Joint Pain Clinic

Special Clinic

Joint pain is among the most frequent types of pain. The main causes of joint pain are trauma and acute and chronic arthritis. Usually joint pain is associated with disturbed function of the joint, ranging from restricted movements to disability. This is the reason for a number of patients to suffer from reduce quality of life and immobility. The effect of dependence also affects the mental health of the elderly causing a greater impact. The most important cause of joint pain is Osteoarthritis (OA) that affects majority of the men and women at the age of 65 yrs. More than 90% of the population has at least one joint affected with OA. With increasing age, more joints develop OA. However, early stages of OA may be free of pain.  The incidence of rheumatoid arthritis causing joint pain is approximately 1% and the incidence of gout causing joint pain is also less than 1%.

Paras Darbhanga, the leading orthopaedics and joint department of Mithilanchal has launched a specialised Joint Pain Clinic to address the various types of joint pains, their causes and offer medical, surgical and physiotherapy treatment. The clinic is lead by a specialised team of orthopaedicians, trauma specialists and is supported by a reputed team of physiotherapists, rehabilitation experts and nutritionists. Over the year, numerous patients have been treated by the clinic and have been provided the benefit of mobility.

Usually patients complain of over exposure to tests. It is important that a patient is informed about the same. Given below is the list of radiology tests that can be recommended by the doctor for the diagnosis of the pain. These tests aid the clinicians in understanding the reasons of the pain, accordingly the treatment plan is recommended and implemented.

  • Diagnosis of joint pain is based on physical examination: X-ray, MRI, examination of synovial effusion, and blood tests.
  • X-rays: They can document deformation, loss of cartilage, rupture of ligaments, etc.
  • MRI scans : They can document synovial hyperplasia, bone marrow edema, and other soft-tissue alterations.
  • Blood tests: They are used to check inflammatory markers.
  • For treatment of pain, analgesic drugs (usually nonsteroidal anti-inflammatory drugs) are commonly used.
  • Physical therapy, exercise, education, and TENS are effective in arthritic pain conditions.
  • Specific treatments includes.
  • The use of disease-modifying drugs (e.g., neutralization of tumor necrosis factor alpha) in order to stop the progression of rheumatoid arthritis.
  • Surgical joint replacement.

Paras Darbhanga has an in-house team of pathologists, radiologists that can aid in the diagnosis of the cause of the pain and recommend the treatment protocol most suited to the patient.

Based on the cause of the joint pain, the present situation of the patient, the situation of the joint cartilage and to the extent the joint pain is affecting the life of the patient, the treatment options are recommended.

Medical Treatment Options for Pain Management:

  • Analgesics for pain management:
    Analgesics are drugs that help relieve pain. Some also help decrease inflammation. Opioid analgesics and other strong painkillers traditionally have been prescribed mainly for shortterm intense pain. With careful monitoring, these types of drugs can be effective long term in treating chronic pain.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs): They help reduce stiffness and swelling. They may reduce joint pain and inflammation. NSAIDs cut down on the production of prostaglandins, chemicals in the body that promote inflammation and lead to the production of pain signals.
  • Corticosteroids: They are drugs related to the natural hormone in your body called cortisol. There are synthetic forms of cortisol that can be taken as pills or injected directly into joints or other tissues. These drugs help relieve pain by reducing swelling and inflammation in the area. Corticosteroid injections must be monitored carefully; side effects can occur if you receive injections too frequently. Joint injections are usually not done more often than every three months to prevent complications.
  • Disease-modifying antirheumatic drugs (DMARDs) : They are a category of medication frequently used to treat autoimmune conditions such as rheumatoid arthritis and related diseases. DMARDs work by suppressing the immune system to help control RA. This can slow the rate of joint destruction and disease progression. These drugs help relieve pain by controlling inflammation and limiting joint damage. They may take several weeks or months to begin working.
  • Antidepressants: They may help relieve the depression often associated with chronic pain. A few antidepressant medications also have analgesic effects.
  • Topical pain relievers: They can help relieve arthritis pain. These include gels, creams, rubs and sprays that are applied to the skin over a painful muscle or joint. Some topical pain relievers may contain combinations of salicylates, skin irritants and local anesthetics that relieve pain in one area. Other over-the-counter topical creams containing capsaicin (the chemical that makes chili peppers taste hot) may be used alone or with other medications to temporarily relieve pain. When applied as directed to joints affected by arthritis, the medication usually takes effect within two weeks. It works by decreasing a chemical in the nerves that sends pain signals to the brain.

