Dr. Aj Rastogi

Pain Management
Hainesport, NJ
20 years experience male

Locations

North American Spine & Pain

Exton, PA

Address

495 Thomas Jones Way, Suite 304, Exton, PA
Directions

My office hours

Thursday: 9:00am - 5:00pm
Show more

Practice website

Fax

(484) 879-6509

North American Spine & Pain

Hainesport, NJ

North American Spine & Pain

Sewell, NJ

About

Bio

Pain Management Interventional Spine

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Pain Management

Languages spoken

Hindi

Doctor Q&A

81 Answers
62 Agrees
The number of answers this doctor has agreed with.
A 27-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Muscle vs Nerve: Could either be a strained muscle or a nerve related problem. The numbness points strongly to an effected nerve that travels into that area. If ther... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Whiplash: Accidents can sometimes result in stretching of a nerve that if irritated will causes headaches especially in the back of the head (occiput). Shearin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Possibly: Fibromyalgia can lead to increased muscle tension. Would advise trialing a muscle relaxant or trialing massage/acupuncture/meditation to reduce both ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Depends...: Depends on your pain sensitivity or threshold for pain. Most patients would say the momentary pain during the actual needle piercing skin is 6-7 out ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Possible: Crps/rsd is a problem that occurs (many types spontaneously or after minor trauma) that activates nerves that control the sympathetic system (fight or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Depends...: It could be as simple as a run of the mill headache to something more serious. If it does not improve consult with your doctor. If it is associated ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Depends..: Oral morphine is short acting form or immediate release form has a half-life of 2-3 hours and will be at levels of 50% by that time. The long acting ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Depends...: High intensity workouts can provide massive gains but you have to be careful not to over do it - or risk resulting in an injury that would undo all yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Start with OTC: If you have no allergies, consider trying Ibuprofen to reduce head and neck pain. If it is associated with more concerning symptoms or is not going a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Pain Meds: Ketoprofen, gabapentin, and synapryn are used to treat different types of pain. Deprizine is used to GI related and cancer related issues.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Many: Muscle relaxants (i.e. Skelaxin, (metaxalone) flexeril), neuropathic agents (gabapentin, lyrica), opiates (morphine, hydrocodone), Lidocaine and other... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Dampen Nerve Actvty: Multiple treatment options reduce pain from rsd - now known as crps 1. Neuropathic agents to reduce nerve related pain - gabapentin/lyrica 2. Topica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Days: Daypro (oxaprozin) half-life is 40-50 hours and thus will take several days to be eliminated from the body.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Possible Side Effect: Naproxen can definitely result in stomach pain if taken for a long period of time as it results in GI ulcers. Would discuss with your pcp or GI speci... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Possibly Nerve Rlted: Negative imaging with severe pain in the flank may be due to irritation of the intercostal nerve that runs on the undersurface of the rib. Other pote... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Can be: If the nerve that travels into the calf is being irritated or impinged by that herniated disc (especially if the disc herniation has progressed in the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Many Possibilities: Could be due to most commonly strained musculature especially if you have slept in an awkward position or have a lot of tension. Other also very comm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Water: Aquatherapy or exercising in the pool will lessen further damage to spine and reduce impact on damaged segments. Discuss regimen options with a physi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Topical NSAID's: If you have a GI condition that puts you at risk when using oral nsaid's - topical forms exist that you can apply to skin (i.e. Pennsaid, voltaren (di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Positioning: The position that you are placed in while having your shoulders massaged can make a big difference. Try sitting with your chin flexed forward towards... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Post-op pain: Pain after surgery can be difficult to manage - barring any allergies, alleve, numbing creams, or even stronger pain drugs such as narcotics (i.e. Per... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Not Available: To my knowledge, there is no equally similar natural alternative to lyrica (pregabalin). Supplements that may aid in treating problems that Lyrica (p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Multiple Types of RX: Fibromyalgia is fairly complex: find a pain specialist interested in treating fibromyalgia. Your plan should incorporate a variety of treatment opti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Rest: If your back ache is new, heat/ice, stress reduction, proper sleep, a few days rest and allowing your body to heal may be all you need. If it is chro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Depends: Maybe pain due to an issue internal to the ear, muscular tension near the base of the skull (most common), tmj, referred pain from another site. Seek... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
