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robinapark
Aug 5, 202415 min read
CRPS - Need to know (2024 update)
Definition | Diagnostic criteria | Epidemiology | Risk Factors | Pathophysiology | Presentation | Examination | Differential diagnosis |...
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robinapark
May 13, 20241 min read
CRPS Physical Examination (2024 updated)
The CRPS physical examination is based upon the IASP/Budapest criteria and to rule out any other possible cause of pathology As a...
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robinapark
Sep 14, 20225 min read
Literature to quote 2022 - Rob's take...
To pain trainees - from my reading and understanding it remains unclear whether quoting references is helpful in the exam. It is a very...
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robinapark
Jul 23, 20229 min read
Cervical Facet Joint International Consensus Guidelines 2021 - Rob summary
Recently an international working group came together to compile recommendations to specific clinical questions regarding cervical facet...
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robinapark
Jun 9, 20222 min read
Anterior cutaneous nerve entrapment syndrome (ACNES)
Description: Anterior cutaneous nerve entrapment syndrome is described as actually one of the most common chronic abdominal wall pain...
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robinapark
May 11, 20223 min read
Self Efficacy in pain medicine - Explained
Self efficacy was defined by Bandura in 1977 after numerous studies analysing phobic behaviours. Generally, self efficacy describes the...
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robinapark
Apr 17, 20225 min read
Long Case Summary Examination notes - Up to date - Mid 2022
Examinations and general start for all examinations: Wash hands and introduce Weigh patient Gait Heel/toe walking (L4/5 heels, S1 Toes)...
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robinapark
Apr 17, 20221 min read
Mental State Examination Summary
Mnemonic is ASEPTIC A = Appearance/Behaviour Dress / Grooming / Hygiene Gait Psychomotor activity Abnormal movements Eye contact Attitude...
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robinapark
Apr 17, 20221 min read
Cervical spine and upper limb examination
Inspection of the neck (deformities/scars/postures) Winging of the scapula (long thoracic nerve palsy) Active movement of the neck -...
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robinapark
Mar 13, 20222 min read
Cluneal nerve entrapment / syndromes
Summary: The superior and middle cluneal nerves are purely sensory nerves which dominate sensation in the lumbar region and the buttocks....
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robinapark
Mar 13, 20222 min read
Central post-stroke pain. Need to know.
Summary: Central post stroke pain is an often under-recognised and subsequently inadequately treated pain condution. Along with CRPS and...
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robinapark
Mar 11, 20221 min read
Pain oriented sensory testing
Key Steps: - Work out the area/body part you wish to assess - Are you looking at dermatomal or peripheral nerve testing site -...
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robinapark
Mar 8, 20222 min read
Local Anaesthetics (LA)
Mechanism of action - Bind to sodium channels to block transmission of action potentials They also bind to potassium and calcium channels...
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robinapark
Mar 7, 20221 min read
Suprascapular nerve block and Axillary nerve block
Indications: - The suprascapular nerve is a mixed nerve that comes from the superior branch of the brachial plexus - It is a combination...
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robinapark
Mar 6, 20222 min read
Long Case Presentation (Rob's template)
Name _____, aged ____ years, is a (Occupation or life role) who (something interesting). They were referred to (who and by) because of...
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robinapark
Mar 6, 20222 min read
Lumbar medial branch blocks
Problem facts -Diagnosing facet joint arthropathy as pain generator -Traumatic/degenerative/inflammatory -36% in young adults, >89% in...
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robinapark
Dec 14, 20215 min read
Spinal cord stimulation
What is it? It is the application of pulsed electrical activity near the spinal cord to manage pain Electrical leads are placed within...
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robinapark
Nov 3, 20211 min read
OSCE/Viva Key Terms:Words
Acute pain case Assess: Pain Each site of pain graded Mechanism of pain Temporal factors Etiology Function Ambulate ADLs ROM...
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robinapark
Aug 13, 20214 min read
Headache and orofacial pain - Management (3.7.19 - 3.7.27)
3.7.19 Discuss the evidence base for non-drug interventions in primary and secondary headache syndromes The Quick Summary: Mindfulness...
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robinapark
Aug 13, 202112 min read
Headache and Orofacial pain - Assessment (3.7.1 - 3.7.16)
3.7.1 Appraise the International Classification of Headache Disorders ICHD-3 The ICHD-3 is the third edition of the taxonomy of headache...
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