Neuropathic Pain
Causes, Mechanisms and Treatment of Neuropathic Pain
Presented At Primed, QE2 Conference Centre, Westminster, London to National Audience of Primary Care Doctors
5th November 2009
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Neuropathic Pain Presented At Primed 5.11.09
1. Neuropathic Pain Dr. Christopher A. Jenner MB BS, FRCA Consultant in Pain Medicine, Imperial Healthcare NHS Trust Medical Director London Pain Consultants and Spinal Healthcare 5th November 2009 VXXXX Date of preparation October 2009
3. Definitions (1) Pain. ‘An unpleasant sensory and emotional experience which we primarily associate with tissue damage or describe in terms of tissue damage, or both.’ (IASP 2001) www.londonpainconsultants.com
44. 1 in 8 experience severe post herniorraphy pain
45. 1 in 33 experience phantom tooth pain after extractionMacrae WA. Chronic pain after surgery BJA 87 (2001) 88-98
46. How Common is Neuropathic Pain in Primary Care? Epidemiology of conditions (per 100,000 person yrs) Post Herpetic Neuralgia = 40 ↓ Trigeminal Neuralgia = 27 Phantom Limb Pain = 1 ↓ Painful Diabetic Neuropathy = 15 ↑ Hall G. et al. Epidemiology and treatment of neuropathic pain: The UK primary care perspective. Pain 2006; 122: 156–162
83. The Future? Demographics Healthcare advances ↑ Patient expectations and involvement www.londonpainconsultants.com
84. Summary Incidence of NP increasing Nociceptive v neuropathic Management of NP in primary care When to refer www.londonpainconsultants.com
85. Summary Very common (1 in 7 UK) Time course- acute n chronic Nociceptive and neuropathic Multiple treatment modalities www.londonpainconsultants.com