Dr Subhasish Pati

Dr Subhasish Pati MBBS , MD(PMR)Specialist in Interventional Pain Management , Joint Pain , Musculoskeletal Pain, Nerve Pain and Rehabilitation Medicine.

Happy Guru Nanak Jayanti!Allow your faith to anchor you and let acts of kindness elevate your spirit and those around yo...
05/11/2025

Happy Guru Nanak Jayanti!

Allow your faith to anchor you and let acts of kindness elevate your spirit and those around you.

🏆🇮🇳 𝘾𝙃𝘼𝙈𝙋𝙄𝙊𝙉𝙎! 🇮🇳🏆History created. Pride elevated.Our Indian Women’s Cricket Team has shown the world what passion, disc...
03/11/2025

🏆🇮🇳 𝘾𝙃𝘼𝙈𝙋𝙄𝙊𝙉𝙎! 🇮🇳🏆

History created. Pride elevated.
Our Indian Women’s Cricket Team has shown the world what passion, discipline, and teamwork truly mean.
They didn’t just play the game — they redefined it. 💙🔥

Sunday Thoughts: “Speaking is not about words, it’s about ideas that redefine directions”
02/11/2025

Sunday Thoughts: “Speaking is not about words, it’s about ideas that redefine directions”

🧠💪 𝐏𝐨𝐬𝐭-𝐒𝐭𝐫𝐨𝐤𝐞 𝐉𝐨𝐢𝐧𝐭 𝐏𝐚𝐢𝐧 — 𝐖𝐡𝐲 𝐈𝐭 𝐇𝐚𝐩𝐩𝐞𝐧𝐬 𝐚𝐧𝐝 𝐇𝐨𝐰 𝐭𝐨 𝐌𝐚𝐧𝐚𝐠𝐞 𝐈𝐭 !👩‍🦽Patient: “Doctor, after my stroke, my shoulder and o...
29/10/2025

🧠💪 𝐏𝐨𝐬𝐭-𝐒𝐭𝐫𝐨𝐤𝐞 𝐉𝐨𝐢𝐧𝐭 𝐏𝐚𝐢𝐧 — 𝐖𝐡𝐲 𝐈𝐭 𝐇𝐚𝐩𝐩𝐞𝐧𝐬 𝐚𝐧𝐝 𝐇𝐨𝐰 𝐭𝐨 𝐌𝐚𝐧𝐚𝐠𝐞 𝐈𝐭 !

👩‍🦽Patient: “Doctor, after my stroke, my shoulder and other joints have started hurting. Why is this happening? And what can I do about it?”

👨‍⚕️Doctor: That’s a very common and important question. After a stroke, many people get pain in the shoulder, wrist, or knee — especially on the weaker side. Let’s understand why it happens and what can help.

1️⃣ 𝐖𝐡𝐲 𝐝𝐨𝐞𝐬 𝐣𝐨𝐢𝐧𝐭 𝐩𝐚𝐢𝐧 𝐡𝐚𝐩𝐩𝐞𝐧 𝐚𝐟𝐭𝐞𝐫 𝐬𝐭𝐫𝐨𝐤𝐞?

A. Weak or imbalanced muscles
After a stroke, one side of the body becomes weak or tight.
The muscles can’t hold the joint in proper alignment, so the joint may partially slip (shoulder subluxation) or get strained — leading to pain.

B. Wrong handling or movement

Pulling or lifting the weak arm suddenly can injure the soft tissues or the shoulder capsule.
That’s why caregivers need proper guidance for transfers and dressing.

C. Muscle stiffness (Spasticity)

Some muscles become too tight after stroke.
This constant pull causes joint pain, deformity, and reduced movement.
👉 Example: Tight finger flexors → painful clenched hand.

D. Frozen Shoulder

When the shoulder isn’t moved for long, the capsule around the joint becomes tight and sticky — known as frozen shoulder.
It causes dull, deep pain and loss of motion.

