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Coping with flare-ups and Chronic Pain Introduction Chronic pain is a pain that persists for an unusually long period of time, which goes beyond the expected time of healing. It can lead to a series of long-term consequences such as loss of physical activity and sleep, a sense of uncertainty and insecurity about the...

Neuropathic scar pain treated with local injections A 39 year old was seen in the Pain Clinic. On examination, there was a small discrete area in the left iliac fossa approximately 1 x 2 cm superior to the lateral margin of the pfannenstiel incision. Palpation of the area reproduced the pain on very superficial...

  Work Station Assessment / Ergonomics Sitting all day, everyday can be just as problematic as lifting heavy objects. A sedentary lifestyle sitting in front of a computer terminal can often lead to pain in the back, the neck or down the arms. The National Health and Safety Regulations (1992) state that every employer...

Intercostal Neuralgia Treated with Pregabalin A paatient was reviewed in the pain clinic with a diagnosis of intercostal neuralgia in the right T5 dermatome which was burning and stinging in nature, but there was no thoracic facet joint tenderness. He had previously been taking Amitriptyline and Gabapentin. Intercostal Neuralgia- a type of Neuropathic Pain...

Goal Setting and Chronic Pain Introduction Chronic pain is defined as a pain that lasts for more than three months and leads to a significant impairment of activities of daily living and activities. The primary goal in chronic pain management is that the cause of the pain should be found and cured, enabling the...

Diaphragmatic Breathing and Chronic Pain Introduction Chronic pain is defined as a persistent, long-lasting pain that lasts longer than six months inspite of the required medical treatment. Individuals with chronic pain often tense their muscles in reaction to pain, which in turn aggravate pain altogether. Chronic pain can present itself in a series of...

Pacing and Chronic Pain Introduction Chronic pain is typically defined as a pain that lasts for more than six months, inspite of regular and appropriate medicine being administered. It can often lead to a series of side effects such as hopelessness, depression, anxiety disorders and traumatic stress. Individuals suffering from chronic pain also end...

MRI (Magnetic Resonance Image) Scanning What is MRI? MRI scanning is a medical investigation which uses a combination of strong magnets and radiofrequency waves to produce detailed 3 dimensional images of the body. MRI scans represent the most sophisticated non-invasive diagnostic tool available to help doctors understand the underlying cause of your particular health...

Painful diabetic neuropathy succesfully treated with medication A 69 year old lay was seen in the clinic who presented with a 10 year history of pain affecting her upper arms, which she described as deep bone pain, present all the time and she felt her symptoms were getting progressively worse. Diagnosis of painful small...

Testicular neuropathic pain A 35 year old gentleman presented to the clinic with neuropathic pain emanating from the left testicle. Examination findings On examination of the right testicle there was tenderness on palpation. There was also a reduction to pin prick sensation in the lower part of the right side of the abdomen but...