Removemypain

19/01/2026

Nerve Pain Mein Antidepressant Kyun Dete Hain? (Duloxetine Explained)

Why is an antidepressant like Duloxetine used for nerve pain?

Many patients are surprised when they are prescribed Duloxetine for pain, especially when they know it as an antidepressant.

In this short video, I explain why Duloxetine is commonly used in pain medicine, particularly for nerve pain (neuropathic pain).

Duloxetine works on the central nervous system by increasing the levels of serotonin and noradrenaline (norepinephrine) in the brain and spinal cord. These chemicals play a key role in modulating pain signals, reducing the intensity of pain messages reaching the brain.

This is why Duloxetine is effective in conditions like:
Nerve pain
Chronic pain syndromes
Diabetic neuropathy
Fibromyalgia Pain with anxiety or sleep disturbance

👉 Important: Duloxetine does not “mask” pain. It helps the nervous system process pain signals differently, which can lead to meaningful pain relief in the right patients.

🎥 This video is a short clip. For a detailed explanation, including:
- Who should take Duloxetine
- When it works best
- Common misconceptions about antidepressants in pain
- Safety and medical guidance

🔗 Watch the complete video on our channel- https://youtu.be/oYfa6YzAy2g

💾 Save this reel for later
📤 Share it with someone dealing with ongoing buttock or leg pain
📞 For more help International Pain Centre, Delhi
📞 +91-9993336525
🌐 internationalpaincentre.com
👉 Subscribe for expert videos on pain & recovery: https://www.youtube.com/
👉 Follow on Instagram (International Pain Centre): https://www.instagram.com/internationalpaincentre/

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15/01/2026

Pet Dard Hai, Reports Normal? | Ho Sakta Hai Dard Pet Ke Andar Nahi Ho (ACNES)

All Scans Normal, Still Stomach Pain? 😳 It Could Be Abdominal Wall Pain (ACNES) | Pet Dard Ka Asli Reason

Have you been dealing with persistent stomach pain, but every test — CT scan, MRI, ultrasound, blood work — comes back normal?

You’re not imagining it.
And the pain may not be coming from inside your stomach at all.

In many patients, the real source is the abdominal wall, not the internal organs.
This condition is called ACNES (Anterior Cutaneous Nerve Entrapment Syndrome) — a commonly missed but very real cause of chronic abdominal pain.

🔍 Typical signs of abdominal wall pain (ACNES):
• Pain is localized to one small spot
• Patients can often point to it with one finger
• Pain increases when you tighten abdominal muscles — getting up, coughing, lifting, or doing core exercises
• Imaging and lab reports are often completely normal

⚠️ ACNES is commonly seen after:
• C-section or other abdominal surgeries
• Laparoscopic procedures
• Appendix, kidney, or pancreatic surgery
• Repeated coughing or unaccustomed abdominal strain

💡 The important takeaway

ACNES is not dangerous, not psychological, and does not require unnecessary surgery.
With correct diagnosis and ultrasound-guided nerve injections, many patients experience significant and lasting relief.

👉 If your abdominal pain is unexplained despite normal reports, think beyond the organs — think abdominal wall pain.

📌 Please share this reel — it may help someone avoid years of confusion, anxiety, and unnecessary investigations.

👨‍⚕️ About
📍 International Pain Centre, India
🌐 https://www.internationalpaincentre.com
📞 +91-99933-36525 (Calls & WhatsApp)
🔔 Subscribe on YouTube: Dr. Amod Manocha
📲 Follow on Instagram: InternationalPainCentre

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10/01/2026

Rib Fracture Pain: Are We Matching the Healing Timeline?

🫁 Rib fracture pain is not just about pain relief — it’s about physiology, ventilation, and outcomes.

Most of us were trained to manage rib fracture pain with:
💊 Paracetamol, NSAIDs, opioids
🧠 Thoracic epidural
📍 Paravertebral block
🟦 ESP or serratus plane blocks
🪡 Intercostal nerve blocks
All of these work.

But here’s the uncomfortable question 👇
👉 Do they last long enough to match the biology of rib fracture pain?

In this video, Dr. Amod Manocha, Pain Specialist, takes a hard, evidence-based look at why rib fracture pain behaves differently from most injuries — and why duration of analgesia matters more than we’ve been taught.