E. Nerve-related pain (Central Post-Stroke Pain)

If the brain’s sensory area (like the thalamus) is affected, it may create a burning, tingling, or “electric” pain — even when there’s no injury.
This pain is from nerve damage, not the joint itself.

F. Overuse of the stronger side

The non-paralyzed side often does all the work — leading to shoulder, elbow, or knee pain due to overuse.

2️⃣ 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 — 𝐇𝐨𝐰 𝐭𝐨 𝐓𝐫𝐞𝐚𝐭 𝐏𝐨𝐬𝐭-𝐒𝐭𝐫𝐨𝐤𝐞 𝐉𝐨𝐢𝐧𝐭 𝐏𝐚𝐢𝐧

✅ A. Physiotherapy & Positioning
• Gentle range-of-motion exercises to prevent stiffness
• Proper shoulder support (sling or armrest)
• Avoid pulling on the weak arm
• Regular movement and stretching of tight muscles
• Correct sitting and sleeping posture

✅ B. Medications
1. For joint and muscle pain:
• Paracetamol
• Topical gels or sprays for local relief
2. For spasticity (tight muscles):
• Baclofen, Tizanidine, or Diazepam – help relax tight muscles (always under doctor supervision)
• Botulinum toxin injections (Botox) – for severe localized spasticity
3. For nerve-related (central) pain:
• Gabapentin or Pregabalin – reduce nerve pain and burning sensation
• Amitriptyline or Duloxetine – help both nerve pain and mood
• Sometimes low-dose opioids (like Tramadol) are used for short-term severe pain
4. For frozen shoulder or joint inflammation:
• Steroid injections into the shoulder joint or around tendons (if indicated)
• Hyaluronic acid injections for lubrication in stiff or degenerative joints

(Note: All medicines must be prescribed by a doctor — dose and combination vary by patient condition and other medical issues.)

✅ C. Physical Therapy Modalities
• Hot packs / infrared therapy – relax tight muscles
• Ultrasound therapy – reduce deep tissue pain
• TENS (nerve stimulation) – helps in both nerve and joint pain
• Hydrotherapy – gentle movement in warm water

✅ D. Lifestyle & Home Care
• Keep the weak arm supported while sitting
• Do regular stretching even if minimal
• Watch out for hand swelling — report it early
• Balanced diet with protein, calcium, and Vitamin D3

🌟 Key Takeaway
Post-stroke pain isn’t “normal.”
It’s a treatable complication — and managing it early means faster recovery, better mood, and more independence.

WBPMRCON 2025 – Kalimpong Being a part of the core organising team for WBPMRCON 2025 has been an unforgettable journey. ...
29/10/2025

WBPMRCON 2025 – Kalimpong

Being a part of the core organising team for WBPMRCON 2025 has been an unforgettable journey. After endless months of planning, coordination, and countless phone calls, seeing it all come together so beautifully at Kalimpong felt truly rewarding.

The conference had wonderful scientific sessions thoughtfully curated by our Academic Committee, and a beautifully designed souvenir that captured the essence of our field and fellowship.

From the delegates and faculties to accompanying persons and corporate partners, everyone reviewed the event as a resounding success.

The evenings came alive with a fashion show by delegates, along with cultural programs, magic shows, and fun games for kids — all meticulously planned to ensure every participant carried back fond memories. As an organising team, we tried to infuse the charm of North Bengal into every possible detail — from hospitality to heritage, from warmth to wonder. 🍃

As the saying goes, “Coming together is a beginning, staying together is progress, and working together is success.”

It would be wrong not to mention the immense support from Sinclairs retreat kalimpong and ITC Fortune Kalimpong — they too were true backbones in making this event such a smooth and successful one. 🙏

And above all, none of this would have been possible without the tireless efforts of Subha Hui and his wonderful team, also would like to thank Abhiyan for enhancing the social media presence.

