Dr. Prableen Kaur

Late post-
Faculty for “USG in Palliative Care” workshop at the 29th International Conference of Indian Association of Palliative Care (IAPC) held in February 2022.
Some memories from the successful event.

Extremely delighted to share about this published “Original Article” comparing “PRP vs Dry Needling” in “Tennis Elbow patients” in the “Journal of Ultrasound”.

Delighted to share I got awarded 1st runner up in Faculty category for Paper Presentation at ISSPCON 2024 National Conference held at Pune this year. It was a truly enriching academic feast and one-of-a-kind conference with an equally benefiting Advanced Fluorocopic guided procedures Cadaveric Workshop. It was a 4 days heavenly, knowledgable retreat and I am glad I was a part of it.

"Plantar fasciitis sucks. It feels like you have needles underneath your feet while you're playing." - Joakim Noah, NBA Chicago Bulls, 2013 🦶
👉 Plantar fasciopathy (also known as plantar heel pain or plantar fasciitis/fasciosis) is an overuse condition of the plantar fascia at its attachment to the calcaneus.
👉 Most common cause of plantar heel pain, prevalence of 4-7%.
👉 Histology shows degenerative changes at plantar fascia enthesis, deterioration of collagen fibres, focal areas of fibroblast proliferation and increased vascularity.
👉 Risk groups: runners, high BMI, high-arched foot, occupation requiring long hours standing on hard surfaces, tightness in calf, hamstring and glutes.
👉 Pain felt classically on inferior medial aspect of heel, worse in the morning when getting out of bed, decreases with activity, only to return with an ache post activity.
👉 Diagnosis confirmed on X Ray and USG.
👉 Treatment is multi-faceted and starts with conservative care which if fails to improve, invasive intervention can be resorted to.
🧿Here is the case of a 51 year old male patient with history of recurring heel pain in medial aspect since 5 years now and twice before taken corticosteroid injections. Thickened plantar fascia and increased vascularity seen on USG.
💉Platelet-rich plasma (PRP) derived from the patient was injected at the degenerative sites of fascia along with dry needling.
This along with religious physiotherapy sessions brings a permanent cure in a span of 12-24 weeks depending on the initial severity of disease.

If you have low back pain, you are not alone.
👉 About 80% of adults experience low back pain at some point in their lifetime. Chronic back pain is defined as pain that persists for 3 months or longer.
👉 About 20% of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year.
👉 Treatment is possible only after the correct diagnosis is made. You may benefit with physical therapy🤸🏻‍♀️, medications 💊 and/or interventions.💉

👉 Here is a case for those of you who can relate, of a 54 year old male patient with back pain and radiating to left leg, on medication since 2 years. The leg pain aggravated since last 20 days. Patient's complaints represented typically L5 radiculopathy. MRI showed PIVD L4-L5 with left posterolateral disc bulge compressing L5 nerve root. Treatment planned was a TFESI (transforaminal epidural steroid injection) at that level and patient reported complete relief post procedure. Such cases can be managed with just an injection💉 under image guidance which deposits the medication at just the right site, barely causes any inconvenience and thus, avoiding surgery in many cases.
👉 Images of the procedure are shared below⬇️

👉20% of adult Indian population suffers from chronic pain.
ARE YOU ONE AMONG THEM❓
WHY SUFFER❓❓
Reach out to a pain specialist at the earliest‼️
👩‍⚕️ Who is a pain physician?
👉 Pain physician is an expert specialist in management of pain. They diagnose conditions, provide treatment (prescribe medication and rehabilitation services, perform procedures to relieve pain), and counsel patients and their families.

🤝How do we help?
👉Here we treat a wide range of pain-related conditions of : Back Neck Shoulder Elbow Knee Head and face Myofascial Hip Wrist Ankle Cancer Multiple joint pain

💫Treatment offered in form of:
👉Medications
👉Interventional minimal-invasive procedures (with just a needle) like:
Transforaminal block for sciatica, slip disc, stenosis.
Facet joint block or medial branch block and radiofrequency ablation for backache.
Sacroiliac joint injection and radiofrequency ablation for low backache.
Gasserian ganglion block and radiofrequency ablation for trigeminal neuralgia.
Sphenopalatine block and radiofrequency ablation for untreatable headache.
Trigger point injection for myofascial pain.
Lumbar sympathetic block and radiofrequency ablation for sympathetic dystrophy, diabetic neuropathy, phantom limb pain.
Suprascapular nerve block and radiofrequency ablation for severe shoulder pain.
Coeliac plexus and Superior hypogastric plexus block and chemical neurolysis for abdominal and pelvic cancer pain.
Stellate ganglion block and radiofrequency ablation for sympathetic dystrophy, hyperhidrosis.
Tennis elbow, Golfer’s elbow, Carpal Tunnel Syndrome, Achilles tendinitis, Trigger finger, Plantar fasciitis, Tarsal Tunnel Syndrome injections.
Regenerative therapy with PRP (Platelet-rich plasma) for Knee, Shoulder and Hip Osteoarthritis, chronic tendon/ligament injuries (including sports injuries).

❌❌DO NOT SUCCUMB TO PAIN‼️

✅✅ ACHIEVE A PAIN-FREE LIFE ‼️🏃🏾‍♀️🤸🏻‍♀️🧘⛹️🤾🚴🚵🧗🏌️🏇🤺⛷️🏂🏄🏊🚣🤽🏋️