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

Where does pain come from?

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 […]

Fibromyalgia in women | #fibromyalgia

London Fibromyalgia Clinics

I see many women suffering with fibromyalgia. I also see many women who have widespread aches and pains, frequently without an injury, but rather a gradual increase in pain across the body. This maybe fibromyalgia, but in essence we are talking about sensitisation that evolves if no action is taken. The commonest profile is this: […]

CRPS – the narrative holds the clues |#CRPS

CRPS Clinics | London & New Malden

The story told by the patient with CRPS provides insight into their suffering, characterised and brought to life by their chosen language, body posturing, body language, and changing facial expressions. The priming for a condition frequently arises months or years before from an illness, a stressful event, a previous injury or painful event. The way in […]

Premiership football injuries — all too common, time to re-think

Chronic pain and injury in football and sport

Opening the sports pages this morning (Saturday), the news is abound with the football injuries in the Premiership. Manchester United report nine unfit players just a few weeks into the season. Nasri is ‘out for a month’ as he is due to have surgery for a ‘serious groin injury’ — if it is a serious […]