Trivandrum Pain Management Centre – Kerala’s First Dedicated Pain Hospital

Best ARTHRITIS Treatment in Trivandrum

Best Arthritis treatment in Trivandrum -Kerala

Welcome to Epione Spine & Pain Care Centre, a beacon of hope for advanced arthritis treatment in Trivandrum, Kerala. Arthritis, a persistent companion for many, doesn’t have to dictate your life’s rhythm. At our state-of-the-art facility, we blend cutting-edge medical interventions with compassionate care to craft personalized pathways to freedom from arthritis pain. Step into our world, where expertise meets empathy, and let us guide you towards a life liberated from the constraints of arthritis.

Understanding Arthritis

Arthritis is a chronic condition characterized by inflammation of the joints, leading to pain, stiffness, and reduced mobility. There are various types of arthritis, including osteoarthritis, rheumatoid arthritis, and psoriatic arthritis, each with its unique challenges and treatment approaches. Our team of experts understands the complexities of arthritis and works closely with patients to develop tailored treatment plans that address their specific needs


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What Are the Common Types of Arthritis?

There are two major types of arthritis — osteoarthritis, which is the “wear and tear” arthritis, and rheumatoid arthritis, an inflammatory type of arthritis that happens when the body’s immune system does not work properly. Gout, which is caused by crystals that collect in the joints, is another common type of arthritis. Psoriatic arthritis, lupus, and septic arthritis are other types.


Osteoarthritis is also called degenerative joint disease or degenerative arthritis. It is the most common chronic joint condition. Osteoarthritis results from overuse of joints but most commonly it is an aging phenomenon. It can be the consequence of demanding sports where joints may be injured or obesity, which places increased load on weight bearing joints. Osteoarthritis in the hands is frequently inherited and often happens in middle-aged women. Osteoarthritis is most common in joints that bear weight — such as the knees, hips, feet, and spine. It often comes on gradually over months or even years. Except for the pain in the affected joint, you usually do not feel sick, and there is no unusual fatigue or tiredness as there is with some other types of arthritis.

With osteoarthritis, the cartilage gradually breaks down. Cartilage is a slippery material that covers the ends of bones and serves as the body’s shock absorber. As more damage occurs, the cartilage starts to wear away, or it doesn’t work as well as it once did to cushion the joint. As an example, the extra stress on knees from being overweight can cause damage to knee cartilage. That, in turn, causes the cartilage to wear out faster than normal.

As the cartilage becomes worn, cushioning effect of the joint is lost. The result is pain when the joint is moved. Along with the pain, sometimes you may hear a grating sound when the roughened cartilage on the surface of the bones rubs together. Painful spurs or bumps may appear on the end of the bones, especially on the fingers and feet. While not a major symptom of osteoarthritis, inflammation may occur in the joint lining as a response to the breakdown of cartilage.

Symptoms of osteoarthritis, depending on which joint or joints are affected, may include:

  • Deep, aching pain
  • Difficulty dressing or combing hair
  • Difficulty gripping objects
  • Difficulty sitting or bending over
  • Joint being warm to the touch
  • Morning stiffness for less than an hour
  • Pain when walking
  • Stiffness after resting
  • Swelling of joint
  • Loss of motion in a joint

Rheumatoid Arthritis

Rheumatoid arthritis is the most common type of inflammatory arthritis. About 75% of those affected are women. In fact, between 1% and 3% of women are likely to develop rheumatoid arthritis in their lifetime.

Rheumatoid arthritis is an autoimmune disease. That means that the immune system attacks parts of the body. The joints are the main areas affected by this malfunction in the immune system. Over time, chronic inflammation can lead to severe joint damage and deformities. About one out of every five people who have rheumatoid arthritis develop lumps on their skin called rheumatoid nodules. These often develop over joint areas that receive pressure, such as over knuckles, elbows, or heels.

Symptoms of rheumatoid arthritis can come on gradually or start suddenly. Unlike osteoarthritis, symptoms of rheumatoid arthritis are often more severe, causing pain, fatigue, loss of appetite, stiffness.

With rheumatoid arthritis, you may feel pain and stiffness and experience swelling in your hands, wrists, elbows, shoulders, knees, ankles, feet, jaw, and neck. Sometimes the pain occurs in one body part. But more commonly, rheumatoid arthritis pain occurs in combinations of several joints such as in the hands, knees, and feet.

With rheumatoid arthritis, the joints tend to be involved in a symmetrical pattern. That is, if the knuckles on the left hand are inflamed, the knuckles on the right hand will also be inflamed. After a period of time, more of your joints may gradually become involved with pain and swelling and may feel warm to the touch. The joint swelling is persistent and interferes with activities. For example, it can interfere with opening a jar, driving, working, and walking — the very activities that allow us to function in our daily lives.

Comprehensive Evaluation and Diagnosis

At Epione Spine 7 Pain Care Centre, we begin with a comprehensive evaluation to assess the severity and impact of arthritis on your daily life. This may include a thorough medical history, physical examination, and diagnostic  tests. By understanding the underlying factors contributing to your arthritis, we can develop a personalized treatment strategy aimed at reducing pain and improving joint function

Advanced Arthritis Treatment 

We offer a range of advanced arthritis treatment in Trivandrum to manage arthritis symptoms effectively:

  1. Medications: Depending on the type and severity of arthritis, medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), and biologic agents may be prescribed to alleviate pain and inflammation.

  2. Joint Injections: Potent anti inflammatory injections or Ozone gas injections can provide targeted relief by reducing inflammation and lubricating the joints, improving mobility and function.

  3. Regenerative Therapies: Platelet-rich plasma (PRP) therapy and stem cell injections offer promising alternatives for promoting tissue repair and regeneration, potentially slowing the progression of arthritis and enhancing joint health.

  4. Physical Therapy: Customized exercise programs designed to strengthen muscles, improve flexibility, and enhance joint stability can help alleviate pain and improve overall function.

  5. Minimally Invasive Procedures: When conservative treatments are insufficient, minimally invasive procedures such as RFA may be recommended to restore joint function and relieve pain.

  6. At Epione, we believe in empowering our patients to take an active role in managing their arthritis. In addition to medical treatments, we provide education, support, and resources to help you make informed decisions about your health and well-being. Our goal is to partner with you on your journey to living a fulfilling life despite arthritis.

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Dr Aksar earned his medical degree and he continued his training with an Internship and Residency in Anesthesiology and a Fellowship n Pain Management from Aesculap Academy, Germany, Board certified in Anesthesiology and Pain Medicine, Dr Aksar has extensive experience with the management and interventional procedures used to treat pain

Dr Shareena Musthafa



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