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http://www.drsubhasishpati.com/

Dr Subhasish Pati, 16, Hill Cart Road, Siliguri (2025)

01/12/2025

𝐖𝐡𝐞𝐧 𝐉𝐨𝐢𝐧𝐭 𝐏𝐚𝐢𝐧 𝐇𝐢𝐝𝐞𝐬 𝐚 𝐃𝐞𝐞𝐩𝐞𝐫 𝐒𝐞𝐜𝐫𝐞𝐭: 𝐀 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐭𝐢𝐜 𝐏𝐮𝐳𝐳𝐥𝐞.

I want to share a story from my early days of practice that profoundly changed how I approach diagnostic puzzles.
I remember a patient, a middle-aged gentleman, who visited with debilitating pain across multiple joints—knees, ankles, and wrists were all swollen and tender. He was frustrated and in pain. all standard rheumatology panel: Rheumatoid Factor, Anti-CCP, ANA, CRP... you name it were available with him and was negative.
It didn't fit the typical pattern of Rheumatoid Arthritis or Lupus. We were hitting a diagnostic dead end, treating the symptoms without knowing the cause.
During one follow-up, while discussing his general health history again, he casually mentioned, "Oh, by the way, doctor, I’ve been seropositive for a few years now, managing it with ART."
That was the moment everything clicked.
The missing piece wasn't a rheumatological marker; it was an underlying viral infection. The diagnosis wasn't standard arthritis; it was likely HIV Arthropathy.
As the image above states: HIV May Mimic Arthritis!!
It’s a crucial clinical lesson that is often overlooked.
Startlingly, musculoskeletal symptoms can sometimes be the very first sign of an HIV infection, or they can appear in patients already managing the condition.
Here is what we need to know about HIV Arthropathy:
🔹 The Mimic: It can look exactly like Rheumatoid Arthritis (symmetrical joint pain), Psoriatic Arthritis, or Reactive Arthritis (often affecting lower limbs like knees and ankles).
🔹 The Cause: The inflammation isn't just an opportunistic infection; it can be caused by the virus itself directly affecting joint tissues, or by the body's chronic immune activation fighting the virus.
🔹 Pain Levels: The pain can range from mild aches (arthralgia) to severe, acute inflammation with swelling and fluid accumulation.
🔹 Whatever the Stage: It can occur at any stage of HIV infection, independent of the CD4 count.
That patient taught me that a complete history is the most powerful diagnostic tool we have. Today, on World AIDS Day, let’s remember that this virus affects more than just the immune system. It can mask itself in ways we don't expect.
Awareness leads to earlier diagnosis, better pain management, and improved quality of life.
Join the fight. Spread awareness. And let’s prevent HIV and not be shy about it !!

29/11/2025

𝐈𝐬 𝐘𝐨𝐮𝐫 𝐒𝐦𝐚𝐫𝐭𝐩𝐡𝐨𝐧𝐞 𝐁𝐞𝐜𝐨𝐦𝐢𝐧𝐠 𝐚 𝐏𝐚𝐢𝐧 𝐢𝐧 𝐭𝐡𝐞 𝐍𝐞𝐜𝐤? 𝐔𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝𝐢𝐧𝐠 "𝐓𝐞𝐱𝐭 𝐍𝐞𝐜𝐤"

In today's digital world, smartphones are no longer just accessories; they are essential tools for communication, work, and entertainment. We rely on them constantly, but this daily necessity brings a hidden danger that many of us are unaware of: 𝐓𝐞𝐱𝐭 𝐍𝐞𝐜𝐤.

Let's look at the diagram. The human head weighs about 𝟒.𝟓 𝐭𝐨 𝟓.𝟓 𝐤𝐠 (𝟏𝟎-𝟏𝟐 𝐥𝐛𝐬) when held in a neutral, upright position. However, as the image shows, tilting your head forward to look at your phone significantly increases the forces on your neck.

* 𝐀𝐭 𝐚 𝟏𝟓° 𝐭𝐢𝐥𝐭: The effective weight on your neck increases to approximately 12 kg (27 lbs).
* 𝐀𝐭 𝐚 𝟑𝟎° 𝐭𝐢𝐥𝐭: It jumps to around 18 kg (40 lbs).
* 𝐀𝐭 𝐚 𝟒𝟓° 𝐭𝐢𝐥𝐭: The weight becomes roughly 22 kg (49 lbs).
* 𝐀𝐭 𝐚 𝟔𝟎° 𝐭𝐢𝐥𝐭: The force on your neck is an alarming 27 kg (60 lbs)!