🎬 WHAT YOU’LL LEARN IN THIS VIDEO
✅ Why rib fractures cannot truly “rest”
✅ How pain-limited ventilation leads to atelectasis, pneumonia, failed extubation, and prolonged ICU stay
✅ The real-world limitations of thoracic epidurals, paravertebral catheters, ESP blocks, serratus plane blocks, and intercostal nerve blocks
✅ Why short-acting regional techniques often fail to match the timeline of rib fracture pain
✅ Where intercostal nerve cryoablation fits — and why it can change outcomes in selected patients

🚨 This is not about abandoning conventional regional anesthesia.
It’s about asking a better question:
Does my analgesic strategy truly match the duration and physiology of rib fracture pain?

❄️ WHY INTERCOSTAL CRYOABLATION DESERVES A PLACE IN THE CONVERSATION
Compared to epidurals and catheters:
✔️ No sympathetic block
✔️ No hypotension
✔️ No indwelling catheters
✔️ No continuous local anesthetic infusion
✔️ Lower nursing burden

Compared to repeated intercostal blocks:
✔️ Prolonged analgesia lasting weeks
✔️ No repeated needle trauma
✔️ No cumulative local anesthetic toxicity
For elderly patients, multiple rib fractures, post-CPR injuries, and polytrauma, this approach can be outcome-changing — not just comfort-improving.

Link to patient testimonial: https://youtu.be/kz3XQqWU-SQ

🎓 PART 2 — PRACTICAL, ANATOMY-DRIVEN (DON’T MISS THIS)
📌 In Part 2, Dr. Amod Manocha will break down:
🧠 Intercostal nerve anatomy
📍 Paraspinal vs paravertebral vs posterior, mid-axillary, and anterior approaches
🪡 Where blocks, cryoablation, and RF actually work best
⚠️ Why where you intervene often matters more than what you do
👉 Subscribe so you don’t miss it.

📚 EDUCATION & TRAINING — EDUCATION WITHOUT BARRIERS
Through Education Without Barriers, we focus on:
🎓 Evidence-based pain education
🧠 Conceptual clarity, not just techniques
🪡 Ultrasound-guided pain interventions
📊 Decision-making frameworks that improve real-world outcomes
📺 Subscribe on YouTube: Education Without Barriers
📘 Follow on Facebook: Education Without Barriers
📞 CONTACT FOR EDUCATIONAL PROGRAMS & TRAINING 📱 099933 31020
📧 Email: education@internationalpaincenter.com

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06/01/2026

Greater Occipital Nerve (GON) Block- Proximal Vs Distal : An Ultrasound-Guided, Anatomy-Driven Approach

Greater occipital nerve (GON) blocks are commonly performed — yet many fail to deliver consistent or durable relief. The reason is often anatomical, not technical.

In this video, we demonstrate an ultrasound-guided proximal greater occipital nerve block at the C2–obliquus capitis inferior (OCI) level, with a clear explanation of why proximal targeting is mechanistically superior to traditional distal landmark-based injections.

Using real-time ultrasound scanning and a step-by-step anatomical approach, this session covers:
- Ultrasound identification of the GON from the occipital protuberance to the C2–OCI level
- Key sono-anatomy: C2 spinous process, obliquus capitis inferior, semispinalis capitis
- Identification of the nerve before fascial pe*******on and branching
- Relationship of the GON to vertebral and surrounding vascular structures
- Rationale for proximal targeting in chronic and refractory pain states
- Why proximal GON blocks are better suited for radiofrequency and cryoablation

The video also explains why distal superficial GON blocks may lead to shorter duration, missed entrapment, and inconsistent outcomes, and how an anatomy-driven ultrasound approach can improve accuracy, safety, and reproducibility.

🎯 Clinical Indications Discussed
- Occipital neuralgia
- Cervicogenic headache
- Chronic or refractory migraine (selected cases)
- - Post-traumatic occipital pain
Headache conditions with suspected proximal nerve entrapment

This content is intended for healthcare professionals involved in pain medicine, neurology, rehabilitation, musculoskeletal imaging, and headache management, and is part of our effort to promote anatomy-driven, evidence-based interventional pain practice.

