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Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09

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London Pain Clinic
London Pain Clinic

Pain Management In The 21st Century Presented At Vista Diagnostics (MRI scanning centre) to Medical personnel 17th June 2009

Salud y medicina
1 de 102
Pain Management in the 21 st Centuary. Dr. Christopher A. Jenner MB BS, FRCA Consultant in Pain Medicine, Imperial Healthcare NHS Trust Medical Director London Pain Consultants and Spinal Healthcare 17 th June 2009
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definitions ,[object Object],[object Object]
Definitions (2) ,[object Object],[object Object],[object Object],[object Object]
Definitions (3) ,[object Object],[object Object],[object Object],[object Object]
Nociceptive Pain www.londonpainconsultants.com
 
 
 
 
 
Neuropathic Pain www.londonpainconsultants.com
 
 
Pain Physiology ,[object Object],[object Object]
 
Pain Physiology (funky version) www.londonpainconsultants.com
 
Noxious Stimulus
Impulse Transmission
Afferent sensory fibres
Spinal cord
Dorsal Horn
Synapse
Ca and Glutamate
Synaptic Cleft
Post Synaptic
Nociceptive Neuron
Pain perception
Brain
Prevalence ,[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Challenges of Acute Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Pain Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Massive Financial Burden ,[object Object],[object Object],[object Object],[object Object],[object Object]
Physical and Alternative Treatments
Pain Management – A Physiotherapist’s Perspective Helen Dawson MSc, BSc, MCSP Extended Scope Physiotherapy Practitioner in Pain Management [email_address]
Physical/ Alternative Treatments ,[object Object],[object Object],[object Object]
Any Vets in the audience? ,[object Object]
5. (a) Veterinary practitioners?
Headache!
Pharmacological Treatment
Pharmacological Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Opioid Therapy ,[object Object]
 
 
Pharmacological treatment of Neuropathic Pain ,[object Object]
Neuropathic Pain Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Future Agents for Neuropathic Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psychologicaly based therapy
Pain Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain Management Programmes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Functional Restoration Programmes www.londonpainconsultants.com
MRI scans
 
 
 
Other Imaging
 
Minimally Invasive Pain Management
 
C-arm
Targets www.londonpainconsultants.com
 
Spine Pain Cervical/ Thoracic/ Lumbar >65% workload
Epidural Steroid Injections
Facet Joint Injections
Nerve Root Injections
Sacroiliac Joint Injection
Radiofrequency
[object Object],[object Object],[object Object],[object Object],[object Object]
Botulinum Toxin A
Other Minimally Invasive Techniques www.londonpainconsultants.com
Epiduroscopy
IDET
Disc Dekompressor
Vertebroplasty/ Kyphoplasty
Musculoskeletal www.londonpainconsultants.com
Shoulder ,[object Object],[object Object],[object Object],[object Object],[object Object]
Limbs ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Neuropathic Pain www.londonpainconsultants.com
Complex Regional Pain Syndrome (CRPS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Neuropathic Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Advanced Pain Management Techniques www.londonpainconsultants.com
Nerve Stimulation
Nerve Stimulation (2)
Intrathecal Pumps
Intrathecal Pumps (2)
The Future? www.londonpainconsultants.com
The Future? ,[object Object],[object Object],[object Object],[object Object]
www.londonpainconsultants.com
London Pain Consultants Clinics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Team ,[object Object],[object Object],[object Object],[object Object]
The Team (2) ,[object Object],[object Object],[object Object],[object Object]
www.spinal-healthcare.com
Summary www.londonpainconsultants.com
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case reports/ Blogs/ Links/ Appointments [email_address] 0845 045 0250
[object Object]

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