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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...

Various Treatment Options For Controlling Neuropathic Pain Neuropathic pain is a very specific type of pain that is usually defined as pain that originates due to an injury to or inflammation within the central or peripheral nervous system, although it could also arise from a nervous system that is not functioning correctly; a dysfunctional...

An Introduction To Preventing Work Related Upper Limb Disorders Although many people are now familiar with the phrase ‘repetitive strain injury’ which is often referred to as RSI, many people are not aware that a work related upper limb disorder is basically a repetitive strain injury that has been caused by work or working...

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...

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...

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...

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...

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...

  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...

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...