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how to neck pain management
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how to neck pain management

Respectable doctors

Here my profile., I am 48 years old with strong family history of heart disease. my father died at the age of 59 years old due to heart attack. my younger sister faced with heart attack at the age of 29th. My mother died had diabetic disease. I saroj also got sympton of heart disease when i was 27th years old.
I have done CABG3 LIMA to LAD and RSVG to Diagonal + OM1 in 25th Feb 2002 at Escorts Hospital New Delhi India by Dr Naresh Trehan. Also  I have put two stent PTCA stent to SVG to OM1 graft Mid 4.0mmx28mm and prox. 4.0mmx23mm in 11th June 2011 In Norvic Hospital Kathmandu Nepal by Doctor Praveen Agrawal of Escort hospital and Dr Bharat Rawat of Norvic International Hospital nepal jointly.

My latest Angiogram Report  :
Right Coronary Arter : 100% Stenosis in prox. RCA

Left Main : Normal
LAD : 100% Stenosis in prox. LAD
LCX : 100% Stenosis in prox. LCX
          90% Stenosis in OM1

Others : Patent graft LIMA to LAD, 100% SVG to D1
Impression : Native TVD, Patent graft Lima to LAD, Patenet stent, RSVG to OM1
Advice : Medical Treatment

Problem : My SVG to D1 is 100% blocked and SVG- OM1 on tissue side is still 90% blocked. I am facing problem in upper muscle of neck pain when walk and back side of chest pain middle chest angina pain with pain transfer to right hand in walking time after food.
Now my question is which block causes the pain in upper muscle neck pain and how to get rid from that pain. the next thing what are the sympton of SVG - OM1 90% block and how to get rid from that pain.
3 Comments Post a Comment
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Avatar_dr_m_tn
Hi  Saroj1965,

The pain in your neck, chest, and hand sounds as if it is causing a lot of problems. I would strongly recommend that you return to your heart specialists to discuss this pain and the available treatment options. Any prolonged pain (lasting >5 mins) that is increasing in severity and not responding to anti-anginal medications should prompt a visit to the emergency department via ambulance (if these services are available to you).

I think you want to understand why there is no plan to open up the blocked vessels? Generally this is because your specialists do not feel that opening the vessels will make a big difference. In some cases, the damage was already done when the vessels became blocked and the heart is unlikely to benefit from the vessels being re-opened. Additional procedures (stents and re-do bypass surgery) carry additional risks, so there has to be a good reason to expose patients to the risk of additional complications.

Sometimes a nuclear perfusion study can be helpful in identifying areas of the heart muscle that might benefit from restoring blood flow. Finding only a small area of heart muscle that would benefit from restoring blood flow favors medical treatment. However, a large area of what we call “reversible ischemia” can be used to argue for re-intervention. I would again strongly recommend that you discuss this with your heart team.

There are a number of medical treatments that can help with pain associated with coronary disease. Anemia should be excluded and blood pressure controlled (target <120/70). Specific anti-anginal medications include beta-blockers, calcium channel antagonists, and nitrates (sprays, pills, and topical patches). Beta-blockers have the added advantage of helping re-strengthen the heart muscle after a heart attack. Additional important medications in your case (and in the absence of contraindications) would include aspirin, clopidogrel, and cholesterol lowering therapy with a statin.

Good luck with understanding your test results and finding a way to reduce your pain.
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Avatar_m_tn
Dear sir
Dear sir CCF Heart MD23. I have forgotton to post the detail in my past posted question. so here below I quote the all details. One thing is that this is my fortune that the pain I was facing all are only angina pain not a prolonged pain. still when I face pain , I start to take rest  and the pain releases after 1 or 2 minutes.

last week my Hemoglobin dropped upto 7.250 and I feel very weakness. I am taking Iron Capsuls for that. Is this a danger matter to me ? What type of midicine is beta blocker ? My question is that my shoulder and neck pain means is that the cause of SGV to D1 Blockage ?  The neck and shoulder pain is also release after taking few second rest so what is the best way ?

I am now 48 years old.I am suffering from heart disease since I am 27 years. At the age of 37 I have done CABG 3 i.e Lima to LAD, SVG to D1 and OM1. At the age of 46 I did my second angiogram and found SVG to D1 100% blocked and SVG to OM1 80-90% stenosis. So at the age of 47 I put two stents on OM1. but at that time also my doctor try to put 3rd stent on SVG to OM1 on tissue side but due to high risk they did not put that 3rd stent.

What I mean to say is now I have one blockage SVG to D1 100% stenosis and next blockage is on SVG to OM1 on tissue 90% stenosis. My left main artery, LAD and RCA is normal. Now my Question is that how danger my current blockages are ? how they effect to my in my daily life by that blockage ? How can I be get rid of from that blockage ?
My current  problem is when initial walking pain start on neck sholder, left back of chest pain, chest pain in middle sometime sofocation also in walking.

What to do pls pls pls kindly suggest the best and suitable way.

My Blood pressure level after Stent upto now is appx. 110/70. My blood sugar level is not constant due to type II diabetic.
Current medicines are as follows :

Morning
Insuline Human Matrix 50 unit 34
Diabose 50mg
Effimet 850 mg

Selekon XL 25mg
Ecosprin 150 mg
Imdue 60 mg
Telmi 20 mg

Evening
Insuline Humalog Mix 15 25
Metformin 500mg

Clopiet 75 mg
Crestor 40 mg
Ezetimibe EZ 10mg
Nialip 500 mg

My Lipid Profile latest report of 05 Feb 2013 is as follows.
Cholesterol 155   HDL 22    LDL 108          Triglycerids 125

Pls doctors how to get rid from pain . Pls tell me the pain management method
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Avatar_dr_m_tn
Hi Saroj1965,
The best follow-up advice I can provide to you is for you to visit your local heart specialists so that your various issues can be sorted out with the attention and time they require. Your health issues are important and can't be managed via an on-line forum such as this.
Evaluating your anemia, restoring your hemoglobin, and controlling your blood sugars, are all important for your heart condition. Update your family doctor and heart specialist regularly. If necessary you may need to present to your local hospital for emergency medical care.
Take care and good luck.
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