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  Work Station Assessment / Ergonomics Sitting all day, everyday can be just as problematic as lifting heavy objects. A sedentary lifestyle sitting in front of a computer terminal can often lead to pain in the back, the neck or down the arms. The National Health and Safety Regulations (1992) state that every employer...

Intercostal Neuralgia Treated with Pregabalin A paatient was reviewed in the pain clinic with a diagnosis of intercostal neuralgia in the right T5 dermatome which was burning and stinging in nature, but there was no thoracic facet joint tenderness. He had previously been taking Amitriptyline and Gabapentin. Intercostal Neuralgia- a type of Neuropathic Pain...

Goal Setting and Chronic Pain Introduction Chronic pain is defined as a pain that lasts for more than three months and leads to a significant impairment of activities of daily living and activities. The primary goal in chronic pain management is that the cause of the pain should be found and cured, enabling the...

Diaphragmatic Breathing and Chronic Pain Introduction Chronic pain is defined as a persistent, long-lasting pain that lasts longer than six months inspite of the required medical treatment. Individuals with chronic pain often tense their muscles in reaction to pain, which in turn aggravate pain altogether. Chronic pain can present itself in a series of...

Pacing and Chronic Pain Introduction Chronic pain is typically defined as a pain that lasts for more than six months, inspite of regular and appropriate medicine being administered. It can often lead to a series of side effects such as hopelessness, depression, anxiety disorders and traumatic stress. Individuals suffering from chronic pain also end...

Relaxation and Chronic Pain Chronic Pain – The Basics Chronic pain is defined as a pain that lasts for 6 months or longer. It is typically defined as a pain that persists for more than the expected course of natural healing of a specific injury or disease. When an individual is inflicted with chronic...

Headache and Physiotherapy Headache is a complex type of pain. Headache may have several causes and may be difficult to diagnose and treat. Many headaches are unexplained. However, there is building evidence that a significant proportion of headaches have some contribution from the structures of the neck. There is also evidence that physiotherapy can...

Combination medication for the treatment of neuropathic pain Introduction Neuropathic pain is a complex, chronic pain state, most often accompanied by a tissue injury. According to various studies, neuropathic low back pain affects an estimated 5.6 million people in the US. The condition is typically characterized by a burning and shooting pain, along with...

Causes of Myofascial Pain Syndrome Introduction Myofascial Pain Syndrome (MPS) is typically defined as a chronic local or regional musculoskeletal disorder, involving a single muscle or a muscle group. The pain associated with MPS most commonly occurs in the head, neck, shoulders, arms, legs and lower back. Such pain of the Myofascial Pain Syndrome...

Hand-Arm Vibration Syndrome (HAVS) Introduction Hand-Arm Vibration Syndrome (HAVS) is basically an umbrella term that refers to the group of vascular, neurological and musculoskeletal health effects associated with the use of vibrating tools. In laymen terms, it implies the transfer of vibration from a tool or work piece to a worker’s hands and arms....