Marxist Perspective

 Marxist Perspective

1. **Introduction to Marxism:**

   Marxist sociology, rooted in the ideas of Karl Marx and Friedrich Engels, offers a comprehensive lens through which to understand societal structures. It focuses on the relationship between economic structures and social dynamics.

2. **Economic Determinism:**

   At the core of Marxism is economic determinism, the belief that economic factors shape the broader aspects of society. Marx argued that the means of production and distribution influence social relations and institutions.

3. **Class Struggle:**

   Central to Marxist thought is the concept of class struggle. Marx identified the proletariat (working class) and bourgeoisie (capitalist class) as the primary conflicting classes, engaged in a perpetual struggle for control and resources.

4. **Base and Superstructure:**

   Marx introduced the idea of the base and superstructure. The economic base, comprising production relations, influences the superstructure—cultural, political, and legal institutions. Changes in the base eventually lead to transformations in the superstructure.

5. **Alienation:**

   Marxist theory explores the notion of alienation, where individuals experience a sense of detachment and estrangement from their labor due to capitalist production processes. Alienation extends beyond work to encompass social relationships.

6. **Historical Materialism:**

   Historical materialism is a key Marxist concept that posits social development is driven by changes in material conditions. Societal progress is linked to shifts in modes of production and class relations throughout history.

7. **Cultural Hegemony:**

   Antonio Gramsci, a Marxist theorist, introduced the concept of cultural hegemony. This suggests that the ruling class maintains dominance not only through economic power but also by influencing and controlling cultural norms and values.

8. **Commodification of Culture:**

   Within the Marxist perspective, culture is often viewed as commodified, subject to market forces. Artistic expression, media, and other cultural forms can be shaped by capitalist interests, impacting both production and consumption.

9. **Resistance and Revolution:**

   Marxists believe that the working class has the potential to resist exploitation and, ultimately, to instigate a revolutionary transformation. The goal is to replace the capitalist system with a classless, socialist society.

10. **Contemporary Relevance:**

    The Marxist perspective remains influential in contemporary sociology. Scholars continue to apply Marxist analyses to understand issues of inequality, exploitation, and power dynamics in various societal contexts.

What is Marxist Perspective? Discuss key features of this perspective. Describe with appropriate examples. 

The Marxist perspective, rooted in the works of Karl Marx and Friedrich Engels, is a sociological approach that analyzes society through the lens of class struggle and economic structures. Here are some key features of the Marxist perspective:

1. **Economic Determinism:**

   Marxist theory contends that economic factors play a primary role in shaping society. The mode of production, means of distribution, and ownership of resources determine social relations and institutions.

   *Example:* In a capitalist society, where the means of production are owned privately, the bourgeoisie (capitalist class) controls the economy, influencing social structures and power dynamics.

2. **Class Struggle:**

   Marx identified class struggle as a driving force in history. The conflict between the bourgeoisie (owners of the means of production) and the proletariat (working class) is central, with each class vying for control and influencing societal changes.

   *Example:* Labor strikes or workers' movements demanding better wages and working conditions represent instances of class struggle within a capitalist framework.

3. **Base and Superstructure:**

   The base-superstructure model suggests that the economic base, including production relations, influences the superstructure—cultural, political, and legal institutions. Changes in the base lead to corresponding changes in the superstructure.

   *Example:* The shift from feudalism to capitalism brought about changes in laws, political systems, and cultural norms to accommodate the new economic structure.

4. **Alienation:**

   Marx discussed alienation, wherein individuals feel disconnected from their labor and the products of their work in a capitalist society. This concept extends to a sense of estrangement in social relationships.

   *Example:* Factory workers performing repetitive tasks may experience alienation as they have little control over their work and may not see the final product of their efforts.

5. **Historical Materialism:**

   Historical materialism asserts that historical development is driven by changes in material conditions, specifically the means of production and class relations.

   *Example:* The transition from agrarian societies to industrialized nations exemplifies historical materialism, as changes in technology and production methods reshape social structures.

6. **Cultural Hegemony:**

   Developed by Antonio Gramsci, cultural hegemony refers to the dominance of a ruling class in shaping cultural norms, values, and beliefs to maintain social control.

   *Example:* Media representations that reinforce the interests of the dominant class contribute to cultural hegemony by influencing public perceptions and attitudes.

7. **Commodification of Culture:**

   Marxist analysis often emphasizes how culture, including art and media, becomes commodified and subject to market forces in a capitalist society.