𝐓𝐡𝐞 𝐒𝐜𝐢𝐞𝐧𝐜𝐞: 𝐇𝐨𝐰 𝐓𝐡𝐢𝐬 𝐋𝐞𝐚𝐝𝐬 𝐭𝐨 𝐏𝐚𝐢𝐧
Your neck muscles, tendons, and ligaments are designed to support your head in a neutral position. When you constantly tilt your head forward, it is like forcing your neck to hold a heavy weight—imagine carrying an 8-year-old child around your neck for several hours a day!
This sustained pressure puts immense strain on the posterior neck muscles. Over time, this leads to muscle fatigue, ligament sprain, and chronic tension.

𝐇𝐨𝐰 𝐭𝐨 𝐀𝐯𝐨𝐢𝐝 𝐓𝐞𝐱𝐭 𝐍𝐞𝐜𝐤?
You don't have to give up your phone, but you can change how you use it:
* Raise Your Phone: Hold your device at eye level to keep your neck neutral.
* Take Frequent Breaks: Step away from the screen every 15-20 minutes.
* Practice Good Posture: Keep your shoulders back and your head balanced.

𝐈𝐦𝐩𝐨𝐫𝐭𝐚𝐧𝐭 𝐍𝐨𝐭𝐞:
Many people panic when they feel neck pain, fearing the worst. But remember, all neck pain is 𝐍𝐎𝐓 𝐒𝐩𝐨𝐧𝐝𝐲𝐥𝐨𝐬𝐢𝐬. Often, it is simply mechanical strain caused by posture. Correcting your habits is the first step to relief.

𝐒𝐡𝐚𝐫𝐞 𝐭𝐡𝐢𝐬 𝐩𝐨𝐬𝐭 𝐨𝐫 𝐭𝐚𝐠 𝐬𝐨𝐦𝐞𝐨𝐧𝐞 𝐢𝐧 𝐭𝐡𝐞 𝐜𝐨𝐦𝐦𝐞𝐧𝐭𝐬 𝐰𝐡𝐨 𝐢𝐬 𝐜𝐨𝐧𝐬𝐭𝐚𝐧𝐭𝐥𝐲 𝐠𝐥𝐮𝐞𝐝 𝐭𝐨 𝐭𝐡𝐞𝐢𝐫 𝐩𝐡𝐨𝐧𝐞!
𝐅𝐨𝐥𝐥𝐨𝐰 𝐟𝐨𝐫 𝐦𝐨𝐫𝐞 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐯𝐞 𝐚𝐫𝐭𝐢𝐜𝐥𝐞𝐬 𝐨𝐧 𝐣𝐨𝐢𝐧𝐭 𝐩𝐚𝐢𝐧 𝐚𝐧𝐝 𝐦𝐮𝐬𝐜𝐮𝐥𝐨𝐬𝐤𝐞𝐥𝐞𝐭𝐚𝐥 𝐡𝐞𝐚𝐥𝐭𝐡.

27/11/2025

Mr. Ghosh came to me with severe low back pain that shoots down his right leg (Sciatica). He was frustrated and exhausted.

His story is one I hear often:
"Doctor, I’ve tried everything. I’ve been taking Gabapentin and painkillers for months. I’ve done weeks of physiotherapy. But the moment I stop the meds, the pain returns. Is surgery my only option now?"
The answer is 𝐍𝐨. When conservative treatments (meds & physio) hit a wall, we don't necessarily jump to surgery. We move to Interventional Pain Management.

Let’s talk about a procedure called a Transforaminal Epidural (TFE) Block.

🔍 𝐖𝐡𝐚𝐭 𝐢𝐬 𝐚 𝐓𝐅𝐄 𝐁𝐥𝐨𝐜𝐤?
Think of oral painkillers as a "carpet bombing" approach—the medication goes everywhere in your body, hoping to reach the spine.
A Transforaminal Epidural is a "sniper" approach.
It is a specialized injection where we place potent anti-inflammatory medication precisely into the "neural foramen"—the tiny window in your spine where the irritated nerve root exits.

⚙️ 𝐇𝐨𝐰 𝐃𝐨𝐞𝐬 𝐈𝐭 𝐖𝐨𝐫𝐤?
In conditions like a slipped disc, the nerve isn't just compressed; it is chemically inflamed. It is swollen and angry.
By placing the medication exactly at the site of the injury (as seen in the inset X-ray in my photo), we:
1. Wash out the inflammatory chemicals causing the pain.
2. Reduce swelling of the nerve root directly.
3. Break the pain cycle, allowing the patient to finally tolerate physiotherapy and heal.

