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Introduction Osteoarthritis is commonest cause of knee pain and discussed here. Osteoarthritis is one of the commonest joint problems with...
Migraine is commonest type of headache that needs a visit to a doctor. It is also the commonest cause of...
Chronic pain: a symptom or a disease? Pain has been defined by International Society for Study of pain as "an...
It is useful in the treatment of the following conditions : 1) Raymauds diseases . 2) Arterial embolism in arm...
Epidural block or epidural steroid injection is a common technique to relieve chronic spinal pain. It may be Lumber Epidural...
It is done for contained disc prolapse & discogenic pain. Here a 17G needle introduced into the diseased disc under...
Vertebroplasty may be used for patients with vertebral compression fractures due to osteoporosis, metastatic tumors, or benign tumors such as...
Ozone Therapy in slip disc, Ozone Nucleolysis, Ozone Discectomy, Ozonucleolysis Conditions treated with Ozone Therapy: Parkinsonism | Stroke | Psoriasis...
General faq
  • What is the mechanism of action of Spinal Cord Stimulation?

    It acts by several mechanisms:
    1. Gate control theory- stimulation of larger diameter nerve fibers inhibits pain carrying small diameter fibers.
    2. Secretion of putative neurotransmitters that inhibits pain signals.
    3. It produces supraspinal inhibition of pain either by inhibiting pain transmission or modulation of pain impulses.
    4. Sympathetic inhibition by some mechanisms.

  • What is the difference between TENS and SCS?

    In Spinal Cord Stimulation, implanted electrodes stimulate it. In TENS electrodes applied over skin. Former is better as several other mechanisms acts to relieve pain.

  • What is Neuro-stimulation?

    Simulation of nerves electrically with implanted leads close to the involved segment or nerve with/ without implanted power generator to inhibit or block the sensation of pain is called Neuro-stimulation.

  • What is Spinal Cord Stimulation?

    When the lead is implanted in the epidural space to stimulate spinal cord itself is called Spinal Cord Stimulation.

  • What is TENS?

    TENS is Trans-cutaneous Electrical Nerve Stimulation. Here nerve or spinal segment is stimulated with superficial current applied over the skin of same dermatome.

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