As the sun shines and waters glisten, let us give thanks to nature and celebrate the precious gift of life together.Happ...
27/10/2025

As the sun shines and waters glisten, let us give thanks to nature and celebrate the precious gift of life together.

Happy Chhath Puja!

Today, we celebrate the ones who’ve been our first friends, first protectors, and forever cheerleaders.
23/10/2025

Today, we celebrate the ones who’ve been our first friends, first protectors, and forever cheerleaders.

What is Osteoporosis?Osteoporosis is a condition that weakens bones, making them thin, brittle, and more likely to fract...
20/10/2025

What is Osteoporosis?

Osteoporosis is a condition that weakens bones, making them thin, brittle, and more likely to fracture. It often progresses silently, showing no symptoms until a bone break occurs from a simple fall or strain.

How It Affects the Body

Fragile bones can lead to fractures, especially in the hip, spine, and wrist. These fractures can cause pain, loss of height, stooped posture, and long-term mobility issues—impacting daily life and independence.

Who Is at Risk?

While anyone can develop osteoporosis, it is most common in postmenopausal women and older adults. Other risk factors include poor nutrition, inactivity, smoking, alcohol consumption, certain medications, and a family history of the condition.

Prevention and Early Detection

Healthy lifestyle choices can greatly reduce the risk:
• Eat right: Include calcium and vitamin D-rich foods.
• Stay active: Do regular weight-bearing and strength-training exercises.
• Screen early: Bone density tests help detect early bone loss.
• Avoid harmful habits: Quit smoking and limit alcohol intake.

The Message of the Day

Bone health is vital for lifelong strength and movement. This World Osteoporosis Day, let’s pledge to protect our bones through awareness, prevention, and timely care.

আলোর খুশিতে ভরে উঠুক প্রতিটি দিন। শুভ দীপাবলি
20/10/2025

আলোর খুশিতে ভরে উঠুক প্রতিটি দিন।

শুভ দীপাবলি

12/10/2025

Is that sharp, burning pain in your big toe trying to tell you something?

It might not just be a sprain or fatigue — it could be Gout, a painful form of arthritis caused by the buildup of uric acid crystals in your joints.

Dr Subhasish Pati, MD (PMR), Assistant Professor, breaks down the science behind Gout — why it happens, how it affects your joints, and what signs you should never ignore.

🔹 What really happens:
When uric acid levels rise in your blood, they form tiny, needle-like crystals that settle in your joints — especially the big toe. This causes intense pain, swelling, and redness that can appear overnight.

🔹 Who’s at risk:
Gout can affect anyone — not just the elderly. Factors like a high-protein diet, dehydration, excessive alcohol, obesity, or certain medications can all trigger flare-ups.

🔹 What you can do:
Early lifestyle changes, proper hydration, and timely medical advice can prevent joint damage and long-term complications.

This World Arthritis Day (12 October), remember — joint pain isn’t just a symptom; it’s your body’s way of asking for attention.

Don’t ignore the warning signs. Get your uric acid levels checked and take charge of your joint health today.

💬 Tag someone who keeps saying “it’s just a minor pain” — they need to hear this before it’s too late!

The recent landslides and floods across Darjeeling, Mirik, Saureni, Maneybhanjyang, Sukhia Pokhari, Alipurduar, and Cooc...
05/10/2025

The recent landslides and floods across Darjeeling, Mirik, Saureni, Maneybhanjyang, Sukhia Pokhari, Alipurduar, and Cooch Behar have affected many families, causing severe damage to homes, roads, and livelihoods.
Sadly, several lives have been lost — may their souls rest in peace. No amount of words can overcome the sorrows.

To all residents and my patients from these regions — please stay safe, avoid unnecessary travel, and take care of your health.
If anyone needs medical guidance or follow-up support, feel free to reach out. I’ll try my best to help in whatever way possible.
We stand together — and together, we will overcome this difficult time.

