Pain Management Programmes
What is Pain? Pain is a natural response that acts as a warning to indicate harm or potential danger to tissues in our bodies. In other words, pain is the body’s mechanism of self-preservation....
Biosurgery and Synthetic Viscosupplementation
Biosurgery and Synthetic Viscosupplementation Introduction Natural bio-materials have recently emerged as a major trend in surgical procedures. This is mainly due to their traits of bio-compatibility and their ability to integrate and remodel, with...
Trigger Point Injections
Introduction Trigger point injections are injections of local anesthetic (numbing) medication, saline, and/or cortisone , and/or Botulinum Toxin A into the trigger point(s). The aim of a trigger point injection is to relax the...
Overview of Different Treatment Modalities
Overview of Different Treatment Modalities Treatment Plan Treatment modalities with effective results for low-back pain are generally divided into two categories: Pharmacologic, including medications such as NSAID. Non-pharmacologic, including exercise, lifestyle changes, alternate therapies...
Conservative Management of Painful Conditions
What is Conservative Management? Conservative Management is the category of treatment which includes all sorts of non-surgical treatment for back pain. Research indicates that almost 90% of patients with lower back pain suffer from...
Glucosamine and Osteoarthritis
Glucosamine and Osteoarthritis Introduction Osteoarthritis (OA) is an arthritis type that is caused by the breakdown and eventual loss of cartilage of one or more joints. The main areas, which are affected by OA,...
Frozen Shoulder treated with suprascapular nerve blocks
A 65 year old lady was reviewed in the Pain Clinic. She had undergone left shoulder hemiarthroplasty 2 years previously following a fall in a restaurant. This operation then needed to be revised. She...
Notes on Complex Regional Pain Syndrome (CRPS) and Stanton-Hicks Management Regimen
Notes on Complex Regional Pain Syndrome (CRPS) and Stanton-Hicks Management Regimen Medication Gabapentin/Pregabalin/Duloxetine Amitriptyline/Imipramine Tramadol/Oxycodone/Fentanyl Flecanide Vitamin C 100 mg b.d./NSAID/COX-2 Sativex Calcitonin/ Dextromethorphan Steroid/pulse (Prednisolone 30 mg for 7 days, 25 mg...
TSNS (Transcutaneous Spinal Nerve Stimulator)
Links to articles on TENS and TSNS Links to TENS and TSNS
Guidelines for treatment of Neuropathic Pain
Guidelines for treatment of Neuropathic Pain Introduction Neuropathic pain is a complex, chronic pain state, typically characterized by a burning and shooting pain, along with a feeling of tingling and numbness. The International Association...
