Interventional Pain Management, Neuropathic and Chronic pain management.
4/696-A, Zohra Bagh, Aligarh, U.P.
Presently, I am working as Professor in the Department of Anaesthesiology. My special field of interest is interventional pain management. After acquiring training in interventional pain management from AIIMS, New Delhi and through various international courses, I got the opportunity to join as consultant incharge of Pain Clinic at J.N.Medical College Hospital in 2005. In Pain Clinic, I have been engaged in the research and management of patients suffering from chronic pain conditions. I have published several research papers in national and international journals on management of various acute and chronic pain conditions i.e. back pain, sciatica, herpetic neuralgia, trigeminal neuralgia, complex regional pain syndromes, cancer pain etc. My papers have been published in reputed journals like pain physician, pain medicine, regional anesthesia and pain medicine, Indian journal of anaesthesia, Indian Journal of Pain, Journal of Anaesthesiology Clinical Pharmacology and various other national journals.
I have been elected as Chief Editor, Indian Journal of Pain, in the 34th Annual Conference of Indian Society for Study of Pain at Bengaluru in February 2019, for three years. Indian Journal of Pain is a peer-reviewed journal with a frequency of three issues in a year. The journal is published by Wolters Kluwer India Ltd. The journal is indexed with DOAJ and Indian Science Abstracts.
- Pain medicine as a career. Malhotra N, Joshi M, Gehdoo RP, Usmani H, Sharma G. Indian J Anaesth 2021; 65(1);73-8. Download PDFPain is one of the most common causes of seeking medical care. In the day to day clinical practice, incidence of pain of some origin is next only to common cold. The average life span of an Indian has also increased and this population is vulnerable to chronic and cancer pain. Anaesthesiologists are well-versed with the art and science of treating pain and their role as pain physician is a natural extension of the professional work. 'Pain Medicine' is growing as a speciality. Last two decades have seen an explosive growth in the scientific study of pain and anaesthesiologists taking up pain medicine as a career. Postgraduate students can certainly adopt this super speciality. This article highlights the merits and depicts various aspects of 'pain medicine' as a career.
- Comeuppance of adult cancer pain in contemporary modern times: The dawn of a new era of understanding. Saxena AK, Choudhary S, Usmani H.Indian J Pain 2021;35:1-3. Download PDF“We don’t have much choice about how we enter the world, but a lot of choices exist related to our exit from the world…….” In the remarkable history of Hollywood, the leading character of a movie Forrest Gump, comments a famous quotable quote that “Life is like a box of chocolates – you never know what you are going to get.” But in my opinion on cancer pain, an even more quotable quote could have been possibly as “suffering due to cancer pain, is like a box of chocolates – you never know what you are going to get.”Obviously, life seems to explore the ingenious, inventive, imaginative, and insightful pathways by which to terminate itself. In contemporary, modern times, death’s dominance has been dominated by the two unique big Cs, cancer pain, and cardiac pain, to which a third C has been recently added that is COVID?19. Hence, you know that in a thriller, when the curtain comes down at the end, we surely conclude that the villain (cancer pain) will get his comeuppance and retribution that is taken for granted. Its how he gets it or how we manage cancer pain is what makes a thriller a thriller. Cancer remains the second most important cause of mortality in India, with about 0.3 million deaths per year.It is well established that in the terminal cancer or advanced stages of cancer, 75%–95% of patients do experience and have to cope up with cancer related pain and chronic cancer pain syndromes, associated with allodynia or hyperalgesia to warm or cold sensation. A typical exacerbation of cancer pain or breakthrough pain can occur, and its incidence may vary in the cancer literature. In the opinion of Coyle et al., cancer pain was noted to be moderate to severe in intensity in approximately 40%–50% and very severe or excruciating in 25%–30% of advanced cancer patients.
- Pain practice during the COVID-19 pandemic: Transitioning to a new normal. Dey S, Usmani H, Hussain A. Indian J Pain 2020;34:61. Download PDFThe ongoing COVID-19 infection was declared a global pandemic by the WHO on March 11, 2020, classifying the outbreak as an international emergency. COVID-19 has affected the world as none of us could have fathomed and is now rapidly spreading all over the world causing serious morbidity and mortality. Healthcare workers all over the world are risking their lives to treat and save patients from this highly infectious disease.
To reduce transmission of the disease, many countries including India have implemented lockdown procedures and shut down of all regular services. Various governments have insisted that the general public should stay at home as a preventive measure. Everything which we have taken for granted including medical practice has been completely turned upside down.
The current COVID pandemic has brought several new challenges for pain physicians all over the world. However, this has also paved the way for certain opportunities too for the physicians of this super-specialty. These challenges and opportunities are vividly described by Ghai and Verma in the current issue of the Journal.
Various organizations and societies have come up with the guidelines for chronic pain management during COVID-19 pandemic., The Indian Society for Study of Pain Task Force has also formulated a position statement with detailed consensus guidelines for practice of pain medicine in India during this pandemic, encompassed in this issue.
Telemedicine is emerging as a promising technology to provide online consultations to patients suffering from various intractable chronic pain conditions and at the same time reduce the number of visits of the patients to the healthcare facility, minimizing the exposure of the health care workers to SARS-CoV-2. This recent aspect of pain practice has not been left untouched.
Transitions from traditional form of learning and practice though new are paving a way for better future. Newer online learning platforms are helping enormously in continuing the never ending process of learning in the form of webinars and online fellowships, thereby offering opportunity to the budding pain physicians to improve their skills in pain management.
We would appreciate the contribution of the authors for working effortlessly and providing quality manuscripts to the Indian Journal of Pain in these times of test, of their very own pain practice. Let us all hope that we come out of this crisis and resume our normal practice soon; however, till then, working with COVID is the new normal.
Stay safe, take precautions, and thistooshallpass!!
- Role of interventional treatment in acute pain of Herpes Zoster and prevention of postherpetic neuralgia.Mishr a S, Rasul A, Usmani H.Indian J Pain 2019; 33 (1): 7-10.
- Management of Neuropathic Pain in India: An expert opinion from Indian alliance. Saxena AK, Ventikachalam A, Jain PN, Usmani H, et al. Indian J Pain 2018; 32:132-44.
- Conventional radiofrequency thermocoagulation versus pulsed radiofrequency neuromodulation of Ganglion Impar in chronic perineal pain of non-oncological origin. Usmani H, Dureja GP, Tauheed N, Andaleeb R, Asif N Pain Med 2018; 19(12):2348-56.
- Pregabalin versus oxcarbazepine in painful diabetic neuropathy in elderly population. Efficacy and safety in terms of pain relief, cognitive function and overall quality of life. Amir SH, Nasreen F, Usmani H, Siddiqi SS, et al. Indian J Pain 2018; 32:40-5.
- Effect of preamputation lumbar sympathectomy on stump pain of lower limbs in patients of thromboangitis obliterans (Buerger’s disease).Usmani H, Hasan M, Alam MR, Harris SH, Mansoor T, Quadir A.Indian J Pain 2016; 30:132-7.