🔔 Stay Connected | Education Without Barriers
If you find this educational content useful:
- Subscribe to our YouTube channel: Education Without Barriers
- Follow our page: Education Without Barriers
We regularly share high-quality procedural education, anatomy-based pain interventions, and clinical insights aimed at breaking barriers in medical learning.

🎓 Education & Academic Activities
As part of our broader academic mission at International Pain Centre, Delhi, we are involved in structured educational initiatives focused on ultrasound-guided pain and regional anaesthesia interventions, and evidence-informed clinical practice.
These activities are designed for healthcare professionals seeking deeper understanding and hands-on exposure in interventional pain management within a clinically active environment.

For academic or educational queries:
📧 Email: education@internationalpaincenter.com
📱 WhatsApp / Call: +91 999-333-1020
🌐 Website: internationalpaincenter.com

📌 Precision in pain medicine begins with understanding anatomy.

Video editing by Dr Aishwarya

01/01/2026

Back Pain? Headache? Chronic Pain?

Are you living with chronic pain and still not getting relief?

Many people don’t realise what a Pain Clinic actually treats — and because of this lack of awareness, patients often suffer for years, undergo unnecessary procedures, or are told to “live with pain.”

In this video, Dr. Amod Manocha, Pain Specialist, explains the most common conditions treated in a Pain Clinic, including:

* Back pain (acute and chronic)
* Neck pain with or without arm pain
* Sciatica and slip disc pain
* Shoulder pain and frozen shoulder
* Knee pain without surgery
* Musculoskeletal pain (tennis elbow, plantar fasciitis, hip and buttock pain, sacroiliac joint pain)
* Pelvic pain and tailbone pain
* Post-surgical pain that does not settle
* Cancer-related pain where comfort and quality of life matter

A modern Pain Clinic is not just about painkillers.
Pain management focuses on accurate diagnosis, image-guided treatments (ultrasound & X-ray), movement correction, strengthening, and preventing pain recurrence, helping many patients avoid unnecessary surgery and long-term suffering.

If pain is affecting your daily life, sleep, or work — it is not something you should ignore or normalize. The right specialist and the right approach can make a real difference.

👉 Subscribe & Follow for More Expert Pain Education

▶ YouTube: Dr. Amod Manocha
▶ Instagram: International Pain Centre

📍 Need Help or Consultation?

International Pain Centre
📞 +91-9993336525
🌐 https://internationalpaincentre.com

24/12/2025

Subah uthte hi heel pain? | Morning Heel Pain Explained (Plantar Fasciitis)

Do you feel sharp heel pain the moment you take your first step in the morning?
That sudden “electric shock” or stabbing pain under the heel is one of the most common signs of Plantar Fasciitis.

In this short video, Dr. Amod Manocha, Pain Specialist, explains in simple terms:
• Why heel pain is worst in the morning
• What plantar fascia is and how it gets injured
• Why heel pain is often blamed on a “heel spur” — and why that’s misleading
• A simple self-check to identify plantar fascia pain
• Easy home measures to reduce pain and prevent worsening

If your heel pain has lasted more than 2–3 weeks, or is affecting your walking, sleep, or posture, it should not be ignored. Untreated plantar fasciitis can slowly become chronic and disabling, but early diagnosis and targeted treatment can make a big difference.

🎥 Watch the full detailed YouTube video on Plantar Fasciitis
https://youtu.be/n3TO4X99Mz0 — where diagnosis, ultrasound findings, and advanced treatment options are explained in depth.

🔔 Follow & Learn More About Pain Care
✅ Subscribe on YouTube: Dr. Amod Manocha
✅ Follow on Instagram & Facebook: International Pain Center

Get evidence-based education on heel pain, foot pain, knee pain, back pain, nerve pain, and modern pain-management treatments.

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20/12/2025

Suprascapular Nerve Block — Which approach to use and where to block the nerve?
Choosing between an anterior suprascapular nerve block and a posterior suprascapular nerve block is not a matter of preference — it is a matter of anatomy, biomechanics, and clinical intent.

In this advanced, clinician-focused video, Dr. Amod Manocha explains how the clinical outcome of a suprascapular nerve block changes depending on where you block the nerve along its course.

