Pain

The Interaction Between Psychological Factors And Physical Pain Symptoms

Chronic pain is a debilitating condition that affects millions of people each year across the world. Historically, pain has always been viewed as a purely biological process and psychological and social factors were considered irrelevant.…
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The Medical and Medicolegal Implications of the Undertreatment of Pain

Pain is the commonest reason for a patient to visit their doctor, with around 25% of adults suffering from chronic pain at any one time, a figure that rises to around 50% in the over-65s.…
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The Medicolegal Implications of Phantom Limb Pain and its Prevention

The term ‘phantom limb pain (PLP)’ describes the painful sensations experienced in a part of the body that has been amputated, which persist after complete healing of the associated surgical wound. It is an extremely…
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Pain clinic schedule for summer/autumn 2022

Our pain experts will once again be on the move, offering medicolegal consultations around the country in addition to their regular Reading/London clinic locations. Confirmed dates for Dr Ivan Ramos-Galvez 1 August - BIRMINGHAM Confirmed…
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Somatoform Pain Disorder: Pre-accident psychological history and vulnerability and the BUT FOR test in the absence of a trigger

Somatoform disorder (SD) is defined as physical symptoms suggestive of a medical condition which are unexplained by an underlying disease or mental disorder. Somatoform symptoms are common, and mild ones, such as stress as a…
Categories : Articles, Ivan Ramos-Galvez, Pain
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Future Prospects for Patients with a History of Chronic Pain

Pain is defined as chronic when it lasts for more than three months. At this point, it stops being just a symptom and becomes a condition in its own right, although it is also associated…
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Unusual patterns of spread of the mechanical symptoms of chronic back pain and their medicolegal implications

Back pain is one of the commonest reasons for a patient to visit their doctor, and it is estimated that around 80% of adults will suffer from it at least once during their lifetime. Back…
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The Medicolegal Implications of Placebo Use in Pain Medicine

A placebo is any medication or procedure with no known therapeutic effect. Placebos are often given for the psychological, rather than physiological, benefit of the patient and are also used as a control measure in…
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The Use of Neuroimaging in Pain Medicine

The phenomenon of acute pain serves two main purposes. First, it acts as a warning system to the body that the risk from harm is imminent. Second, it indicates that an injury has already occurred,…
Categories : Articles, Neuroradiology, Pain
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Complex Regional Pain Syndrome in Litigation

1 Introduction 1.1 Complex Regional Pain Syndrome (CRPS) remains a poorly understood phenomenon. In the realm of medical litigation, the syndrome can prove particularly challenging to substantiate. This is often due to the lack of…
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