   *Example:* Popular music, films, or artworks are produced not only for artistic expression but also as commodities for consumption, reflecting capitalist values.

8. **Resistance and Revolution:**

   Marxists believe that the working class has the potential to resist exploitation and, ultimately, to instigate a revolutionary transformation, leading to a classless, socialist society.

   *Example:* Social movements advocating for workers' rights or calls for systemic change can be seen as expressions of resistance within a Marxist framework.

These key features illustrate the foundational aspects of the Marxist perspective, providing a framework for understanding social structures, conflicts, and transformations.

Historical specificity is the hallmark of Marxist Perspective. Explain. 

Historical specificity is a fundamental characteristic of the Marxist perspective, emphasizing that social phenomena and developments are deeply rooted in their historical context. This concept implies that the dynamics of society, including economic structures, class relations, and cultural expressions, cannot be fully comprehended without considering the specific historical conditions in which they arise.

**1. Mode of Production:**

   Marxist analysis asserts that each historical period is characterized by a specific mode of production, which encompasses the way society organizes and carries out economic activities. For example, feudalism, capitalism, and socialism represent distinct historical modes of production.

**2. Class Relations:**

   The Marxist perspective contends that the nature of class relations is intricately tied to the prevailing mode of production in a given historical epoch. The struggles between different classes, such as the bourgeoisie and the proletariat in capitalism, are shaped by the economic system of the time.

**3. Social Structures:**

   Institutions and structures within a society, including legal, political, and cultural frameworks, are seen as products of the historical context and the prevailing mode of production. These structures serve to maintain and reproduce the existing social order.

**4. Evolutionary View of History:**

   Marxism adopts an evolutionary view of history, wherein societies progress through distinct stages. Each stage represents a particular set of productive forces, class relations, and social structures. Historical specificity is crucial to understanding how these stages unfold and transition into one another.

**5. Change Over Time:**

   The Marxist perspective recognizes that social relations and structures are not static but evolve over time. Historical specificity acknowledges that the dynamics of a feudal society, for instance, differ significantly from those of an industrial capitalist society.

**6. Economic Base and Superstructure:**

   The relationship between the economic base (mode of production) and the superstructure (cultural, political, and legal institutions) is contingent on the historical context. Changes in the economic base lead to corresponding transformations in the superstructure, illustrating the historical specificity of this relationship.

**Example:**

   Consider the transition from feudalism to capitalism in medieval Europe. Feudalism was characterized by agrarian economies, hierarchical social structures, and a land-based aristocracy. The emergence of capitalism brought about changes in economic relations, with the rise of industrialization, wage labor, and the bourgeoisie. This historical shift had profound implications for social structures, class dynamics, and cultural expressions.

In summary, the hallmark of the Marxist perspective is its insistence on understanding social phenomena within their specific historical contexts. This historical specificity provides a nuanced and dynamic framework for analyzing the evolution of societies, recognizing that different historical periods give rise to distinct social structures and relations.

What are the main intellectual ideas that influenced Marx's work. Illustrate.

Karl Marx's intellectual development was influenced by various philosophical, economic, and sociological ideas that shaped his own theories. Here are some of the main intellectual ideas that influenced Marx's work:

1. **Hegelian Dialectics:**

   Marx was initially exposed to Hegelian philosophy, particularly Hegel's dialectical method. Hegelian dialectics involves the idea of contradictions and conflicts leading to the development of new ideas and societal changes. Marx adapted this dialectical approach to develop his own materialist dialectics, emphasizing the role of economic contradictions in driving historical change.

2. **Classical Political Economy:**

   Marx engaged deeply with classical political economists such as Adam Smith and David Ricardo. He built upon their analyses of capitalism, particularly the labor theory of value. Marx's understanding of surplus value, exploitation, and the role of labor in the production process was influenced by these classical economists.

3. **Materialism:**

   Marx adopted a materialist perspective, emphasizing the significance of material conditions and economic relations in shaping society. This materialist outlook, in contrast to idealism, became a foundational element in Marxist theory, influencing how Marx analyzed historical and social phenomena.

4. **Feuerbach's Critique of Religion:**

   Ludwig Feuerbach's critique of religion as an expression of human alienation had a profound impact on Marx. Feuerbach argued that religious beliefs were projections of human desires and alienation from one's own essence. Marx extended this critique to a broader analysis of alienation in capitalist societies, exploring how economic structures contribute to human estrangement.

