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Symptoms of Myofascial Pain Syndrome Introduction Myofascial Pain Syndrome (MPS) is essentially defined as a painful musculoskeletal condition, characterized by the development of Myofascial trigger points (TrPs). These points are locally tender when active and refer pain through specific patterns to other areas of the body. MPS – Key Aspects The Myofascial Pain Syndrome...

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...

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...

Overview I saw a 56 year old lady in the Pain Clinic. She was complaining of pain in the umbilicus, moving around in a band. This is usually a niggling pain with a pain score of 4-5/10 but at worst 10/10. This usually occurred once every 3 weeks lasting for 2-3 days. Symptoms She...

  Exercises for lower back pain Introduction When an episode of low back pain lasts for more than six weeks, it is important for the patient to consider back pain exercises and physical therapy for treatment. Aims of Exercise Exercises for back pain are aimed at strengthening the muscles in the back (paravertebral muscles),...

Case report of a patient with facet joint pain treated regularly with X-ray guided facet joint injections I reviewed a 47 year old gentleman who has been a patient in the Pain Clinic for some years. Essentially, he has lower back pain eminating from his bilateral L3/4, L4/5 and L5/S1 facet joints. This had...

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...

          Repetitive strain injury amongst IT workers and computer users What is a Repetitive Strain Injury (RSI)? Repetitive strain injury (RSI) represents a group of conditions associated with the overuse of computer, guitar, knife or a similar motion or tool. It is an occupational overuse syndrome affecting muscles, tendons and...

Musculoskeletal injury and other disorders associated with computer/ information technology (IT) usage If you spend prolonged periods of time working with computers and IT, including home computer users and individuals using IT in the workplace, musculoskeletal disorders can have a major impact on your health. Recent research indicates that 50% of computer users have...