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Multiple Sclerosis. Need to know
Definition | Diagnostic criteria | Epidemiology | Risk Factors | Pathophysiology | Presentation | Examination | Differential diagnosis |...
robinapark
Mar 22, 20212 min read
Trigeminal neuralgia
Definition | Diagnostic criteria | Epidemiology | Risk Factors | Pathophysiology | Presentation | Examination | Differential diagnosis |...
robinapark
Mar 21, 20215 min read
Peripheral neuropathies
Epidemiology Prevalence of peripheral neuropathy in the general population is 2.4% Increases with age to an estimated 8% in those older...
robinapark
Mar 20, 202110 min read
Diabetic neuropathy. Need to know.
Definition (Sloan et al., 2018; Rosenberger et al., 2020) Toronto Consensus Panel on Diabetic Neuropathy defined DSPN as ‘a symmetrical,...
robinapark
Mar 17, 20213 min read
Central post-stroke pain. Need to know.
Definitions/Diagnostic criteria Presentation CPSP is a diagnosis of exclusion Onset in the first days following the stroke is rare,...
robinapark
Mar 14, 20214 min read
Brachial plexus injury - Pain
Presentation Acute is usually pain in the shoulder or upper arm Insidious may be progressive pain, evolving numbness, weakness of...
robinapark
Mar 8, 20213 min read
Traumatic peripheral nerve lesions - pain
Presentation - Symptoms occur in the distribution of the affected nerve - Associated pathologies such as nerve compression and CRPS must...
robinapark
Mar 5, 20214 min read
Spinal cord injury - Pain related conditions
Traumatic or Atraumatic injury Epidemiology - Chronic pain following spinal cord injury effects about 70% of patients (mood, function,...
robinapark
Mar 4, 202110 min read
Neurobiology of pain
Curriculum 3.1.5 Describe the anatomy of the peripheral and central nociceptive pathways in the somatosensory system. NB: The...
robinapark
Mar 1, 20217 min read
Neuropathic pain therapies
Combination therapy with both antidepressant and antiepileptic drugs is often required, because less than one-half of patients with...
robinapark
Feb 24, 20211 min read
Educating patients - The 'how to'!
Explain why pain occurs even after tissue has healed Reduce fears about there being something wrong or pain = damage Address their sleep...
robinapark
Feb 24, 20211 min read
Non-opioid analgesia golden pearls
Paracetamol - not first line for chronic osteoarthritis or back pain NSAIDs - Main stay for MSK pain with an inflammatory component. -...
robinapark
Feb 24, 20211 min read
Pain terminology to use
Nociceptive Neuropathic Nociplastic Mechano-
robinapark
Feb 23, 20211 min read
Somatisation / Functional Neurological Disorder
Somatisation: The term is often invoked to explain pain and suffering in patients Lipowski - 'A tendency to experience and communicate...
robinapark
Feb 23, 20212 min read
Myofascial pain
Musculotendinous pain is the main symptom. Thought to be due to nociception from an abnormally sensitive tight band of soft tissue known...
robinapark
Feb 22, 20211 min read
Evidence of benefit for therapeutics
ACT https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007407.pub4/full?highlightAbstract=pain%7Ctherapies%7Cpsychological%7Cfou...
robinapark
Feb 19, 20213 min read
Acute pain management in illicit drug users
General considerations On admission to hospital the patient may experience: - Fear of withdrawal - Fear of pain not being taken seriously...
robinapark
Feb 18, 20213 min read
Pain definitions - Just to be clear!
Definition of pain - 3.1.1 ICD-11 taxonomy of pain Curriculum 3.1.1 Pain (IASP 2020): An unpleasant sensory and emotional experience...
robinapark
Feb 18, 20213 min read
Ketamine. Just the need to know.
Mechanism of action (1) Non-competitive antagonist at phencyclidine binding site of N-methyl-D-aspartate (NMDA) in the CNS (particularly...
robinapark
Feb 15, 20213 min read
Cannabis. Just what you need.
Notes from SA FPM Lecture: - Endocannabinoidome - Gut/brain axis - best described system - Phytocannabinoids - THC, Cannabidiol (but...
robinapark
Feb 15, 20212 min read
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