Extras

Question 1

What is the name given to pain after a stroke due to damage to the brain meaning it doesnt interpret pain signals correctly?

Answer 1

Central neuropathic pain/Post stroke pain

Question 2

Why do you get post stroke shoulder pain?

Answer 2

Subluxation due to paresis/plegia

Question 3

What is first line for neuropathic pain

Answer 3

Gaba/pregab/ami/dulox

Dulox for DM

Question 4

What is fibromyalgia

Answer 4

Long term pain all over the body with no obvious cause

Often occurs after life event.

Treat - psychological support ?neuropathics/ physio

Question 5

When could you use a nerve block?

Answer 5

Facet joint arthritis (L5,S1)

Question 6

When may you use nociceptive agents and neuropathic agents?

Answer 6

Back pain due to nerve involvement

Phantom limb pain due to physical damage (neuromas, ulcerations)

Question 7

When may you use capsaicin cream?

Answer 7

Scar management

Diabetes

Question 8

What procedures for pain are available?

Answer 8

Epidurals - Slipped disc

Fusion - Arthritis

Nerve blocks

Implants - Compete with pain pathway for neuropathic pain

Question 9

What physical treatments for pain are available?

Answer 9

Physio

Acupuncture - Releases endorphins

Hydrotherapy - Heat relaxes muscles/ligaments - also allows exercise