Dr. Nitish Mandal

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Short answers from Dr. Nitish Mandal, Consultant Pain Physician in Bangalore, to questions people ask before a visit. Full condition and treatment pages sit behind each article.

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Chest pain but your ECG is normal? Why it might be costochondritis

A normal ECG does not diagnose costochondritis. It only makes some heart causes less likely. Chest-wall tenderness on examination is the next question.

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What is ozone disc therapy for sciatica?

Ozone disc therapy places medical-grade ozone in the disc for selected sciatica. The visit is about 15 to 20 minutes, with going home in about 30 minutes.

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What is a myofascial trigger point injection?

A myofascial trigger point is a firm muscle knot. A small diagnostic block can confirm it. Later stages may use a low-dose steroid injection at that point.

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Should I rest or keep moving when I have chronic pain?

Avoid what increases the pain. Do not use absolute rest for weeks. Strengthen with movements that are not painful.

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What is prolotherapy, and how is it different from PRP?

Prolotherapy is a roughly 10-minute clinic injection of a glucose solution around injured tissue. PRP uses concentrated platelets from your own blood.

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What is PRP, and why does placement matter?

PRP concentrates platelets from your own blood and injects them at the pain site. Preparation takes about 30 minutes. Placement must reach the injured tissue.

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What helps homemaker back pain that will not settle?

Avoid what increases the pain, keep strengthening with movements that are not painful, and check for sciatica if pain shoots into the leg.

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What helps neck pain from sleep and desk work?

Change what provokes it, keep moving in a range that is not painful, and know when a knot or a neck joint needs clinic care.

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MRI shows a disc bulge. Do I need surgery?

A bulge on a scan and the pain you feel are not always the same thing. Examination comes before an operation is planned.

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Physiotherapy is not enough for my sciatica

If sitting, travel, and sleep are still ruled by shooting leg pain, a guided disc procedure may be the next question.

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Frozen shoulder: how long, and what an injection visit is like

Waiting can take many months. Hydrodilatation is a clinic injection that places fluid in a tight capsule. Many people go home the same day.

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Heel pain on the first step in the morning

First-step pain is often fascia or nerve, not only a spur. PRP and tibial nerve blocks are discussed when cups and stretching fail.

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Neck pain from laptop work

Looking down at screens feeds trapezius knots and neck-joint pain. A diagnostic block can confirm a knot. RF / PRF is for confirmed neck joints.

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The knee still hurts after surgery

The operation can be sound and another tissue can still hurt. Bring operative notes. PRP or ozone may still apply after the remaining source is found.

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Patient-information articles on chest pain with a normal ECG, sciatica, frozen shoulder, heel pain, laptop neck, and simple pain-relief rules.

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