5. **French Socialism and Utopian Socialists:**

   Marx engaged with various French socialist and utopian thinkers, such as Charles Fourier and Henri de Saint-Simon. While critical of their idealistic visions, Marx learned from their emphasis on social change and the critique of existing social relations. He incorporated elements of their ideas into his own materialist and class-based analysis.

6. **The Communist Manifesto (1848):**

   Co-authored by Marx and Engels, "The Communist Manifesto" encapsulates many of the intellectual influences on Marx's work. It draws on historical materialism, Hegelian dialectics, and the call for proletarian revolution. The Manifesto provides a concise synthesis of Marxist thought and serves as a programmatic document for the Communist movement.

**Illustration:**

   An example of these influences can be seen in Marx's critique of capitalism. His analysis of alienation reflects Feuerbach's ideas, the labor theory of value is grounded in classical political economy, and the call for a proletarian revolution is influenced by both French socialist thought and Hegelian dialectics. In synthesizing these intellectual currents, Marx developed a comprehensive framework for understanding and critiquing capitalist societies.

In essence, Marx's work is a synthesis of diverse intellectual currents, combining Hegelian dialectics, classical political economy, materialism, and socialist critiques to create a distinctive and influential theory of historical materialism and capitalism.

Discuss the intellectual and social context of the rise of Karl Marx. 

The rise of Karl Marx in the 19th century was situated in a complex intellectual and social context marked by significant transformations in philosophy, economics, and society. Here's a discussion of the intellectual and social context that influenced the emergence of Marx's ideas:

**Intellectual Context:**

1. **Hegelian Philosophy:**

   Marx's intellectual journey began with exposure to Hegelian philosophy. Hegel's dialectical method, which emphasized contradictions leading to historical development, influenced Marx's own dialectical materialism. Marx, however, shifted the focus from idealism to materialism, grounding his analysis in economic and material conditions.

2. **Classical Political Economy:**

   The classical political economists, including Adam Smith and David Ricardo, played a crucial role in shaping Marx's economic thought. He engaged deeply with their analyses of capitalism, especially the labor theory of value. Marx built upon and critiqued classical economic theories, offering his own insights into the workings of capitalist economies.

3. **Materialism and Feuerbach:**

   Marx was influenced by Ludwig Feuerbach's materialist critique of religion. Feuerbach argued that religious beliefs were projections of human desires and alienation. Marx extended this materialist perspective beyond religion, incorporating it into his analysis of the material conditions and economic relations that shape society.

**Social Context:**

1. **Industrial Revolution:**

   The 19th century witnessed the rapid industrialization of Europe. This shift from agrarian economies to industrialized societies brought about profound changes in the mode of production, labor relations, and social structures. Marx's observations of the harsh conditions and exploitation of industrial workers fueled his critiques of capitalism.

2. **Rise of the Proletariat:**

   The Industrial Revolution led to the rise of a new social class – the proletariat or working class. Marx recognized the potential power of this class, shaped by its alienation and exploitation in capitalist systems. His focus on class struggle emerged from the changing social dynamics brought about by industrialization.

3. **Social and Political Upheavals:**

   The 19th century was marked by various social and political upheavals, including the Revolutions of 1848. These events fueled debates on political and economic systems. Marx and Engels responded to these developments by co-authoring "The Communist Manifesto" in 1848, outlining their vision for revolutionary change.

4. **Utopian Socialism:**

   Marx engaged with utopian socialist thinkers like Charles Fourier and Henri de Saint-Simon. While critical of their idealistic visions, he drew inspiration from their calls for social change. Marx sought to ground socialism in a scientific analysis of historical materialism, differentiating his approach from the utopian socialists.

5. **Intellectual Networks:**

   Marx was part of intellectual and political circles in Europe, interacting with other thinkers and activists. He collaborated with Friedrich Engels, and their intellectual partnership greatly influenced the development and dissemination of Marxist ideas.

The confluence of these intellectual and social factors shaped the rise of Karl Marx and the development of Marxist theory. His ideas provided a critical framework for understanding the socio-economic transformations of the time and continue to be influential in analyses of capitalism and class struggle.

How do you justify that historical specificity is the hallmark of Marxist Perspective.

