Persistent cervicothoracic myofascial pain is a common condition that causes loss of function and can result in significant health care costs. The underlying cause is tender trigger points that result in impaired muscle function. Standard treatment includes physiotherapy, medications, acupuncture, and trigger point injections.
View Article and Find Full Text PDFBackground: Chronic pancreatitis is a common cause of recurrent chronic abdominal pain that utilizes significant health care resources. Pain in chronic pancreatitis can be of two types. Visceral pain occurs during ongoing pancreatic inflammation.
View Article and Find Full Text PDFBackground: Chronic abdominal wall pain arising from the myofascial structures is termed abdominal myofascial pain syndrome and is an important cause of refractory abdominal pain that utilizes significant health care costs. The current literature is vague on its management.
Design: The author presents a prospective audit of a structured management pathway and discusses the pathophysiology of abdominal myofascial pain syndrome.
Background: Unexplained abdominal pain is a common cause of hospital admission and utilizes significant resource. Current in-patient pain management of acute exacerbation of chronic abdominal pain is primarily directed at pharmacological and psychological management strategies in this group of complex patients. We adopted a novel approach that proved to be both clinically effective and cost-effective.
View Article and Find Full Text PDFEur J Anaesthesiol
October 2010
Background And Objective: The authors present a national survey determining the current practice of postoperative analgesia after major thoracic surgery in the United Kingdom.
Methods: Two hundred and forty anaesthetists from 36 thoracic centres were surveyed and the response rate was 78%.
Results: The commonest analgesic technique after video-assisted thoracoscopic surgery is paravertebral block combined with patient-controlled analgesia with morphine.