Pain

Is My Patient Suffering Complex Regional Pain Syndrome?

Is My Patient Suffering Complex Regional Pain Syndrome? – MM1409

Complex regional pain syndrome (CRPS) is a chronic pain condition mostly affecting one of the limbs (arms, legs, hands or feet), usually after an injury or trauma to that limb. CRPS is thought to be caused by damage to or malfunction of the peripheral and central nervous system. Although most cases of CRPS are triggered by an injury, the resulting pain is far more severe and long-lasting than normal.

Modern Medicine – September 2014

October 2, 2014 by Peter Pain

Managing Chronic Pelvic Pain in Girls and Women

Managing Chronic Pelvic Pain in Girls and Women – MM1408

Women with chronic pelvic pain have often experienced pain since adolescence as well as self-doubt, which often results in difficulties in personal development, relationships and sexual confidence.

Modern Medicine – August 2014

August 20, 2014 by Peter Pain Womans Health

The Differences between Tolerance, Dependence and Addiction

The Differences between Tolerance, Dependence and Addiction – MM1407

There appears to be a confusion or misunderstanding between tolerance, dependence and addiction. Pain patients who become tolerant or dependent on drugs are often classified or categorised as addicts or addicted. In
truth very few are.

Modern Medicine – July 2014

August 4, 2014 by Peter Addiction Pain

Chronic Migraine and Other Types of Chronic Daily Headache

Chronic Migraine and Other Types of Chronic Daily Headache – MM1406

Chronic daily headache is a common and disabling condition. It is usually due to primary headache, most often migraine, but other causes must be kept in mind. A simple approach to diagnosis is required.

Modern Medicine – June 2014

June 24, 2014 by Peter Migraine Pain

Neuropathic Pain: A Guide to Clinical Management

Neuropathic Pain: A Guide to Clinical Management – MM1405

Treatment selection for neuropathic pain depends as much on comorbid sleep disturbance, depression, anxiety and, particularly in the elderly, medical comorbidities, as on the pain itself.

Modern Medicine – May 2014

May 27, 2014 by Peter Pain

Percutaneous Intervertebral Disc Decompression for Pain Management

Percutaneous Intervertebral Disc Decompression for Pain Management – MM1404

For a very specifically defined group of patients with contained intervertebral disc protrusions, there is an option called nucleoplasty or plasma disc decompression. Nucleoplasty is a procedure for percutaneous disc decompression based on a minimally invasive interventional procedure.

Modern Medicine – April 2014

April 22, 2014 by Peter Nucleoplasty Pain Spine

Treating Soft Tissue Rheumatic Disorders

Treating Soft Tissue Rheumatic Disorders – MM1403

Treatment of soft tissue rheumatic disorder involves setting realistic patient expectations and judiciously selecting therapy from the many physical, pharmacological and other modalities available, according to the condition and site affected.

Modern Medicine – March 2014

March 20, 2014 by Peter Pain Rheumatology

Soft Tissue Rheumatic Disorders: Aetiology and Diagnosis

Soft Tissue Rheumatic Disorders: Aetiology and Diagnosis – MM1402

In soft tissue rheumatic disorders, it is important to distinguish non-inflammatory causes, such as biomechanical abnormalities or tendon changes
with ageing, from inflammatory causes, such as systemic rheumatic or other diseases.

Modern Medicine – February 2014

March 4, 2014 by Peter Pain Rheumatology

The Physiology of Chronic Pain The Role of the Inhibitory Interneuron

The Physiology of Chronic Pain The Role of the Inhibitory Interneuron – MM1401

As described in the original article in May 2013, central sensitisation of the dorsal horn cells with facilitated pain processing and transmission can occur after nerve injury, deafferentation of the spinal cord (amputation or nerve section) or due to afferent barrage.
As a result, anatomical and neuro-chemical changes can occur within the central nervous system (CNS) that can persist long after the injury has healed.
This ‘CNS plasticity’ may play an important role in the evolution of chronic, neuropathic pain. The sensitisation of neurons that occurs within the dorsal horn results in spontaneous activity of the dorsal horn neurons, a decreased threshold and an increased responsivity to afferent input, and cell death in the spinal dorsal horn. The cells that die are the inhibitory interneurons.

Modern Medicine – January 2014

January 21, 2014 by Peter Neurology Pain

Pain Management in Inflammatory Arthritis

Pain Management in Inflammatory Arthritis – MM1311

Many people with inflammatory arthritis continue to feel high levels of pain even when receiving effective treatments. Chronic pain is a complex biological process that cannot easily be remedied with a single pill. A multimodal approach is required.

Modern Medicine – November/December 2013

November 26, 2013 by Peter Arthritis Pain

Recent Posts