The justification for historical specificity as the hallmark of the Marxist perspective lies in the foundational principles of Marxist theory and its emphasis on understanding social phenomena within their specific historical contexts. Several key aspects support this justification:

1. **Historical Materialism:**

   Historical specificity is integral to historical materialism, a core concept in Marxist theory. Marx argued that the development of society is driven by changes in the material conditions of production and the resulting class struggles. Each historical period is characterized by distinct economic structures and class relations, emphasizing the importance of understanding specific historical contexts.

2. **Mode of Production:**

   The Marxist perspective asserts that the mode of production defines a society's fundamental economic structure. Different historical epochs are marked by specific modes of production, such as feudalism, capitalism, or socialism. Analyzing these modes of production within their historical contexts is crucial for understanding the dynamics of each society.

3. **Evolutionary View of History:**

   Marxists hold an evolutionary view of history, suggesting that societies progress through distinct stages. Each stage is marked by specific social relations, economic systems, and cultural expressions. This evolution underscores the historical specificity of social structures and the need to consider each stage within its unique context.

4. **Base and Superstructure Relationship:**

   According to Marx, the economic base (mode of production) shapes the superstructure (cultural, political, and legal institutions) of a society. Changes in the economic base lead to corresponding transformations in the superstructure. This interrelation is inherently tied to the historical specificity of each society's economic and cultural development.

5. **Class Struggle in Context:**

   The Marxist perspective places a significant emphasis on class struggle as a motor force of historical change. The nature of class struggle is intricately connected to the specific historical conditions, economic systems, and class relations prevalent in a given society.

6. **Examples from Marx's Work:**

   In Marx's own analyses, such as his examination of the transition from feudalism to capitalism, he highlighted the specific historical circumstances that influenced the emergence of capitalism. The unique features of each socio-economic formation are central to understanding the trajectory of societies.

7. **Adaptation to Changing Contexts:**

   Marxist theorists have adapted the framework to analyze and understand various historical contexts, from early capitalism to contemporary globalized capitalism. The ongoing relevance of Marxist analysis underscores its ability to adapt while maintaining a focus on the historical specificity of each era.

In summary, the hallmark of the Marxist perspective is justified by its insistence on considering the specific historical conditions, economic structures, and class relations that shape a society. Historical specificity provides a nuanced understanding of social phenomena, emphasizing the dynamic evolution of societies through different historical epochs.

How do pain killers relieve pain immediately?

 How do pain killers relieve pain immediately?

Pain killer. The name is enough. Its job is to remove pain. Whether it is due to injuries or other diseases, if there is any kind of pain in the body, we take 'pain killer' to relieve it.

Commonly understood pain killers are called 'non-steroidal anti-inflammatory drugs'. It is used for temporary relief from various pains.

Pain killers mainly contain three ingredients, which reduce swelling, reduce pain and reduce fever. Some examples of pain killers are Cetamol, Flexon, Brufin and Nims.

There is also an experience of pain relief with pain killer food. What is in the pain killer, which reduces the pain in a short time? Does it have any side effects or not?

Why does it hurt us?

Why does our body hurt when we are injured or sick?

When we are injured, the body begins to supply more blood to the injured area. This blood also contains white blood cells, which are involved in wound healing. Along with these white blood cells, many important chemicals also reach the injured area. The main chemical among them is prostaglandin. This chemical causes pain and irritation.

How do pain killers reduce pain?

If the chemical called prostaglandin is not allowed to be produced, we do not feel pain. Pain killers do the same thing. That is, pain killers such as paracetamol or Flexon do not allow this chemical to be produced in the body. When painkillers are ingested, they slowly enter the bloodstream and reach the injured area and brain. In both places it inhibits the production of prostaglandin chemicals to reduce pain, so that the brain signals to us that there is no pain.

In what situation should you take pain killers?

When we feel hurt, signals from our body go directly to the brain, resulting in the message that we are in pain. Because we feel that pain, we start looking for its solution. That is, we start to understand why it hurts, how to heal it.

It simply means that pain is a sign. It means that there is something wrong in the body.

Some people don't take pain killers in case of pain. They think, 'Tolerating pain is good, taking pain killers is bad.' But enduring pain causes more physical and mental pain. If there is swelling due to repeated injuries, it is appropriate to take pain killers to reduce the swelling problem. If the pain is severe, you should take medicine to reduce it. Pain killers can also be taken to reduce fever.

Every drug has both advantages and disadvantages. In this case, pain killers also have advantages and disadvantages. Therefore, pain killers should only be taken on the advice of a specialist who knows which pain killer is more beneficial for what kind of pain.

