Lumbar Spinal Stenosis

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Lumbar Spinal Stenosis

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   It is radicular pain and/or radiculopathy because of narrowing of the spinal canal and compression of the nerve roots. It…

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Lumbar Facet Joint Pain

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Lumbar Facet Joint Pain

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   Lumbar zygapophyseal joints are synovial joints with a fibrous capsule. Each joint has superior and inferior articular processes. The medial…

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Lumbar Radiculopathy

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Lumbar Radiculopathy

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   It is a disorder of the spinal nerve roots presenting as pain in lumbar pattern. Radicular pain in association with…

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Mucositis

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Mucositis

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   It is the most common painful complication associated with systemic chemotherapy (5-fluorouracil, methotrexate) or radiotherapy to the head and neck….

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Breakthrough Pain

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Breakthrough Pain

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   Cancer patients experience episodes of increase in pain on a background of continuous pain. Breakthrough pain is defined as a…

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Assessment of Cancer Pain

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Assessment of Cancer Pain

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   The quality of life is severely affected because of pain in cancer patients. Pain relief can be obtained with optimal…

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Pain Management and Substance Abuse

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Pain Management and Substance Abuse

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   Substance abuse may be seen with opioids, cannabis, cocaine, hypnotics and sedatives. Cannabis is the drug most frequently abused (45…

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Trigeminal Neuralgia

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Trigeminal Neuralgia

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   Trigeminal neuralgia is the most common form of pain in people more than 50 years of age. Annual incidence is…

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Fibromyalgia

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Fibromyalgia

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   It is a chronic widespread pain syndrome characterised by reduced pain thresholds and tender points and may present with widespread…

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