Central Pain Syndromes
(1) Department of Anaesthesia, Royal Free Hospital, London, UK 34.1 Multiple Sclerosis It is a demyelinating disease involving the central nervous system. Onset is usually seen mostly after the…
Postherpetic Neuralgia
(1) Department of Anaesthesia, Royal Free Hospital, London, UK 33.1 Definition Postherpetic neuralgia presents as chronic pain with skin changes lasting for more than 3 months, in the distribution…
Phantom Pain Syndromes
(1) Department of Anaesthesia, Royal Free Hospital, London, UK Phantom pain is the persistent perception of pain or sensation in the body part after it has been removed. The…
Painful Neuropathies
(1) Department of Anaesthesia, Royal Free Hospital, London, UK Neuropathies can be divided into whether they affect large-diameter fibres or small-diameter fibres. Painful neuropathies involving large fibres Hypothyroidism Painful…
Sickle Cell Disease
(1) Department of Anaesthesia, Royal Free Hospital, London, UK It is an autosomal dominant inherited disorder where haemoglobin production is abnormal. Normal haemoglobin has two α globin chains and…
Cognitive Behavioural Therapy
(1) Department of Anaesthesia, Royal Free Hospital, London, UK It refers to psychotherapies which help in the management of chronic pain. The primary aim of this therapy is to…
Acupuncture
(1) Department of Anaesthesia, Royal Free Hospital, London, UK Acupuncture (Latin “acus” with a “needle”; “pungere” meaning “puncture through the skin”) has been in use for more than 2,000…