Body muscle pain, nerve pain or pain due to an injury. First you need to understand what kind of pain it is. No single pain killer works for all types of pain. There are different types of pain killers made for every type of pain. Therefore, it is important to be aware of which pain killer to take for which pain and which pain to not take.

Also a pain killer for chronic pain

Depending on the type of pain, duration, potential benefits and risks of the drug, the pain reliever should be chosen. Most pain killers are effective for pain. Such pain killers are less effective for sprained ankles, pinched nerves or pain caused by various diseases.

The patient is treated with 'platelet rich plasma' vaccine for joint pain. Platelet-rich plasma can be produced from a person's own blood. In particular, it is a type of blood cell (platelet). Platelet-rich plasma is a 'growth factor' that helps to regenerate when injured, thus helping to heal the injured area. It also helps to heal damaged ligaments, muscles, bones and joints.

If back pain is due to pinched nerve, then treatment should be sought according to the cause. In such a case, which one should be given 'steroid pain killer' or 'local anesthesia' to reduce the pain, or surgery to open the ruptured vein and then physiotherapy.

Things to keep in mind while taking pain killers

In all kinds of pain, the habit of going to the drug store and taking pain killers on your own without the advice of a doctor can cause various health problems. Overuse of pain killers usually leads to gastritis. Taking pain killers for a long time can cause kidney problems and heart problems. Therefore, pain killers should be taken only on the advice of a doctor after finding out the cause of the pain.

When taking pain killers, you should also pay attention to what time you take them. If we are taking pain killers that should be taken three times a day, we should take them 8 hours apart as much as possible. By doing so, it works effectively. Since the consumption of pain killers is generally more likely to cause gastritis, it is better to eat some food before taking pain killers.

If a child has a brain tumor, what are the symptoms?

 If a child has a brain tumor, what are the symptoms?

I wish that children would not get 'brain tumor'. Because after having a brain tumor, the risk is very high for them. One is that the treatment is not easy, the other is less chance of recovery.

I have a complaint to God, why send a child with such a tumor at birth?

However, contrary to our wishes, there are many cases of tumor in children. Especially this problem has come from birth. Why is this happening? It cannot be answered exactly. Because there have been countless researches on cancer so far. However, such a great achievement has not been achieved.

Usually, the most common cause of tumor is a malfunction of Jin. Why is gin bad? The exact reason for this has not been discovered. However, there is a problem when Jin does not develop as it should in general. Gin also has its own 'coding'. Sometimes abnormal cells develop due to mismatched coding. The same cell can grow and become a tumor. And, it can take the form of cancer.

Another thing is that it is said that such a disease is passed on to one's generation by inheritance. But, if that is the case, one person has four children. Only four people do not have tumors. Maybe in one person. Why not the other three?

There is no single concrete reason or answer for this tumor to develop and become cancer. Various things may have influenced it. First a tumor was visible. Now different sub-types (sub-types) of the same started appearing. Some are cured by the same treatment, some are not.

Increased risk of tumors in children

A child's brain tumor is more risky than an adult's. There are many reasons for this. On the one hand, the child cannot express what is happening to him. The child does not say that the head is aching, the eyes are getting weak, and the hearing ability is decreasing.

If there is a child under the age of one year, the speech will not come at all. Other children also do not get the melomeso to express the bad changes that are happening in their body. That is why when they are brought to the hospital, the problem becomes complicated. The tumor has grown.

Small head, big tumor. Complex treatment, weak body. It is difficult for the child's body to tolerate tumor surgery. Again, what has been seen so far is that the tumor on the child's head is in a very awkward place. Basically three types of tumors are seen in them, which are very bad tumors.

Now the tumor is surgically removed. However, if cancer has already occurred, further treatment is uncomfortable. It is difficult to give them chemotherapy, even radiotherapy.

Are there any symptoms of brain tumor in children?

All diseases have symptoms, but how many are known, and how many are not known. Similarly, some symptoms are compatible with other diseases. So the symptoms can sometimes be confusing.

If there is any problem in the brain or the brain, the child cannot hold its head up. We keep the head upright on the strength of the neck and turn it around. However, if there is a problem in the brain, the head can be tilted. Slowly the throat can't take it. Children become weak and small.

Likewise, the child's head may grow. We don't pay much attention to how a small child's head is growing. If it is growing unnaturally, there may be a problem.

