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Effective Pain Management Rehab At Hamsa Rehab

Life Begins When Pain Ends

Pain Management

Pain is the unpleasant subjective sensory and emotional response to a stimulus, which causes actual or potential tissue damage. Different people perceive pain differently. Pain is a protective mechanism for the body which occurs whenever any tissue gets damaged.

The stimulus which causes pain makes the individual react to it. They try to avoid it by altering their posture. Pain can have a somatic, neuropathic or a psychogenic origin.

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Causes of Pain

Pain can have a somatic, neuropathic or a psychogenic origin. But the specific causes may be of the following
Viral, Bacterial or Fungal
Inflammatory
Cancer Pain
Degenerative
Ischemic
Endocrine/Metabolic
Autoimmune
Traumatic

Types of Pain

Acute Pain
A symptom of underlying disease or trauma. It is localized, sharp and self-limiting. It lasts for 3 months.
Chronic Pain
It lasts longer than 3 to 6 months. It is a pain that has lost its biological purpose. Hence it is different from acute pain
Aims of Pain Management
Identify and treat the organic cause.
Improve ability to cope with the pain.
Improve function—as measured by ADL.
When To Go For Medical Treatment?
Pain persists even after physical measures.
Neuropathic pain.
Pain due to Infection or inflammation.
Pain due to cancer.
Acute pain from injury or trauma.
Treatment Based on Origin
Mechanical Origin
Go for manipulative procedures
e.g. corrective exercises, postural realignment.
Inflammatory Origin
Go for physical modalities
e.g. heat, cold, short-wave diathermy, ultrasound.
Physical Agents/ Modalities Used
Physiological Effects
Therapeutic cold (cryotherapy) Ice packs, ice immersion, ice stroking.
Moist heat.
Interferential currents.
TENS.
Faradic and Galvanic currents.
EMG Biofeedback.
Ultrasound therapy.
Paraffin wax.
Cold
Reduces skin temperature.
Constriction of blood vessels.
Increases blood, water, and lipid viscosity.
Reduces muscle contraction.
Heat
Circulatory effect: Local hyperemia and reflex vasodilatation.
Analgesic effects: Soothing effect or marked sedative effect on the tissue.
Stretching effects: It stretches scars and adhesions prior to mobilization.
It leaves skin supple and moist by avoiding water evaporation.
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