📊 𝐖𝐡𝐚𝐭 𝐃𝐨𝐞𝐬 𝐭𝐡𝐞 𝐒𝐜𝐢𝐞𝐧𝐜𝐞 𝐒𝐚𝐲?
Scientific data supports this as a robust middle-ground between meds and surgery.
• Studies show that TFE provides significant pain relief in a majority of patients with radicular pain (sciatica).
• It allows many patients to avoid spine surgery entirely.
• It is considered more effective than "blind" interlaminar injections (the old way of giving epidurals) because the medication is delivered to the front of the nerve where the disc herniation actually is.

✅ 𝐒𝐚𝐟𝐞𝐭𝐲 & 𝐂𝐨𝐧𝐯𝐞𝐧𝐢𝐞𝐧𝐜𝐞
• It is a Day Care Procedure: No hospital admission is required. Mr. Ghosh walked in, had the procedure, and walked out the same day.
• Local Anesthesia: You are awake but the skin is numbed. It is generally not painful.
• Fluoroscopic Guidance: As you can see in the photo, a C-Arm (Live X-ray)is used. This ensures the needle goes exactly where it needs to be, avoiding sensitive structures and ensuring safety.

𝐓𝐡𝐞 𝐕𝐞𝐫𝐝𝐢𝐜𝐭 𝐟𝐨𝐫 𝐌𝐫. 𝐆𝐡𝐨𝐬𝐡?
After the procedure, his leg pain reduced significantly. With the pain under control, he could finally restart his rehabilitation exercises effectively. Remember Exercise is the key always!

Takeaway: If you have radiating leg pain and feel like "nothing is working," you may not need surgery—you might just need the right medication delivered to the right spot.

Share / Tag for someone you think this may be usefully !

itis

23/11/2025

সেন বাবু :
“ডাক্তারবাবু, শীত আসছে। আমার তো প্রতি বছর শীত এলেই ব্যথা বাড়ে। এসময় কী করবো? কেনই বা শীতে ব্যথা বাড়ে?”

ডাক্তার বাবু : এটা মোটামুটি সবাই জিজ্ঞেস করে থাকেন , আসুন তাহলে আজ একটু জেনে নি |
“শীতকালে জয়েন্টের ব্যথা বাড়া খুব সাধারণ ঘটনা। কিন্তু এর পিছনে একাধিক বৈজ্ঞানিক কারণ কাজ করে।

কেন শীতে জয়েন্টের ব্যথা বাড়ে?

1️⃣ ঠান্ডায় রক্তনালিগুলো সংকুচিত (Constriction) হয়ে যায়

শীত পড়লে আমাদের blood vessels বা রক্তনালিগুলো স্বাভাবিকভাবেই চাপা/সংকুচিত হয়ে যায়। ফলে জয়েন্টে রক্ত ও অক্সিজেন কম পৌঁছায়। পেশী ও লিগামেন্ট stiff লাগে, ব্যথা বেশি লাগে।এটাকে বলে cold-induced vasoconstriction।

2️⃣ পেশী শক্ত হয়ে যায় (Muscle Stiffness)

তাপমাত্রা কমে গেলে পেশীর flexibility কমে যায়। নড়াচড়া করতে গেলে জয়েন্টে ঘর্ষণ বেশি হয় ফলে ব্যথা বাড়ে | বিশেষত হাঁটু, কোমর, ঘাড় এসব জায়গায় বেশি হয়।

3️⃣ Joint Fluid (Synovial Fluid) ঘন হয়ে যায়

ঠান্ডায় joint fluid-এর viscosity একটু বেড়ে যায়। ফলে জয়েন্ট মসৃণভাবে নড়ে না ফলতঃ ব্যথা ও কটকট শব্দ বাড়ে।

4️⃣ বায়ুচাপ (Barometric Pressure) কমে গেলে জয়েন্ট ফুলে যায়:

শীতের দিনে বায়ুমন্ডলীয় চাপ (atmospheric pressure) কম থাকে। কম চাপে জয়েন্টের ভেতরের টিস্যু একটু ফুলে যায়। Arthritis থাকা জায়গায় ব্যথা অনেক বেশি অনুভূত হয়।
ঐ যে অনেকে বলেন—“বর্ষার আগে বা ঠান্ডায় ব্যথা বাড়ে”—এটাই তার কারণ।

5️⃣ Vitamin D কমে যায়:

রোদ কম পাওয়া = Vitamin D কম। Vitamin D কমে গেলে পেশী দুর্বল, হাড় ব্যথা, immune system active হয়ে inflammation বাড়ায়।

6️⃣ আমরা নড়াচড়া কম করি:

শীতে হাঁটা, exercise সব কমে যায়। ফলে পেশী শক্ত হয়, Joint lubrication কম হয় সেই কারণে ব্যথা বাড়ে।

তাহলে কী করবেন? (Practical Solutions)

1. গরম কাপড়ে জয়েন্টগুলো ঢেকে রাখুন
বিশেষ করে হাঁটু, কোমর, ঘাড়। জয়েন্টে সরাসরি ঠান্ডা লাগতে দেবেন না।

2. দিনে ১–২ বার হালকা গরম সেঁক দিলে রক্ত চলাচল বাড়ে, stiffness কমে, ব্যথা অনেকটাই কমে।

3. রোজ হালকা হাঁটা + স্ট্রেচিং (১৫–২০ মিনিট) এটাই সবচেয়ে কার্যকরী (effective) ।
জয়েন্টে fluid circulation বাড়ায়।

4. রোদে বসুন ১৫–২০ মিনিট Vitamin D স্বাভাবিকভাবেই (naturally) বাড়বে।

5. পর্যাপ্ত জল খান কারণ সাধারণত শীতে জল খাওয়া বেশি হয় না → dehydration হয় → joint lubrication কমে।

6. ঠান্ডা বাতাস এড়িয়ে চলুন:
হঠাৎ ঠান্ডা লাগলে ব্যথা আরো বাড়ে।

শেষ কথা:

“শীতকাল মানেই ব্যথা বাড়বে”—এটা কোনো নিয়ম নয় ।
আপনি সঠিকভাবে যত্ন নিলে ব্যথা অনেকটাই নিয়ন্ত্রণে থাকবে।
ব্যথা বাড়লে বা নতুন উপসর্গ এলে অবশ্যই আপনার চিকিৎসকের পরামর্শ নেবেন |

14/11/2025

Children may grow on their own, but their abilities, confidence and potential bloom with the right support.

Here’s to nurturing strong bodies, brighter minds and limitless futures, one small step at a time.

Happy Children’s Day!

12/11/2025

𝐇𝐨𝐰 𝐏𝐨𝐥𝐥𝐮𝐭𝐢𝐨𝐧 𝐖𝐨𝐫𝐬𝐞𝐧𝐬 𝐉𝐨𝐢𝐧𝐭 𝐏𝐚𝐢𝐧 — 𝐓𝐡𝐞 𝐇𝐢𝐝𝐝𝐞𝐧 𝐋𝐢𝐧𝐤 𝐁𝐞𝐡𝐢𝐧𝐝 “𝐃𝐞𝐥𝐡𝐢 𝐀𝐜𝐡𝐞𝐬”

Every winter, people in Delhi and nearby areas often complain that their joint pain increases — especially when pollution levels rise. But is there a real connection between pollution and pain?
👉 Yes, and science is now proving it.

𝐇𝐨𝐰 𝐏𝐨𝐥𝐥𝐮𝐭𝐢𝐨𝐧 𝐀𝐟𝐟𝐞𝐜𝐭𝐬 𝐘𝐨𝐮𝐫 𝐉𝐨𝐢𝐧𝐭𝐬

1. Inflammation Triggered by Pollutants
Fine particles like PM2.5 and PM10 enter your body through the lungs and bloodstream. These trigger inflammation throughout the body — the same kind of inflammation that causes joint pain in arthritis.
2. Less Oxygen to Tissues
Polluted air reduces oxygen delivery to muscles and joints. This causes stiffness, fatigue, and slower healing of inflamed tissues.
3. Weakened Immunity
Long-term exposure to smog can make your immune system overreactive — sometimes even triggering autoimmune joint diseases like rheumatoid arthritis.
4. Vitamin D Deficiency
Pollution blocks sunlight. Less sunlight means less Vitamin D — an essential nutrient for bone and joint health.
5. Cold + Pollution = Double Trouble
Winter inversion traps pollutants near the ground, and the cold air tightens muscles. The result? More stiffness and pain, especially in the morning.

𝐖𝐡𝐚𝐭 𝐘𝐨𝐮 𝐂𝐚𝐧 𝐃𝐨?
1. Stay Indoors When AQI > 200
Avoid morning walks on high-pollution days. Exercise indoors instead.
2. Use an Air Purifier at Home
Especially in bedrooms, where you spend 7–8 hours daily.
3. Eat Anti-Inflammatory Foods
Include turmeric, ginger, garlic, olive oil, and omega-3–rich fish or flaxseeds.
4. Take Vitamin D3 Supplements
After doctor consultation — especially in winter months.
5. Stay Hydrated & Keep Moving
Gentle stretching and hydration reduce stiffness even in polluted environments.
6. Mask Up Outdoors
Use N95 masks, especially in cities like Delhi, Gurugram, or Noida during severe AQI days.