More Info: Can definitely be due to a lot of issues - chronic pain in a limb may be due to poor circulation, nerve irritation/damage, infection, fluid retention,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Specific to Periods?: Additional side effects occurring when taking pain medications during periods are unlikely unless there has been considerable bleeding. This may caus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Treatments: Nerve pain from diabetic peripheral neuropathy may respond to medications such as gabapentin, lyrica, (pregabalin) lidoderm, topical medications, comp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Sure: Warm shower or a bath can decrease muscular tension and spasms/cramps. Make sure you are well hydrated and consider a multi-vitamin as these can caus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Possibly: It could just be that you are sleeping on the arm and decreasing blood flow to the hand. Otherwise it may be a bulging disc or other structures press... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Sympathetic vs para: Efforts made to perform bowel movements (valsalva) are managed by your parasympathetic system which lowers heart rate - after the bowel movement the p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Change in anatomy: A nerve can be compressed by changes in surrounding structures (i.e. Increased muscular tension, disc bulges, poor positioning, body habitus, etc.).
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Blocks the enzyme: Mutliple drugs are available to block the effects of this enzyme which breaks down acetylcholine - essential for muscle movement along with many other... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Possibly: Most common problem in line with your symptoms in the class of drug that Crestor (rosuvastatin) belongs to is diffuse muscle pain and inflammation. R... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
NSAID's & Tylenol (acetaminophen): Nsaid's stand for non-steroidal anti-inflammatory drugs which help reduce pain via decreasing concentration of inflammatory markers. Tyelnol has been... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Other Meds/PT: Hip pain may respond to Lidoderm patches (numbs the area), physical therapy, injections, stronger pain killers such as opiates, tens unit, massage, et... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Diet & Meds: Foods that constipate you or medication/diseases that slow emptying of your bowels are common reasons for causing intestinal contents to bulk up and r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Sometimes: If your pain has not responded to other drug classes such as nsaid's (i.e. Advil, (ibuprofen) motrin), rest, muscle relaxants, neuropathic agents, phy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Rest/Meds: Soreness from lifting may respond to Lidoderm patches (numbs the area), physical therapy, injections, alleve, tens unit, massage, etc. Focus on rest... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
In Moderate Amounts: Social drinking with Naproxen is typically fine. Things to be concerned about include GI upset with some drinks in conjunction with Naproxen especia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
SI Joint: One of the largest joints in the pelvic area are the sacroiliac joints (si for short) that connect your sacrum with your ilium.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Depends...: High intensity workouts can provide massive gains but you have to be careful not to over do it - or risk resulting in an injury that would undo all yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Judgement Call: Dosing narcotics can be difficult and sometimes sensitive topic. If you have a legitimate reason to be on higher doses of opiates, you can try to mak... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
OTC medications: If you have no allergies, consider utilizing ibuprofen, tylenol, (acetaminophen) biofreeze, and cold vs heat (whichever feels better) as otc methods t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Multiple Meds: A broken arm can result in pain due to musculoskeletal damage along with possible nerve involvement. Typically alleve/motrin work well in addition to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Depends...: Can definitely be due to a lot of issues - chronic pain in a limb may be due to poor circulation, nerve irritation/damage, infection, fluid retention,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Overuse: If you use the same arm over and over to hold your baby - it can lead to repetitive stress injuries especially if it is in a fixed position for long p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Yes: Esr is a marker for inflammation and 60 is high - there may possibly be a link between the lab value and joint pain. Discuss further with pcp or rheu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Testing/Physical: Many problems can cause leg pain: consider discussing with your family doctor first as many chronic illnesses can cause leg pain (i.e. Poor circulati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Aj Rastogi
Pain Management 20 years experience
Yes: This can occur with many medications including these two different types of muscle relaxants but this incidence is typically low. With physician supe... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
176
Thank you notes
HealthTap member
Aug 4, 2012
I think Dr.Rastogi beimg a pain management Dr associated with a spinal institue gave a good amswer as to why water therapy would be better
HealthTap member
Mar 30, 2015
Dr. Rastogi is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Rastogi is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you. I am willing to try whatever avenue possible to help myself. It started getting better. I feel I relapsed and having a hard time
HealthTap member
Thank you. I have tried every other route. This has been a long process. That is why the other dr. Suggested the increase.
HealthTap member
I have anxiety problems and makes me nervous of DVT I am a smoker so it does put me on edge but my muscles twitch often

Education & Training

Medical/Graduate school

University of Virginia School of Medicine, VA
Graduated 2003MD

Awards

Top Pain Management Specialist , Second Place, New Jersey - Winter
2013
Top Pain Management Specialist, First Place, New Jersey - Spring
2017
HealthTap Founding Doctor

Affiliations

International Spine Intervention Society (ISIS)
World Institute of Pain

Publications

Potent analgesic effects of anticonvulsants on peripheral thermal nociception in rats.
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