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 […]

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 […]

When in pain, the World looks different

busy-street-new-york-city

We are familiar with the notion that the World is always changing. In fact, change is one of the few certainties in life that we can rely upon. However, change is only possible if there is someone present to experience how things are evolving, and that person is also changing. No two moments are the […]

When is a door not a door? When it’s a jar – a perspective on back pain

20140730-225623-82583871.jpg

This old joke springs to mind when I think about back pain. We can think simply about a door and create an image of how it appears but in fact a door consists of at least some of the following: a piece of wood (or another material), a handle, some hinges, a lock and a […]

Chronic pain developing at work

Stress and pain at work

Many chronic problems evolve slowly. The aches and pains become increasingly bothersome without any obvious injury as our biology gradually changes. Our bodies are surviving rather than flourishing, and this is because of both physical and mental strain. Recovery time is minimised as the protective systems remain ‘on’, disrupting our ability to think clearly, sleep, laugh, […]

CRPS Bugle | July 2014 | #CRPS

CRPS Specialist Clinics in London

Dear Readers, Welcome to the July 2014 CRPS Bugle, your research update for complex regional pain syndrome. Immobilization contributes to exaggerated neuropeptide signaling, inflammatory changes, and nociceptive sensitization after fracture in rats – Guo TZ1, Wei T1, Li WW2, Li XQ3, Clark JD3, Kingery WS4. J Pain. 2014 Jul 22. pii: S1526-5900(14)00817-7. Abstract A tibia fracture […]

London Fibromyalgia Clinics | London FMS Clinics

London Fibromyalgia Clinics

I think differently about fibromyalgia, functional pain syndromes and chronic pain. Believing that there is a need to challenge the way these problems are addressed, I created a specialist clinic that draws upon neuroscience, philosophy and other disciplines to create innovative and effective ways for individuals to move forward in their lives. Fibromyalgia is known […]