Search results for Pain

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Chronic low back pain

19 Jun 2009 | by Dr Mark Ritchie, GPSI in pain management, Morriston, Swansea

Dr Mark Ritchie, GPSI in pain management, Morriston, Swansea...Section 1: Epidemiology and aetiology A diagnosis of chronic back pain is made by definition rather than physical examination. Low back pain is defined as pain localised below the costal margin and above the inferior gluteal folds, with or without referred leg pain. Chronic low back pain is defined ...

Targeting pain

24 Mar 2006

A single injection of bisphosphonate can eliminate the painful symptoms of Paget's disease

Pain relief

27 Jan 2006

An epidural injection of steroids and local anaesthetics cuts pain in the acute phase of herpes zoster infection (pictured), but does not prevent long-term postherpetic neuralgia, a Dutch study of 598 shingles patients found. Half were given standard therapy and half had an additional epidural injection ...

The basics - Hip pain

23 Jan 2009

Recognising hip pain can be difficult, explains Dr Louise Warburton....Hip pain can originate from the back, groin structures or the actual hip joint. It can be difficult to differentiate between the possible origins of the pain, but taking a good history is the best start in unravelling the diagnosis. Ask when the pain was first felt and if anything caused it. Does ...

Clinical Review - Neuropathic pain

03 Dec 2009 | by Dr Karen Simpson

Contributed by Dr Karen Simpson, consultant in pain medicine, Leeds Teaching Hospitals NHS Trust....Section 1: Aetiology and epidemiology The International Association for the Study of Pain has defined more than 600 pain syndromes. Patients with complex or persistent pain present with physical and behavioural symptoms. Nociceptive pain is classically defined as tissue damage that releases local mediators ...

New neuropathic pain guidelines

25 Mar 2010

Professor Blair H Smith explains NICE guidance for pharmacological management of neuropathic pain....pain in adults to amalgamate current evidence on the effectiveness, cost-effectiveness and adverse ... of the diagnosis and the capacity in which neuropathic pain can be successfully treated in non-specialist healthcare settings. What is neuropathic pain? Neuropathic pain is defined as 'pain arising as a direct ...

Referred shoulder pain

04 Apr 2008

Shoulder pain can be a sign of GI problems or myocardial infarction, says Dr Julian Spinks....The most common causes of shoulder pain arise from the shoulder itself. These include rotator cuff ... referred pain to the shoulder. Distal causes Dysfunctions of the cervical spine, particularly cervical spondylosis and disc prolapse, may cause shoulder pain. Thoracic outlet syndrome in which either bony ...

Predict shoulder pain outcomes

10 Mar 2006

GPs can now calculate the expected long-term outcome of patients' shoulder pain using clinical...The rules are based on an analysis of 587 patients who presented with shoulder pain. The patients underwent a physical examination that recorded the mobility and pain felt in the shoulder and neck ... could predict the patients who would still be in pain much later. They used the results to draw up score ...

Intrinsic shoulder pain

26 Mar 2008

A thorough history and examination are key to diagnosing shoulder pain, says Dr Julian Spinks....Shoulder pain is a common presentation in primary care. However, diagnosing and managing shoulder pain can be difficult because of the complexity of the structure and function of the shoulder ... that can cause pain felt at the shoulder. The most common causes of shoulder pain and stiffness ...

Understanding chronic pain

08 Jun 2007

An elderly patient with chronic pain was finding life miserable. Joan Hester explains how she...told her to go out for a walk every day, but she felt her back pain was too severe and she had no energy. Hyacinth s pain had started two years ago in her lower back, but she now complained of pain all over her body. At onset the pain radiated into her thighs, but it was now worse in her back ...

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