Headache

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

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   Headache is a common problem. It can be primary (headache is the pathology) or secondary (headache secondary to other pathological…

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Central Pain Syndromes

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

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Postherpetic Neuralgia

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

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CRPS

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

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   Chronic regional pain syndrome is an inflammatory and neuropathic pain disorder, characterised by involvement of the autonomic nervous system. It…

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Phantom Pain Syndromes

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

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Painful Neuropathies

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

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Burns

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

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   More than 20,000 acute hospital admissions are seen annually due to burn injuries. Burns present with various challenges (wound management,…

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Sickle Cell Disease

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

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Cognitive Behavioural Therapy

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

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Acupuncture

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

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