𝐅𝐢𝐧𝐚𝐥 𝐓𝐡𝐨𝐮𝐠𝐡𝐭
You may not control the city’s air, but you can control your body’s response.
Eat clean, move gently, breathe filtered air — and let your joints heal despite the haze

09/11/2025

𝐀𝐧𝐧𝐨𝐮𝐧𝐜𝐢𝐧𝐠 𝐌𝐲 𝐒𝐞𝐜𝐨𝐧𝐝 𝐁𝐨𝐨𝐤!

I’m beyond excited to share that my new book “𝐉𝐨𝐢𝐧𝐭 𝐏𝐚𝐢𝐧 𝐃𝐞𝐜𝐨𝐝𝐞𝐝: 𝐅𝐚𝐜𝐭𝐬, 𝐌𝐲𝐭𝐡𝐬, 𝐚𝐧𝐝 𝐀𝐧𝐬𝐰𝐞𝐫𝐬 𝐭𝐨 𝐘𝐨𝐮𝐫 𝐌𝐨𝐬𝐭 𝐆𝐨𝐨𝐠𝐥𝐞𝐝 𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬” is here!

This book was born because of you — your constant questions, heartfelt messages, and incredible support after reading my first book, “𝐀𝐫𝐭𝐡𝐫𝐢𝐭𝐢𝐬 𝐑𝐞𝐥𝐢𝐞𝐟 𝐌𝐚𝐝𝐞 𝐒𝐢𝐦𝐩𝐥𝐞: 𝐈𝐧𝐝𝐢𝐚𝐧 𝐑𝐞𝐜𝐢𝐩𝐞𝐬 𝐟𝐨𝐫 𝐄𝐯𝐞𝐫𝐲𝐝𝐚𝐲 𝐇𝐞𝐚𝐥𝐢𝐧𝐠.”
Your trust and curiosity made me realize how many people are still confused by half-truths, internet myths, and conflicting advice about joint pain.

So this book dives straight into those real questions we all have —
“Can Cracking Joints Cause Arthritis ?”
“Are supplements and oils actually helpful?”
“Why Women suffers from joint pain more ?”
“Should I rest or exercise ?”

From myths to facts, from home remedies to medical truths I’ve tried to answer the most common doubts I hear from my patients every day, in clear, relatable language.

It’s all about helping you understand your body better and make confident, science-backed health choices.

A big thank you to everyone who supported my first book your love means the world. I’m thrilled to share that the second edition of Arthritis Relief Made Simple is coming soon!

Your encouragement keeps me writing, learning, and sharing.

– Dr. Subhasish Pati, MBBS, MD (PMR)

Amazon Link : https://amzn.in/d/ep3vHle

Dr Subhasish Pati

08/11/2025

ভিটামিন D3 শুধু “সূর্যের ভিটামিন” নয় — এটি আমাদের শরীরের এক অপরিহার্য উপাদান।

এটি হাড় ও দাঁতের গঠন মজবুত রাখে, রক্তে ক্যালসিয়ামের ভারসাম্য বজায় রাখে, এমনকি ইমিউন সিস্টেমকে শক্তিশালী করে সংক্রমণের বিরুদ্ধে লড়তে সাহায্য করে।

🔹 সূর্যের আলোই ভিটামিন D3-এর প্রধান উৎস — সকালবেলার কোমল রোদে কিছুটা সময় কাটানো শরীরে প্রাকৃতিকভাবে D3 তৈরি করে।
🔹 এছাড়াও ডিমের কুসুম, মাছ, দুধ, ও ফোর্টিফাইড খাবার থেকেও এটি পাওয়া যায়।
🔹 এর অভাব হলে ক্লান্তি, হাড়ে ব্যথা, পেশী দুর্বলতা এবং মানসিক ক্লান্তির মতো সমস্যাও দেখা দিতে পারে।

একটু রোদ, একটু সচেতনতা — আর শরীর থাকবে ভিতর থেকে দৃঢ় ও ভারসাম্যপূর্ণ।

Dr Subhasish Pati #স্বাস্থ্যসচেতনতা #হাড়েরস্বাস্থ্য #ইমিউনশক্তি #রোদ #পুষ্টি

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.

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. 💙🔥

02/11/2025

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

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.

Dr Subhasish Pati

01/12/2025

29/11/2025

27/11/2025

23/11/2025

14/11/2025

12/11/2025

09/11/2025

08/11/2025

05/11/2025

03/11/2025

02/11/2025

29/10/2025

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