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Aastha Pain Clinic, Mumbai (2026)

24/02/2021

Burning Mouth Syndrome Treatment

Burning mouth syndrome (BMS) is chronic pain, discomfort and burning sensation of oralmucosa . It is characterised by the absence of lesions and is not caused by any other condition or disease. As per the epidemiological trends observed in the developed countries upto 15 % of the population suffers with the disease.

Women are more likely to suffer as compared to men, usually at menopausal or postmenopausal age. BMS is a neuropathic disorder with central changes characterised by burning pain mostly bilateral on the tongue, lips, palate and occasionally pharynx. The pain is characterised by burning tingling discomfort of fluctuating intensity and variable symptoms. The onset is usually spontaneous. Some of the other changes seen in this disease are changes in taste perception, salivary changes and accompanying anxiety traits. In burning mouth syndrome treatment, Diagnosis is established with meticulous history taking and ruling out other local and systemic reasons.

Diagnostic tests conducted to aid the same are various types of blood tests and microbial tests. Certain neurologic imaging and diagnostic tests may also be required in burning mouth syndrome. treatment includes neuropathic pain drugs and other scientific evidence-based behavioural techniques used for pain management.

Burning mouth syndrome is a tricky and poorly-understood condition that affects the mouth. Abbreviated as BMS, it is a fairly common health condition in which the individual experiences.

A burning sensation in the mouth without any obvious reason. It can occur suddenly, periodically or develop gradually over a period of time. It is commonly seen in elderly women than men.

24/02/2021

Post Herpes Zoster Pain Treatment
One of the most common complications of shingles is persistence of pain in the affected area of the body after the rash has healed. This is often called post-herpetic neuralgia . It may be very severe and prolonged, particularly in older patients.

Post-herpetic neuralgia is most likely to occur when the patient with shingles is older (more than 50 years old), there is severe or moderately severe pain when the rash appears and/or there is pain before the rash appears.

Through years of experience, Dr. Kailash Kothari has developed a treatment that has proved successful and effective. Please schedule pain consultation or call our office to find out more.

24/02/2021

Knee and Shoulder pain
The shoulder

Most movable joint in the body
An unstable joint - As it has to allow the range of motion allowed
easy to get injured as the ball of the joint is larger than the socket which holds it
Stability is achieved by strong muscles, tendons and ligaments
Damage to these tissues can be because of injury, overuse or underuse of the shoulder.
A degenerative process can also cause shoulder pain
Inflammation - Tendinitis, Bursitis & Impingement of soft tissues in & around shoulder
Pain character - localized or referred around the shoulder or to the arm.

Knee Pain
Can affects people of all ages.The cause may be an injury causing a ruptured ligament or torn cartilage. Some other causes are arthritis, gout and infections.

Most knee pain can be treated with simple home remedies. Some required medical and conservative treatments.Few patients will require knee surgery.

Presentation - you may have swelling and stiffness, redness, warmth, weakness or instability of muscles and ligament, Popping or crunching noise, inability to fully straighten the knee.

When you should meet our pain physician -

When you see above symptoms and you have difficulty in weight bearing restricted range of movement, you must visit our clinic.

24/02/2021

Atypical Facial Pain Treatment (AFP)
This is also termed atypical facial neuralgia, chronic idiopathic facial pain,or psychogenic facial pain), is a type of chronic facial pain which does not fulfill any other diagnosis. There is no consensus as to a globally accepted definition, and there is even controversy as to whether the term should be continued to be used. Both the International Headache Society (IHS) and the International Association for the Study of Pain (IASP) have adopted the term persistent idiopathic facial pain (PIFP) to replace AFP.

In the 2nd Edition of the International Classification of Headache Disorders (ICHD-2), PIFP is defined as "persistent facial pain that does not have the characteristics of the cranial neuralgias and is not attributed to another disorder. However, the term AFP continues to be used by the World Health Organization's 10th revision of the International Statistical Classification of Diseases and Related Health Problems and remains in general use by clinicians to refer to chronic facial pain that does not meet any diagnostic criteria and does not respond to most treatments.

The main features of AFP are: no objective signs, negative results with all investigations/ tests, no obvious explanation for the cause of the pain, and a poor response to attempted treatments.