Similarly, another clear symptom is that the baby's palate is open when it is small. It is sticky or flexible. It should be covered later. Generally, the palate should start covering when the baby is three months old, and the rostrum should be completely covered by one-and-a-half years. If an infant's palate does not cover or remains open, it should be suspected that they have a head problem. Initiatives should be taken for testing and treatment.

It is important for parents to be aware of whether their child is normal or not. Why are they crying? Why are they not accepting to eat milk? Why are they not seen as normal?

What is the treatment?

Abroad, especially in developed countries, the health of the baby is checked during pregnancy. It is also seen in the mother's womb whether there is a tumor or not. If there is a tumor, what kind is it? The first or second stage tumors can be treated with surgery. Therefore, the baby's tumor is surgically removed while remaining in the mother's womb. However, if it has reached the third and fourth stage, the doctor gives advice to the parents to avoid giving birth to the baby.

However, we do not have such technology or system. Therefore, some diseases are detected only after birth. That too only after the symptoms started to appear. By the time symptoms begin to appear, treatment may be too late.

Let's say we have a brain tumor in an infant or child, the treatment is very uncomfortable and risky. It cannot be said that good results will come even after treatment.

Then what to do to prevent such a problem in the child? There is no exact answer to this either. We have also mentioned above that, despite many research studies, the root cause of cancer has not been found. However, risk factors can be reduced.

For example, if the mother smokes cigarettes, drinks alcohol, or takes drugs during pregnancy, it seems that such problems are more common in their children. So you should stay away from these things as much as possible during pregnancy. Also, is the baby or child growing naturally, growing or not? Parents should take careful care of this. Any abnormal situation in the child should be immediately alerted.

Surgery or physiotherapy for vein compression?

 Surgery or physiotherapy for vein compression?

Asmita Dulal from Kathmandu was suffering from back pain for a long time. She was ignoring it, thinking it was normal pain.

One day suddenly the pain started to be unbearable. How long did the back pain become, it became impossible to get up and sit down. She rushed to Veer Hospital. The doctor advised him to do an MRI of the back. From the MRI, it was found that the vein in his back was torn. The doctor said - you should have surgery immediately.

At the mention of surgery (operation), she hiccupped. She was afraid that the surgery would cause other problems.

In the meantime, someone told him, 'You should not do surgery when the vein is torn. It can also be cured by physiotherapy. She went to a natural hospital for therapy. She underwent a few weeks of therapy. During the therapy, the pain decreased.

But with the passage of time, his problem became there. Finally, she reached a state of mind where she had to undergo surgery.

Similarly, the naive officer of Nuwakot was suffering from lower back and one leg pain from time to time. As the pain worsened, he went to Green City Hospital for treatment. His back vein was slightly compressed. The doctor gave him pain relievers and advised him to exercise daily.

Bhola took the medicine given by the doctor but did not exercise. A few weeks after the medication ran out, his problem started to worsen again. When the pain started increasing, he went to the doctor again. The doctor advised him to do physiotherapy. As per the doctor's advice, he underwent physiotherapy and also changed his lifestyle and his problem gradually got better.

Orthopedic and neurologist Dr. Unhealthy lifestyle, obesity, spending too much time on mobile phones and people who don't exercise are becoming common problems. Saroj Kumar Suwal says. "This problem can occur in any part of the body from the head to the feet, of which the spinal cord is the most common," he says.

'The spinal cord is compressed for a long time, the blood circulation is not good and the blood starts to stop in one place due to the pressure. Due to which the vein is blocked. The veins become swollen and start to hurt a lot," he says.

Dr. Saroj Kumar Suwal

People who do heavy work or lift heavy objects can also have problems with pinched veins. Apart from that, if there is a serious type of bone loss problem, if there is a broken limb, if there is a problem with bone movement and aging, it can cause the problem of vein rupture. In addition, due to lifestyle, this problem can also occur when working in one place for a long time. Suwal explains.

Neurosurgeon Dr. Dr. Dr. Rupesh Raut says.

How is the vein torn?

There are many bones in the spine in the human body. Between each bone is a circular disc. The disk is a particularly thick liquid. Due to an accident or if there is a problem with moving the bone, the disc comes out from between the two bones and tears the nerve. Dr. which we call in common parlance, the veins are torn. Suwal explains.

This problem is more common in the age group of 20 to 40 years. Mainly back and neck veins are more common," he says.

