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Painful diabetic neuropathy Diagnosis of painful diabetic neuropathy A 69 year old lay was seen in the clinic who presented with a 10 year history of pain affecting her upper arms, which she described as deep bone pain, present all the time and she felt her symptoms were getting progressively worse. She had been...

Neuropathic scar pain following Caesarian section Presentation A 39 year old was seen in the Pain Clinic. On examination, there was a small discrete area in the left iliac fossa approximately 1 x 2 cm superior to the lateral margin of the pfannenstiel incision. Palpation of the area reproduced the pain on very superficial...

Patient Information Sheet – Cervical Nerve Root Blocks What is a nerve root block? A nerve root block is a surgically invasive procedure, administered for pain relief associated to the nerve roots. A nerve root exits the spinal cord and forms nerves that travel into the arms or legs. These nerves allow movement of...

Patient Testimonials about London Pain Clinic Patient Testimonial 1 London Pain Clinic (Dr Jenner) have given me a new life. I cannot be grateful enough and my children (old ladies by now) feel the same. I am a walking example of their excellence. AF, London. February 2007 Patient Testimonial 2 For the past year,...

Sports Injuries – The Basics The term sports injury refers to the various kinds of injuries that occur during sports or exercise. Sport injuries normally occur because of: Poor training practices Improper equipment Lack of conditioning Insufficient warm-up A sports injury is a major setback for any athlete, but with a proper treatment and...

Clinical Scenario A 72 year old lady was reviewed in the Pain Clinic with pain in the right hand and index finger. She had 2 carpal tunnel operations, the last one 3 years ago on the right hand. It appeared that during the local anaesthesia, there was an inadequate block and this had to...

Patient Information Sheet – Guanethidine Blocks What is Guanethidine? Guanethidine is a drug, which has a specific effect on the sympathetic nerves and is normally used to control blood pressure. Over years, guanethidine has also been effectively used to treat chronic pain, with a few risks or side effects involved. When is a Guanethidine...

Patient Information Sheet – Cervical Facet Joint Blocks What are Cervical Facet Joints? Cervical (of the neck) facet joints are small joints, about the size of the thumbnail located in pairs on the back of the neck. The main aim of these joints is to provide stability and guide motion in the neck. When...

          Introduction A 32 year old lady was seen in the Pain Clinic, who had suffered a road traffic accident approximately 7 months prior to coming to the Pain Clinic. She suffered a whiplash injury where her head had undergone acceleration/deceleration injury. This lady had been treated for whiplash initially...

      Introduction Dr. Chris Jenner, Director of London Pain Clinic has a number of educational packages available for medical and non-medical groups about pain and pain management. Educational packages for Medical Personnel Dr Jenner has been involved in the teaching of pain management to a number of medical personnel including: general Practitioners...