24/02/2021

Complex Regional Pain Syndrome (CRPS I & II)–Previously RSD
Most Injuries heal by itself. Sometimes post injury pain may remain for more than 3 months and is associated with swelling, redness and skin changes. this is called Complex regional pain syndrome or CRPS. This is also called as Reflex sympathetic syndrome or RSD.

CRPS may also develop after surgery, a heart attack, a stroke or other medical problem.

The pain may be burning sensation and is out of proportion to what is expected for the injury.

Symptoms include -

"Burning" pain in your arm, leg, hand or foot.

Skin sensitivity.

Some other features are changes in skin temperature, color and texture. Skin may be sweaty, cold or warm than normal. Skin color changes are also commonly seen and may be white or mottled to red or blue. Skin is hypersensitive (allodynia) sensitive to touch, gush of air, movements may be painful. Skin may be thin or shiny in the affected area.

There are changes in hair and nail growth.

We also see joint stiffness, swelling and damage. Along with these muscle spasms, weakness and muscle loss (atrophy) is also seen.

CRPS can be

Type I (RSD) - No direct injury to nerves
Type II (Causalgia) - following a distinct nerve injury.

24/02/2021

Myofascial Pain Syndrome Treatment
Proliferative therapy, also know as prolotherapy, is a method of injecting an anesthetic and an irritant (usually containing dextrose) into the weak joints, ligaments or tendons which are damaged. It is a procedure which helps ligaments and tendons to be repaired naturally.

24/02/2021

Cancer Pain Treatment
Pain in cancer is one of the most common symptoms. It is of vital importance to provide adequate pain relief so that cancer patient can live the last stages of their life comfortable & happily. There are various nerve block techniques used by pain specialist at PCI to achieve this goal. In cases with intractable pain is not responding to simple nerve block, our pain physician treat it by implanting a highly specialized intra spinal drug delivery pump. Our pain physicians are specialized in opioid management for these patients.

24/02/2021

Neck Pain / Spondylolysis Treatment
Neck pain is described as an aching, burning, stabbing, shooting, or cramping pain and frequently spreads into the Head, upper back, the arm or the hand. It is frequently made worse by activities that require one to be static or perform repetitive tasks like typing and answering the phone. It might be post trauma or a degenerative problem. Common sources of neck pain include Facet joints, Herniated discs, Muscles etc. The causes are almost similar to that for back pain (see above)

Medical management and specialized targeted physiotherapy at PCI gives quick relief to the patients. Sometimes Injections therapies like cervical epidural steroid injections, facet joint or its nerve block, radiofrequency ablation, Prolotherapy, Provocative discography, Cervical Nucleoplasty and in the end if everything fails to achieve relief then disc removal Surgery for pain are the treatment options.

24/02/2021

Sciatica, Herniated disc (Or slip disc)
Our spine consists of the vertebral column through which spinal cord runs. From the spinal cord various nerves comes out and supply sensations to the peripheral parts of the body. Sciatic nerve is large nerve that runs from the lower back down the back of each leg. When something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, and leg. Up to 90% of people recover from sciatica without surgery. In brief, Sciatica refers to back pain caused by a problem with the sciatic nerve.

24/02/2021

Spasticity Treatment
Spasticity is a form of muscle overactivity that occurs when communication between your brain and spinal cord is disrupted by a spinal cord injury, other injury or illness. Spasticity has some benefits, such as helping tone muscles. However, spasticity may cause pain, fatigue and other problems. Also, spasticity can become a barrier to your daily activities, walking, sitting, positioning and sleep

24/02/2021

Neuropathic Pain – Diabetic Neuropathy or any Other Cause

24/02/2021

Osteoarthritis Knee pain
Knee pain is one of the most common pain complaints for which patients visit the doctor. Due to increasing social activities, the number of knee problems is increasing. Knee pain is not because of one cause but has a wide variety of causes and also many treatments exist. Prevention is always better then cure. we emphasise that preventive measures should be taken to delay Knee OA as much as possible. There are different treatment options available at PCI including medicines, physiotherapy, taping, mobilization, steroid injection, arthroscopy and surgery. But dextrose prolotherapy and PRP (Platelet rich plasma) are frequently considered best non surgical treatment as it promises healing from inside and long lasting results.

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