Cervical Facet Joints Facet joints are a set of small joints between every two adjacent vertebrae in the spine. Their function is to guide and limit the movement of each spinal segment. Cervical facet...
What is Conservative Management? Conservative Management is the category of treatment which includes all sorts of non-surgical treatment for back pain. Research indicates that almost 90% of patients with lower back pain suffer from...
Biosurgery and Synthetic Viscosupplementation Introduction Natural bio-materials have recently emerged as a major trend in surgical procedures. This is mainly due to their traits of bio-compatibility and their ability to integrate and remodel, with...
A 65 year old lady was reviewed in the Pain Clinic. She had undergone left shoulder hemiarthroplasty 2 years previously following a fall in a restaurant. This operation then needed to be revised. She...
Overview of Different Treatment Modalities Treatment Plan Treatment modalities with effective results for low-back pain are generally divided into two categories: Pharmacologic, including medications such as NSAID. Non-pharmacologic, including exercise, lifestyle changes, alternate therapies...
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Glucosamine and Osteoarthritis Introduction Osteoarthritis (OA) is an arthritis type that is caused by the breakdown and eventual loss of cartilage of one or more joints. The main areas, which are affected by OA,...
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Notes on Complex Regional Pain Syndrome (CRPS) and Stanton-Hicks Management Regimen Medication Gabapentin/Pregabalin/Duloxetine Amitriptyline/Imipramine Tramadol/Oxycodone/Fentanyl Flecanide Vitamin C 100 mg b.d./NSAID/COX-2 Sativex Calcitonin/ Dextromethorphan Steroid/pulse (Prednisolone 30 mg for 7 days, 25 mg...
A 23 year old lady was seen in the Pain Clinic. She had a fall down some stairs whilst wearing a rucksack and bruised the left side of her chest- rib fractures were excluded...