Intense pain after wrist fracture — predicting CRPS

CRPS Clinics | London & New Malden

A recent study concluded that “… excessive baseline pain in the week after wrist fracture greatly elevates the risk of developing CRPS. Clinicians can consider a rating of greater than 5/10 to the question “What is your average pain over the last 2 days?” to be a “red flag” for CRPS”. Most of what we need […]

Top 5 back pain myths

Back pain myths

Welcome to my top 5 back pain myths. What are these you may ask? Around pain and in particular back pain, there are many phrases and explanations used to try to educate the patient. These have been handed down through the generations and can appear to be logical. Fortunately, the science has moved on and […]

Pelvic pain in men

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Many men experience chronic pelvic pain that significantly affects their lives. When we talk of pelvic pain, we often think about women and their suffering, however, this problem is one that besets both sexes and hence we must encourage all who endure such pain to seek help. As with any persisting pain state, pelvic pain impacts […]

Girls, stress and pain

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I have seen a number of teenage girls over the past year who are affected by chronic pain. They are often referred because of recurring headaches or migraines but we discover that there is widespread sensitive at play. How does this happen? Why does it happen? Headaches and migraines can be functional pains. When these […]

Complex Regional Pain Syndrome Update | #CRPS October 2014

CRPS Clinics | London & New Malden

Welcome to the latest review of complex regional pain syndrome research. Eur J Pain. 2014 Oct 16 Optokinetic stimulation increases limb pain and forehead hyperalgesia in complex regional pain syndrome. Knudsen LF, Drummond PD. Abstract BACKGROUND: Ambiguous visual stimuli increase limb pain in patients with complex regional pain syndrome (CRPS), possibly due to afferent sensory […]

Chelsea FC – ‘long, long’ injury list

Hamstring injuries in football

Part of the role of being a manager is to juggle the team according to injuries. The list of injured players in The Premiership at the moment is significant. Jose Mourhino described his list as ‘long, long’, hence the Chelsea manager is being forced to consider his options for the forthcoming games. With the ever-growing […]

More Premiership injury woe

Chronic pain and injury in football and sport

Headlines today in The Guardian sport section report that Daniel Sturridge is suffering from a further strain, this time in his calf. I do not know if this is the same leg as the thigh strain from which he has recently recovered, but if so, I would not be surprised. In addition, we learn that […]

Recovering well from surgery

Predicting recovery?

Recent research suggests that we are getting closer to being able to predict how well individuals will recover from surgery (Science Translational Medicine, doi.org/v2p). This will be an important step forward, especially if outcomes can be determined by a blood test that predicts recovery times by identifying the immune signature. The results will need to […]

Athletes still on the bench?

Still on the bench?

Chronic pain exists in sport. It is a frustrating problem for players and coaches alike, and is accompanied by an expensive price tag in professional sport. Similar to non-sporting injuries, there is initial tissue damage (e.g. a ligament sprain) that triggers inflammation, a normal part of healing, which typically hurts. This is meant to happen […]

CRPS Research Update | October 2014 #CRPS

Pain is a whole person experience

Welcome to the Complex Regional Pain Syndrome Research Update for October, a summary of the latest studies.  If you are suffering with CRPS, I am here to show you how you can move forward — come and visit the CRPS clinic page here. Spinal cord stimulation for complex regional pain syndrome type 1 with dystonia: a […]