Treatment varies according to the patient's condition

In the problem of pinched vein, the treatment method is different depending on the condition of the patient. Treatment is usually through medication and physiotherapy. But if the patient's condition is serious, Dr. should be treated through surgery. Suwal explains.

It has three stages. In the first and second stages, rest, medicine and physiotherapy are the only cures. The third stage is the situation where the problem has become a bit chronic. In this condition, it is difficult for the patient to move.' He says, 'If there is a long-term problem with the nerves, surgery is required. It will be cured after surgery. It is known from MRI that the vein has been torn.

Even after reaching the third stage, the veins may not function permanently during helchectomy. He said that there could be a possibility of not moving the legs forever, paralysis.

This is what a neurosurgeon says

Neurosurgeon Dr. According to Rupesh Raut, the problem of back pain has become common these days. According to the world data, the most common reason for OPD visits is due to cold, followed by back pain. "Many patients think that a vein has ruptured when they have back pain," he says, "There are various reasons for back pain. In which the joints of the spine are affected, the bones are broken and back pain can also occur. Among the patients who come to the hospital with back pain, only 5 percent have the problem of pinched veins.

The bones of our spine are like blocks, stacked one on top of the other. Between the two blocks is a bone-like element made of thick fluid called a 'disc'. Raut says that when this brittle bone gets old or there is a major injury in the spine, it starts to come out of its place and tear the nearby nerves. He says, "In the part of our body where the nerve goes, the leg pain, tingling, and not moving properly appear in the same direction," he says.

Dr. Rupeshjung Raut

In such a case, you should consult a doctor about how to treat it. Medicine, exercise, therapy and surgery etc 

It is treated in different ways. Dr. Raut says, '90 percent of varicose vein problems are caused by medication, lifestyle changes and therapy. The remaining 10 percent should be operated only for those with serious problems.

It cannot be said with a guarantee that any treatment will cure the patient 100%. Raut says. "After surgery, the patient does not recover 100 percent," he said, "even during surgery, various complications can occur." If the vein is torn due to the disc, it needs to be removed, which is very close to the vein. Removing the disc in this way can sometimes lead to vein injuries, blood clots at the surgery site, etc.

Four percent of those who have undergone surgery may have this problem again within 10 years. Emergency surgery may also be necessary.

One of the emergency conditions of vein rupture is 'Cauda Equina Syndrome (CES)'. Cauda equina syndrome is a rare but serious condition in which nerve roots along the spinal cord are compressed and damaged. Raut says. In this case, the patient should be operated as soon as possible within 24 to 48 hours. It is better to do the surgery within eight hours for better results,” he says.

He said that if this problem occurs, symptoms such as lower back pain, pain in one or both legs, swelling in the lower part of the waist, and difficulty in stopping urination will appear.

Physiotherapist talk

Physiotherapy is an effective treatment method for pinched nerves. In physiotherapy, ultrasonic therapy, TENS, IFT are used. Physiotherapist Sapna Koju says that these therapies play an important role in reducing pain.

She says, 'Exercises during physiotherapy are particularly effective in cases of torn veins. It helps to strengthen the muscles and restore the disc to its original condition.

Physiotherapist Sapna Koju

The treatment of the herniated disc also depends on how many places the vein has been torn and how much part of the vein has been torn. If the disc is only half protruded or the nerve is only half pinched, it can be cured by physiotherapy. Which falls under the first and second phase, says Koju.

She says, 'If the disc has completely protruded, it must be surgically inserted or removed. Which is the third and fourth stage. In other words, if less than 60 percent of the disc has come out, it can be treated with physiotherapy, and for more than that, surgery is the only option.

During the first and second phase of physiotherapy treatment, the patient is given an injection to reduce the pain. Similarly, patients are treated by machines. Koju explains that the physiotherapist uses a pain control machine for that.

The patient can also be treated by creating negative pressure in the place where the vein is torn through certain exercises. By applying more pressure elsewhere during the treatment, the indirect pressure falls on the problem area,'' she says, 'as a result, the liquid comes out and helps to bring in the one in the middle.'

Ways to avoid varicose veins

Do not lift heavy weights, do not work sitting in one place for long periods of time, keep your spine straight while sitting, do not use high pillows, do not strain your neck, go to the gym and lift less weight, do not bend over for long periods of time and do regular exercise. And neurologist Dr. Suwal explains.