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Duloxetine Introduction Duloxetine is a medication in the class of anti-depressant drugs, used to treat major depression and provide relief from nerve pain or peripheral neuropathy in diabetics. It belongs to a class of medicines called the selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). Originally produced by Lilly researchers, Duloxetine hydrochloride was patented in...

Pain Clinics Introduction Pain clinics are a modern concept of pain management characterized by multiple specialists’ services and patient convenience. People with chronic pain are now able to attend a specialist pain clinic for assessments and possible pain management, together with advice on living a fuller life, even in presence of pain. Recent research...

COX-2 inhibitors and the risk of cardiovascular events COX-2 Inhibitors – The Basics The cyclo-oxygenase 2 (COX-2) inhibitors are a form of drug in the class of medicines known as the non-steroidal anti-inflammatory drugs (NSAIDs). The COX-2 Inhibitors are a new form of NSAIDs that are considered to produce fewer gastro-intestinal side effects than...

              Botox and Myofascial Pain Syndrome Introduction Myofascial Pain Syndrome (MPS) is defined as a painful musculoskeletal condition, characterised by the development of myofascial trigger points (TrPs). The trigger points are locally tender when active and refer pain through specific patterns to other areas of the body. When...

Patient Information Sheet – Obturator Nerve Block What is the Obturator Nerve Block? An obturator nerve block is a nerve block administered to the areas including hip, anterior thigh, knee, lower leg or foot. The obturator nerve supplies a small, variable amount of skin on the medial aspect of the knee and lower thigh....

    Claiming for an accident or personal injury where you were not at fault If you have suffered from an accident or personal injury where you were not at fault, you may be legally entitled to make a claim for compensation. Irwin Mitchell solicitors have a specialist team of experienced personal injury lawyers...

Article on patient with superficial abdominal neuropathic pain succesfully treated with local nerve blocks and medication A 54 year old lady attended the clinic with a long history of abdominal pain, which started around 1999, following an operation for the release of a caecal volvulus. Since then, she had had right sided abdominal pain...

Case report of a lady with ascites with rib pain treated successfully with intercostal nerve blocks Clinical Overview I reviewed a patient in the clinic with sclerosis of the liver, which she had secondary to Hepatitis B. Despite anti-viral therapy and other treatments, she had developed very severe ascites manifest as a large volume...

Vulvodynia Introduction Vulvodynia is a medical condition characterized by choric vulvar discomfort or pain. This disorder is basically associated with the nerve fibres, making the sensory nerve endings and the skin highly sensitive to touch and sensation. The term ‘vulvodynia’ implies painful vulva. The vulva comprises of the pad of fatty tissue at the...

Tendinopathy and Tendon Injury Introduction Tendinopathy is defined as a medical condition characterised by a painful or a torn tendon. The term tendinopathy is commonly used as a collective term for tendonitis and tendinosis. While tendonitis implies inflammation of the tendon, tendinosis is characterised by a tendon pain that occurs as a symptom of...