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  Physiotherapy: The Basics   Physiotherapy is primarily defined as a science that strives to improve movement dysfunction, promote optimal health and functions of the human body. At its core, physiotherapy places human movement as central to health and well-being. Physiotherapy or physical therapy is widely regarded, as the most important rehabilitative service needed...

Introduction Occipital Neuralgia is a form of neuropathic pain caused by irritation or injury to the occipital nerve located in the back of the scalp. The occipital nerves are two pair of nerves that originate in the area of the second and third vertebrae of the neck. The term is also often used to...

What is Conservative Management? Conservative Management is the category of treatment which includes all sorts of non-surgical treatment for back pain. Research indicates that almost 90% of patients with lower back pain suffer from a benign condition that will resolve in four to six weeks with conservative treatment. However, researchers and medical professionals reiterate...

      What is a Facet Joint? The spine is made up of a number of building blocks, the vertebrae, which support the weight of the body. Between these are Intervertebral Discs, which act as shock-absorbers. Between two vertebrae are a pair of small Facet Joints, which allow the spine to move and...

Traumatic Rib Fracture I saw a lady in the Pain Clinic who had pain emanating from an old fracture of the right rib at the level of T5/T6. She had significant pain on the right side of her chest which occurred when she fractured the rib after the barrier doors of a train caught...

Pacing and Chronic Pain Introduction Chronic pain is typically defined as a pain that lasts for more than six months, inspite of regular and appropriate medicine being administered. It can often lead to a series of side effects such as hopelessness, depression, anxiety disorders and traumatic stress. Individuals suffering from chronic pain also end...

Diaphragmatic Breathing and Chronic Pain Introduction Chronic pain is defined as a persistent, long-lasting pain that lasts longer than six months inspite of the required medical treatment. Individuals with chronic pain often tense their muscles in reaction to pain, which in turn aggravate pain altogether. Chronic pain can present itself in a series of...

Goal Setting and Chronic Pain Introduction Chronic pain is defined as a pain that lasts for more than three months and leads to a significant impairment of activities of daily living and activities. The primary goal in chronic pain management is that the cause of the pain should be found and cured, enabling the...

Intercostal Neuralgia Treated with Pregabalin A paatient was reviewed in the pain clinic with a diagnosis of intercostal neuralgia in the right T5 dermatome which was burning and stinging in nature, but there was no thoracic facet joint tenderness. He had previously been taking Amitriptyline and Gabapentin. Intercostal Neuralgia- a type of Neuropathic Pain...