দার্জিলিং, মিরিক, সাউরেনি, মানেভঞ্জন, সুখিয়া পোখরি, আলিপুরদুয়ার ও কোচবিহার এলাকায় সাম্প্রতিক ভূমিধস ও বন্যায় বহু মানুষের জীবন ও সম্পদ ক্ষতিগ্রস্ত হয়েছে।
অনেক মানুষ প্রাণ হারিয়েছেন — তাঁদের আত্মার শান্তি কামনা করি।

এই অঞ্চলের সকল বাসিন্দা ও আমার রোগীদের অনুরোধ — নিরাপদে থাকুন, অপ্রয়োজনীয় ভ্রমণ এড়িয়ে চলুন, এবং স্বাস্থ্যের যত্ন নিন।
যদি কারও চিকিৎসা পরামর্শ বা ফলো-আপ সহায়তা প্রয়োজন হয়, নির্দ্বিধায় যোগাযোগ করুন। আমি যথাসাধ্য পাশে থাকার চেষ্টা করব।

💙 আমরা একসাথে আছি, একসাথে এই কঠিন সময় পার করব।

🍋 𝐃𝐨 𝐬𝐨𝐮𝐫 𝐟𝐨𝐨𝐝𝐬 𝐥𝐢𝐤𝐞 𝐥𝐞𝐦𝐨𝐧𝐬 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞 𝐣𝐨𝐢𝐧𝐭 𝐩𝐚𝐢𝐧? 𝟏. 𝐒𝐜𝐢𝐞𝐧𝐭𝐢𝐟𝐢𝐜 𝐄𝐯𝐢𝐝𝐞𝐧𝐜𝐞• There is no strong scientific evidence that eat...
03/10/2025

🍋 𝐃𝐨 𝐬𝐨𝐮𝐫 𝐟𝐨𝐨𝐝𝐬 𝐥𝐢𝐤𝐞 𝐥𝐞𝐦𝐨𝐧𝐬 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞 𝐣𝐨𝐢𝐧𝐭 𝐩𝐚𝐢𝐧?

𝟏. 𝐒𝐜𝐢𝐞𝐧𝐭𝐢𝐟𝐢𝐜 𝐄𝐯𝐢𝐝𝐞𝐧𝐜𝐞

• There is no strong scientific evidence that eating sour foods like lemon directly increases joint pain.

• In fact, lemon is rich in Vitamin C, which is essential for collagen synthesis and joint cartilage health.

•Some studies even suggest Vitamin C may reduce risk of osteoarthritis progression.

𝟐. 𝐖𝐡𝐞𝐫𝐞 𝐭𝐡𝐞 𝐌𝐲𝐭𝐡 𝐂𝐨𝐦𝐞𝐬 𝐅𝐫𝐨𝐦

• In traditional beliefs, “sour” foods are sometimes said to worsen “vata” or “arthritis.”

• People with gout (high uric acid) sometimes report flare-ups after eating foods that alter acidity, so lemons get wrongly blamed. But lemons are alkaline after metabolism and don’t actually raise uric acid.

𝟑. 𝐄𝐱𝐜𝐞𝐩𝐭𝐢𝐨𝐧𝐬 / 𝐒𝐞𝐧𝐬𝐢𝐭𝐢𝐯𝐞 𝐂𝐚𝐬𝐞𝐬

• Some people with acid reflux, gastritis, or citrus allergy may feel discomfort after eating lemons.

• If someone has gout, foods like red meat, alcohol, and organ meats are actual culprits—not lemon.

• General Rule, Don’t stop eating a food on hearing your neighbours / Relatives have pain eating something.

✅ 𝐁𝐨𝐭𝐭𝐨𝐦 𝐥𝐢𝐧𝐞:
It’s a myth that lemons increase joint pain. On the contrary, moderate lemon intake may support joint health because of Vitamin C. Unless you have individual intolerance (gastric issues or allergy), lemons are safe for arthritis patients.

Address

16, Hill Cart Road
Siliguri
734001

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm
Saturday 9am - 5pm

Telephone

+917003996890

Website

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