PAINFUL DIABETIC NEUROPATHY
PAINFUL DIABETIC NEUROPATHY Author: Rajesh Yadav Diabetic Peripheral Neuropathies (DPN) are the most common type of neuropathies worldwide with up to 50% of people with type 2 diabetics eventually developing same degree of peripheral neuropathy. There has been significant progress in understanding of the clinical aspects of these conditions, however many questions remains unanswered or […]
Continue ReadingSympathetic nervous system & pain
Sympathetic nervous system & pain Author: Himanshu Marathe Definition of Autonomic nervous system- It is defined as neurological substrate that acts to maintain homeostasis in the body1. So basically it is a complex set of neurons which help in mediation of internal homeostasis without conscious intervention or voluntary control. […]
Continue ReadingPain Pathway
An introduction to pain pathway Author: Dr Mohammad Shakiluzzaman Introduction: Pain is a type of stimulus that causes physical discomfort which may range from mild to severe and comprised of both physical & emotional component. The International Association for the Study of Pain defines pain as “An unpleasant sensory and emotional experience associated with actual or […]
Continue ReadingPhantom Limb Pain
Phantom Limb Syndrome Dr. Karthik. K The term “Phantom Limb” was first coined by Silas Weir Mitchell, a civil war surgeon, in Nineteenth Century.[1] It refers to condition where a person feels sensation in limb which has been amputated and does not exist. It may or may not be associated with pain, sometimes in combination […]
Continue ReadingSACROILIITIS
SACROILIITIS Author: Rajesh Yadav INTRODUCTION Sacroiliitis is an inflammation of one or both of sacroiliac joints. The sacroiliac joints are found where the spine meets the pelvis. The sacrum is a triangular bone at the bottom of the spine, below the lumbar region of spine and above the tailbone. It consists of five fused vertebral […]
Continue ReadingLectures on Pain Management
Lectures on Pain Management Video
Continue ReadingWhat is the mechanism of action of Spinal Cord Stimulation?
It acts by several mechanisms: 1. Gate control theory- stimulation of larger diameter nerve fibers inhibits pain carrying small diameter fibers. 2. Secretion of putative neurotransmitters that inhibits pain signals. 3. It produces supraspinal inhibition of pain either by inhibiting pain transmission or modulation of pain impulses. 4. Sympathetic inhibition by some mechanisms.
Continue ReadingWhat is the difference between TENS and SCS?
In Spinal Cord Stimulation, implanted electrodes stimulate it. In TENS electrodes applied over skin. Former is better as several other mechanisms acts to relieve pain.
Continue ReadingKnee Pain
KNEE OESTEOARTHRITIS Dr. Md. Mazharul Alam INTRODUCTION : Global estimates reveal more than 100million people are affected by OA. Between the ages of 30 and 65 years the general incidence and prevalence of Knee OA has been reported to increase by as much as 10 times that of younger age groups, affecting nearly 33.6% […]
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