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The Benefits Of Multimodal Analgesia For Patients Although multimodal analgesia may not be a term that everyone is familiar with, it means nothing more than using different types of analgesic drugs as pain management to ensure that patients experience as little pain as necessary. But the benefits of multimodal analgesia are significant in terms...

Local skin irritation caused by Butrans Buprenorphine transdermal patch, successfully treated Introduction I reviewed a 45 year old lady in the Pain Clinic, who is on Butrans Buprenorphine 10 mcg per hour transdermal patch. Unfortunately, she has had some problems with local skin irritation and she tried some Hydrocortisone 1% topical cream, which was...

Case Report PULSED RADIOFREQUENCY FOR MERALGIA PARAESTHETICA A 47 year old gentleman was seen in the Pain Clinic. He described intermittent, burning pain in the anterolateral aspect of his right leg. This was reproduced by light palpation over the exit point of the lateral cutaneous nerve of the thigh. He was diagnosed with the...

Pain – A Biopsychosocial Approach Pain is a complex process, rather than just a simple connection between nerves. Instead there is an interface between physical and psychology processes. Pain involves nerve stimulation, signals are sent to the brain where they are then processed and a ‘response’ sent back. During this process the pain signal...

  Complex Regional Pain Syndrome – A Life Changing Event In April 2009, I suffered a badly broken right wrist and as soon as my plaster cast was removed, it became apparent I had developed Complex Regional Pain Syndrome in my right hand. I could not use my right hand due to the intensity...

Psychological Approaches to Pain Management Psychological approaches to pain management focus on the role that thoughts, behaviour and emotions play in the experience of, and coping with pain. The role of physical/biological and social factors are also taken into account and a biopsychosocial model is used to understand and develop treatment plans. Psychological Approaches...

Case Report CAUDAL EPIDURAL USING X RAY AND CONTRAST DYE A 49 year old lady was seen in the Pain Clinic. She had previously been treated by another clinic for her intermittent sciatica-like pain. MRI scan revealed widespread lumbosacral degenerative changes. On examination, she had no lumbar facet joint or sacroiliac joint tenderness, but...

The Use of Pulsed Radiofrequency to Treat Frozen Shoulder A frozen shoulder is a condition that can affect anyone at any time, although it is far more prevalent in the age group 40-60 and it is also much more common in females than in males. Traditional treatments for a frozen shoulder tend to focus...

The Causes Of A Frozen Shoulder The correct term for a frozen shoulder is adhesive capsulitis and although it is not a life threatening condition it is one that can be painful and to some extent an inconvenience. Dressing, reaching for items off a high shelf, or even getting in and out of a...

A Guide To Post Limb Amputation Pain Post limb amputation pain is a very distressing condition. Not only is someone recovering from major surgery and then coming to terms with the psychological trauma of having lost a limb, but they feel pain to a very high degree and often feel pain that is disconcerting...