Endometriosis & Melatonin | Women and Pain Series

Endometriosis & melatonin | Women and pain series

Chronic pelvic pain is a troubling condition for many women. The reason for pelvic pain varies but certainly includes endometriosis where the lesions impact upon nerve health and function (see here) with consequential sensitisation. The purported mechanisms of pain include inflammatory pain and neuropathic pain with subsequent central sensitisation that underpins the persistance and variance […]

Women and Pain Clinic @ 132 Harley Street

The Women and Pain clinic is dedicated to providing contemporary treatment, training and coaching for females who suffer persisting pain. Common examples of on-going painful problems include: pelvic pain: including pain from endometriosis, bladder problems, muscular spasm & guarding of the pelvis and abdominal area back pain joint pain (often multiple) abdominal pain (irritable bowel […]

Women and pain | Part 1

Endometriosis & melatonin | Women and pain series

‘As many as 50 million American women live with one or more neglected and poorly understood chronic pain conditions’  Generally I see more female patients than male. This observation supports the view that chronic pain is more prevalent in women than in men for some conditions – see the International Association for the Study of Pain fact sheet here. […]

The brain changes

The brain changes in pain

The nervous system is plastic meaning that it changes and moulds according to the stimuli presented. Norman Doidge wrote about the ‘brain that changes itself’ and we have seen over the past 10 years or so an increasing number of studies that show this in a range of conditions, some painful and others not. Our […]

Pudendal Neuralgia & Pudendal Neuropathy

The Brain That Changes Itself - Norman Doidge

Pudendal Neuralgia & Pudendal Neuropathy Also termed pudendal nerve entrapment, this problem afflicts both men and women having immense effects upon quality of life. The pudendal nerve is a sensory, autonomic, and motor nerve that carries signals to and from the genitals, anal area, and urethra. There are three branches of the nerve on each […]

Central sensitisation is more common than you may think

Clifford Woolf recently said this about central sensitisation: Nociceptor inputs can trigger a prolonged but reversible increase in the excitability and synaptic efficacy of neurons in central nociceptive pathways, the phenomenon of central sensitization. Central sensitization manifests as pain hypersensitivity, particularly dynamic tactile allodynia, secondary punctate or pressure hyperalgesia, aftersensations, and enhanced temporal summation. It […]