LINK TO REFERENCE ARTICLE
https://pubmed.ncbi.nlm.nih.gov/30635516/

🎯 WHAT THIS VIDEO CLEARLY ANSWERS
✔ Anterior suprascapular nerve block vs posterior suprascapular nerve block — key differences
✔ What happens when the nerve is blocked:
• In the anterior neck as it comes off the upper trunk of Brachial Plexus (C5–C6)
• At the suprascapular notch
• In the supraspinous fossa
• At the spinoglenoid notch
✔ Which block affects shoulder abduction and shoulder joint stability
✔ Why some patients lose pain but also lose function
✔ Which components of the shoulder remain unblocked at each level
✔ Why certain “failed” suprascapular blocks can be wrong-level blocks

🔬TIPS FOR CLINICAL DECISION-MAKING
• When anterior suprascapular block is preferable
• When posterior suprascapular block preserves function better
• How to choose the block based on Anatomy vs movement requirement
• How anatomy explains variable outcomes across studies and clinical practice

⚠️ WHEN BLOCKS GIVE SHORT TERM RELIEF — WHAT NEXT?
If pain relief is inadequate or short-lived, this video also discusses:
✔ When to escalate to radiofrequency treatment or cryoablation
✔ Links to separate dedicated videos covering these advanced techniques

🎓 WHO THIS VIDEO IS FOR
• Pain physicians
• Anaesthetists
• Orthopaedic surgeons
• Sports medicine physicians
• Radiologists performing MSK interventions
• Fellows & trainees in Pain Medicine

16/12/2025

06/12/2025

ANTERIOR SUPRASCAPULAR NERVE BLOCK (Ultrasound-Guided) | Real Sono-Anatomy, C5–C6–C7 Identification

Anterior Suprascapular Nerve Block: Real Sono-Anatomy & C5–C6–C7 Identification

A clear understanding of real sono-anatomy is essential for performing an accurate and safe suprascapular nerve block.

In this fast, high-yield 2.5-minute tutorial, Dr. Amod Manocha (Education Without Barriers) demonstrates how the suprascapular nerve appears on actual ultrasound, not just in textbook illustrations.

This video walks you through the true sono-anatomic pathway from the cervical roots to the upper trunk, enabling greater confidence, precision, and consistency in your shoulder blocks.
___________________________________
⭐ WHAT YOU WILL LEARN IN THIS VIDEO

✔ How to identify C5, C6, and C7 vertebrae on ultrasound
✔ Step-by-step identification of C5, C6, and C7 nerve roots
✔ How C5 and C6 fuse to form the upper trunk
✔ Where the suprascapular nerve emerges from the upper trunk
✔ How to trace the nerve as it passes laterally and lies posterior to the omohyoid
✔ Key sono-anatomy landmarks that reflect real scans, not stylised diagrams
✔ Use of Doppler at the correct stage to increase block safety

This approach is increasingly preferred by regional anesthesiologists and pain physicians because it offers broad shoulder analgesia without the diaphragmatic involvement often seen with interscalene blocks.

⭐ ANTERIOR vs POSTERIOR SUPRASCAPULAR NERVE BLOCK — What Clinicians Should Know
Pain physicians traditionally use the posterior approach, but understanding both is essential:
🔹 Anterior Approach — What It Offers
• Allows a comprehensive block of all suprascapular nerve components
• Beneficial for perioperative and chronic shoulder pain scenarios
• Useful for global shoulder analgesia
• Lower risk of phrenic nerve involvement compared to interscalene block

🔹 Posterior Approach — Why the approach Matters
• Allows selective targeting
• Can spare supraspinatus or infraspinatus
• Useful when you want to block articular branches only
• Used commonly by pain physicians
Understanding both techniques gives you a versatile toolkit for shoulder pain management.

⭐ WHO SHOULD WATCH THIS VIDEO
🎯 Anaesthesiologists & Regional Anesthesia Specialists
🎯 Pain Physicians
🎯 Orthopaedic Surgeons
🎯 Sports Medicine Clinicians
🎯 Regional Anesthesia Fellows & Trainees
🎯 Anyone performing ultrasound-guided shoulder interventions
If your mental model of suprascapular anatomy is based mainly on diagrams, this video will reshape how you interpret real-time sono-anatomy.

