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Introduction Pelvic inflammatory disease (PID) is due to inflammation of a woman’s pelvic organs including the uterus, fallopian tubes, ovaries and other reproductive organs. PID can cause damage to the fallopian tubes and tissues in and near the uterus and ovaries. If left untreated, PID can even cause serious consequences including infertility, ectopic pregnancy...

  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 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...

Phantom Limb Pain I saw a 64 year old gentleman in the Pain Clinic. He had a left below knee amputation. He is complaining of pain in the lateral border of the lower part of the stump and a specific point of tenderness. He described this as a sharp pain, worse on walking, and...

Neck pain succesfully treated with facet joint blocks Introduction I reviewed a 52 year old gentleman in the Pain Clinic. He had a history of neck and lower back pain. A recent MRI scan had shown a slight cervical intervertebral disc protrusion. Examination findings On examination he had occasional tingling in both hands, which...

Case report of patient with knee pain from a cross trainer treated with simple local injection of cortisone Introduction I reviewed a 42 year old lady in the Pain Clinic who had been using a cross trainer at home. Over the last week she had had increasing left knee pain, which had got steadily...

Case report of patient with post surgical neuropathic right iliac fossa pain treated with pregabalin Introduction A 71 year old gentleman was seen in the Pain Clinic with right iliac fossa pain. Examination findings On examination he had right iliac fossa pain and neuropathic type pain which he described as a clawing, spasm-like pain,...

Better sleep and Chronic Pain Introduction Chronic pain is a pain that goes on for more than six months and fails to respond to conventional pain medication. Today, chronic pain is known to affect an estimated 30 to 50 million Americans. It can result from a vast range of factors including injuries that did...

    Exercise and Chronic Pain Introduction Chronic pain is defined as a pain which lasts longer than the expected time for healing and begins to interfere with normal life. In individuals suffering from chronic pain, the pain is felt long after the injury has been healed or the patient has recovered from the...