A 60-year old Diabetic male from Jaipur, who fell on his chest, was successfully treated for his debilitating pain in the chest and spine. After the fall the patient developed drowsiness, severe chest pain and was immediately taken to a hospital in Jaipur.
On evaluation in hospital he was found to have other medical problems such as severely deranged kidney function and uncontrolled blood pressure. Given the multiple severe problems he decided to travel to Max Hospital Saket, Delhi for further treatment.
Detailed investigations revealed a stroke attack that had caused confusion and drowsiness and the kidney function was poor as indicated by high levels of creatinine. In addition, he had other comorbidities including type II Diabetes Mellitus for over 20 years, heart disease with an Angioplasty six years back. Due to his serious condition, he was admitted to ICU and multiple teams were involved in stabilising the patient including Neurology, Nephrology, Pain, Critical Care, Gastroenterology, Urology and Endocrinology.
“Upon stability in ICU, the patient was still suffering from excruciating pain in his lower back and could not even sit up for meals and changing position was a herculean task. Subsequent spine MRI revealed a nerve compression due to a disc bulge, and arthritis of spinal joints, that was causing pain. There were multiple challenges in managing patient’s excruciating pain. He was given spinal injections under x-ray guidance for pain relief and the patient was soon able to sit up and have his meals,” said Dr Amod Manocha, Senior Consultant & Head, Pain Management Services, Max Super Speciality Hospital, Saket.