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 ReadingDisc Prolapse / Slipped Disc
The inter-vertebral discs are protective cushion-like shock-absorbing pads between the two bones of the spine called vertebrae. These discs are soft gel filled pads bounded by few layers of membrane called lamella. These discs do not actually “slip,” they may split or rupture. Following this rupture the gel escape into the surrounding tissue. The leaking […]
Continue ReadingPain after Spine Surgery
Persistence of pain after spine surgery has been called by different names such as failed back surgery syndrome, postlaminectomy syndrome or simply failed back syndrome. It does not represent failure of surgery; it represents a cluster of syndromes following spine surgery wherein the expectations of the patient and surgeon are not met. Pain may persist, […]
Continue ReadingTypes of Pain
TYPES OF PAIN Author: Jeshnu Tople International association for study of pain (IASP) defined pain as ‘an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.’1 Classification based on time: ACUTE PAIN It is defined as the pain which lasts for less than 3 months […]
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