Surgical Options for Joint Pain Treatment:

Most people with arthritis will never need joint surgery. But when other treatment methods don’t lessen the pain or when you have major difficulty moving and using your joints, surgery may be necessary. Some types of surgery for arthritis include:

  • Arthroscopy: It is a surgical process that allows the surgeon to view and repair the inside of your joint through an instrument placed in a small opening in the skin.
  • Synovectomy: It is a procedure in which the diseased lining of the joint – the synovium – is removed. It may help relieve pain and swelling.
  • Joint replacement: It is a procedure in which a damaged joint is replaced with an artificial joint. It often relieves pain and may restore some joint motion and function.
  • Joint fusion, or arthrodesis: It is a procedure that permanently fuses damaged joints. It may help relieve the chronic pain of some joints, such as the wrists, when splinting isn’t enough.

Non Medical Options for Joint Pain Treatment:

Heat and Cold Therapy

Using heat and cold treatments can reduce the pain and stiffness of arthritis. Cold packs numb the sore area and reduce inflammation and swelling. They are especially good for joint pain caused by a flare. Heat relaxes your muscles and stimulates blood circulation. You can use dry heat, such as heating pads or heat lamps, or moist heat, such as warm baths, warm showers or heated washcloths or paraffin wax for your hands. Before using a hot or cold treatment, be sure your skin is dry and free from cuts and sores. If you have visible skin damage, don’t use cold or heat, especially a paraffin wax bath. Use a towel to protect your skin from injury when you are treating an area where the bone is close to the skin’s surface. After using heat or cold, carefully dry the area and check for purplish-red skin or hives, which may indicate the treatment was too strong. Also check the area for any swelling or discoloration. Gently move the joint to reduce stiffness. Allow your skin to return to normal temperature and color before using heat or cold again.

Massage

Massage brings warmth and relaxation to the painful area. You can massage your own muscles or you can ask your doctor or other health care provider to recommend a professional who’s trained to give massages. Keep these tips in mind when considering massage:

  • When doing self-massage, stop if you feel any pain.
  • Don’t massage a joint that is very swollen or painful.
  • When giving yourself a massage, use lotion or oil to help your hands glide over your skin.
  • If you have a professional massage, make sure the massage therapist has experience working with people who have arthritis.

Please note that the non medical options can only provide you interim pain relief. Consult your specialist for training and the use of the right pain relief method.

Joint pain can be very limiting on your life. It can affect your mobility, daily activities and your routine. It can also make you dependent on other for simple tasks – moving from the bed to the toilet or to the dining table. You should definitely consult a specialist and not just rely on over the counter alternative medicines or pain killer, if you have any of the following signs and symptoms:

  • If you’re joint pain is acute (lasting days) or chronic (lasting months or even years).
  • Depending on the underlying disease pain your joint pain could be localised to one area only – (e.g., after trauma or during osteoarthritis) or in several joints (e.g., during rheumatoid polyarthritis).
  • Pain is usually localized to the afflicted joint or joints, but it can also be referred (e.g., hip OA may cause knee pain).
  • If your joint pain is often dull and aching and thus different from cutaneous pain, which is sharp and more precisely localized.
  • If the joint pain usually appears as hyperalgesia (or allodynia): in a normal joint only movements against the resistance of the tissue cause pain, whereas pain occurs in an injured or inflamed joint during movements within the normal working range.
  • If your joint pain is leading to physical impairment, limping, restriction of movement, and loss of force.
  • If your joint pain is usually worsened by use (weight-bearing or movement) and relieved at rest, but it may also be constant.
  • If your joint pain is the most at night
  • If your joint pain is associated with other symptoms such as stiffness, instability, or warmth.

Paras Darbhanga has a team of doctors, radiologists, rehabilitation staff and surgical expertise to address your joint pain. The hospital has a well developed clinical protocol to address the issues.

OPD Timings:

Joint Pain Clinic Mon to Sat 9:00 am to 5:00 pm

Our Joint Pain Clinic Experts

A powerful team working for your Health