skin redness and irritation.

You're the only one who knows how cancer pain feels in your body. You’ll want to understand it, know how to communicate about it, and get the relief you need to live your life.

Some people worry that pain medication is addictive or will make them sleepy or dizzy. But there are many ways to manage and treat cancer pain, including medications and methods that don’t use medication, like minimally invasive pain interventions, and many more. Communicate with your doctor to find the best treatment for your pain. We at Pain Free Odisha are committed to taking care of all pain.

Neuropathic Pain Syndrome

“Tearless pain: excruciating pain that can’t be seen by others but that hurts like hell to the one experiencing it.”

Neuropathic pain is caused by accident, injury, or malfunction of the nerves that transfer information between the brain and spinal cord from the skin, muscles, and other parts of the body.

The impact of the nerve damage is a change in nerve function both at the site of the injury and areas around it.

The pain is usually described as a burning sensation, and the affected areas are often sensitive to the touch. Symptoms of neuropathic pain may also include unbearable pain, pins, and needles, difficulty correctly sensing temperatures, and numbness. Some people may find it hard to wear thick clothes as even slight pressure can increase pain.


Neuropathic pain may be connected with abnormal sensations called dysesthesia or pain from normally non-painful stimuli. It may have continuous and/or episodic (paroxysmal) elements..

Usual causes of neuropathic pain include nerve pressure or nerve damage after surgery or trauma, viral infections, cancer, vascular malformations, alcoholism, neurological conditions such as multiple sclerosis, and metabolic conditions such as diabetes. It may also be a side effect of certain medications. No identifiable cause is found which can be distressing for the individual experiencing the pain.

Chronic neuropathic pain is common and may be related to an underlying health disease such as cancer or diabetic neuropathy, or it could be related to treatments such as chemotherapy.

The most common pain clinic visits are due to the following…

  • Post Herpetic Neuralgia
  • Intrercostal Neuralgia/ Teiz syndrome
  • Chronic post surgical Thoracic pain


  • Chronic Lower Abdominal Pain
  • Chronic Pancreatitis
  • Chronic Testicular/ Prostatic Pain
  • Sports Injury

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