Occipital Neuralgia
Introduction Occipital Neuralgia is a form of neuropathic pain caused by irritation or injury to the occipital nerve located in the back of the scalp. The occipital nerves are two pair of nerves that...
Migraine
Definition A migraine is essentially defined as a throbbing or pulsating unilateral headache .i.e. limited to one side of the head. Incidence of Migraines Migraine is known to affect over 28 million Americans, with...
Thoracic Outlet Syndrome
Introduction Thoracic outlet syndrome (TOS) is the term used to describe symptoms produced from the compression of nerves or blood vessels running through the thoracic outlet. The thoracic outlet is...
Frozen Shoulder (Adhesive Capsulitis)
Introduction Adhesive Capsulitis or Frozen Shoulder is a disorder characterized by pain and significant loss of the full range of motion. The process involves inflammation, scarring, thickening and contracture of the capsule surrounding the...
Cervical facet joint pain treated with cervical facet joint injections
I saw a 43 year old male taxi driver in the Pain Clinic who had neck pain, particularly after prolonged periods of driving. He had taken a number of different medications, including Paracetamol, anti-inflammatories...
Atypical chest pain treated with stellate ganglion blocks
A 67 year old gentleman was seen in the Pain Clinic complaining of chest pains 5-6/10. He had previously had 6 cardiac bypass procedures as he had had unstable angina. Unfortunately, approximately 6-8 months...
Neuropathic Pain in the Breasts following Breast Reduction Surgery.
A 40 year old lady who had undergone bilateral breast reductions some 8 weeks previously was seen in the Pain Clinic. The surgery and post operative course had been uneventful. However, approximately 2-3 weeks...
Neuropathic pain in the tonsills
A 56 year old lady was seen in the Pain Clinic. She had a long history; initially she had a tonsillectomy approximately 40 years ago. Following this, intermittently over the years she has had...
Choosing a Pain Management Doctor or Orthopaedic Physician
In the UK, the majority of Consultant Doctors who specialise in pain management have been trained as Anaesthetists and have undergone further specialist training in pain management. After qualification from Medical School, a period...
Trochanteric Bursitis treated conservatively.
A 28 year old lady presented to the Pain Clinic with a painful swelling on the right hip. On examination, this was a tense, firm swelling approximated over the right greater...