⭐ JOIN THE EDUCATION WITHOUT BARRIERS COMMUNITY
This video is part of Education Without Barriers, an initiative by Dr. Amod Manocha to make high-quality procedural knowledge accessible to clinicians worldwide.
🔔 Subscribe for high-impact clinical videos:
YouTube — Education Without Barriers
https://www.youtube.com/
📸 Follow our clinician-focused Instagram channel:
Dard Ki Paathshala
https://www.instagram.com/dardkipathshala
Contact us on: +91 999 333 65 25

⭐ ADVANCE YOUR TRAINING — COURSES & OBSERVERSHIPS
Explore our training programs, hands-on workshops, online ultrasound modules, and pain medicine observerships for clinicians seeking structured career advancement.
🌐 Visit: https://educationwithoutbarriers.com
📌 Course details, schedules, and application guidelines available on the website.
If you wish to pursue a deeper journey into pain interventions, ultrasound-guided procedures, and clinical decision-making, we welcome you to learn with us.

30/11/2025

Thumb Base Pain | Wrist Pain | De Quervain’s Treatment Explained (Hindi + English)If opening jars, lifting your baby, twisting door handles, typing, or texti...

23/11/2025

Rib pain that won’t go away? Feeling a popping or clicking under your ribs when you bend, twist, or breathe deeply?

This could be more than acidity, muscle strain, or anxiety — it may be Slipping Rib Syndrome (SRS), an often-missed cause of chest wall pain (पसलियों का दर्द) that confuses even experienced clinicians.

In this video, Dr. Amod Manocha, explains everything you need to know about Slipping Rib Syndrome — what it is, why it happens, how it’s diagnosed, and how it can be treated without surgery in most cases.

LINK FOR FULL VIDEO ON OUR YOUTUBE CHANNEL
https://youtu.be/m4Cnn-gbQ_0?si=OeVPeiFGI1ORYCoG

👨‍⚕️ About Dr. Amod Manocha
Dr. Amod Manocha is a UK-trained Pain Specialist & Interventional Pain Physician at the International Pain Centre, Delhi, with expertise in ultrasound-guided pain procedures and multidisciplinary pain care.
He helps patients find accurate diagnoses and long-term relief from chronic pain conditions.

📞 For More Information & Help
👉 Call 📞 +91-9993336525

📲 Stay Connected for More Updates:
✅ Subscribe on YouTube –
✅ Instagram – / internationalpaincentre
✅ Facebook – https://www.facebook.com/profile.php?...
🌐 Visit internationalpaincentre.com

22/11/2025

Chronic Buttock Pain? The Source Might Not Be Where It Hurts! Dr. Amod reveals the TRUTH👇

Suffering from chronic buttock or hip pain that just won't go away? You've tried everything—massage, hot compresses, cold packs—but the relief is temporary. Why?

Pain Specialist Dr. Amod Manocha (International Pain Centre) reveals a crucial secret: Pain does not always originate from the spot you feel it!

Your persistent buttock pain might actually be a WARNING SIGNAL- If you treat the symptom instead of the source, you are wasting time and prolonging your suffering.

Watch Dr. Amod’s FULL DETAILED VIDEO where he explains exactly how to self-identify the TRUE ROOT CAUSE and what steps to take next. This video is your first step to a pain-free life.

Click below and find out what your pain is secretly trying to tell you!
https://youtu.be/94hQqpAtyzg?si=g_rybobZ8inuT-K3

🩺 About Dr Amod Manocha:
Internationally trained Pain Specialist | Director, International Pain Centre, Delhi

📍About International Pain Centre (IPC):
Located in Neeti Bagh, New Delhi, IPC is a leading multidisciplinary centre for advanced pain management — offering evidence-based treatments for spine, nerve, and joint pain.

👉 For more information:
📞 +91-9993336525
🌐 www.internationalpaincentre.com
📧 info@internationalpaincentre.com

🔔 Subscribe for expert videos on pain & recovery:
🎥 Dr Amod Manocha – YouTube Channel

📱 Follow Dr Amod Manocha for updates:
Instagram: https://www.instagram.com/internationalpaincentre/
Facebook: https://www.facebook.com/profile.php?id=100084215644285

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