Multiple Sclerosis. Need to know
Definition | Diagnostic criteria | Epidemiology | Risk Factors | Pathophysiology | Presentation | Examination | Differential diagnosis |...
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robinapark
Mar 21, 20215 min read
Trigeminal neuralgia
Definition | Diagnostic criteria | Epidemiology | Risk Factors | Pathophysiology | Presentation | Examination | Differential diagnosis |...
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robinapark
Mar 20, 202110 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...
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robinapark
Mar 17, 20213 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,...
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robinapark
Mar 14, 20214 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,...
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robinapark
Mar 8, 20213 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...
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robinapark
Mar 5, 20214 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...
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robinapark
Mar 4, 202110 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,...
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robinapark
Mar 1, 20217 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...
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robinapark
Feb 24, 20211 min read
Neuropathic pain therapies
Combination therapy with both antidepressant and antiepileptic drugs is often required, because less than one-half of patients with...
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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...
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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. -...
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robinapark
Feb 23, 20211 min read
Pain terminology to use
Nociceptive Neuropathic Nociplastic Mechano-
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robinapark
Feb 23, 20212 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...
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robinapark
Feb 22, 20211 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...
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robinapark
Feb 19, 20213 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...
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robinapark
Feb 18, 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...
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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...
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robinapark
Feb 15, 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...
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robinapark
Feb 15, 20212 min read
Cannabis. Just what you need.
Notes from SA FPM Lecture: - Endocannabinoidome - Gut/brain axis - best described system - Phytocannabinoids - THC, Cannabidiol (but...
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