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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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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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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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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Biofeedback

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

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   It is a technique designed to control physiological response. It involves using electronic instruments to measure and feedback the individuals…

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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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Placebo and Nocebo Effect

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Placebo and Nocebo Effect

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   A single definition of placebo is difficult. It is an intervention with no beneficial or therapeutic effect. Placebo response is…

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Miscellaneous Drugs

Mar 20, 2017 by in PAIN MEDICINE Comments Off on Miscellaneous Drugs

(1) Department of Anaesthesia, Royal Free Hospital, London, UK   23.1 Ziconotide (SNX-111) It belongs to ω-conopeptides which are 24–29 amino acid peptides isolated from cone snail venom. It blocks…

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