Category: Pain

Dr Ramos-Galvez discusses a case study involving opioid addiction resulting from minor surgery

Dr Chris Jenner, leading pain expert and experienced expert witness, invites you to join his complimentary webinar on fibromyalgia. He will be discussing in some depth the medicolegal challenges presented by cases involving fibromyalgia, as well as exploring the correlation between trauma and fibromyalgia and carrying out a systematic review of the clinical literature on […]

In our latest video series, Dr Ivan Ramos-Galvez talks about fibromyalgia and how it is diagnosed, before moving on (in his second video) to discuss the medico legal challenges of a fibromyalgia diagnosis. What is fibromyalgia? What are the medicolegal challenges of a fibromyalgia diagnosis? To discuss and instruct Dr Ramos-Galvez on a fibromyalgia, or […]

Complex Regional Pain Syndrome (CRPS) and fibromyalgia (FM) are both chronic pain conditions, but whereas CRPS is restricted to one specific area of the body, FM is characterised by widespread pain. Neither condition is well-understood in terms of causation, and diagnosis is based on subjective reporting of signs and symptoms by the sufferer. However, research is […]

Fibromyalgia (FM) is a relatively common pain syndrome and affects around 3-5% of the population. It is much more frequent in women than men, and is more prevalent than other pain conditions such as rheumatoid arthritis. The main features of the disease are widespread pain and chronic fatigue. There is no known cause for FM […]

Dr Ivan Ramos-Galvez  LMS, FRCA, FFPMRCA Consultant in Pain Medicine and leading expert witness discusses the complexities that Complex Regional Pain presents to both the medical and legal profession. In this, the first of a series of articles, he looks at the origins of CRPS. Complex regional pain syndrome (CRPS) is an extremely painful chronic […]

Dr Ivan Ramos-Galvez discusses the complexities that Complex Regional Pain Syndrome presents to both the medical and legal profession in this series of 3 articles. About Dr Ramos-Galvez Dr Ramos-Galvez is a Consultant in Pain Medicine and an experienced expert witness. Find out more about his experience and download his CV here: https://www.medicolegal-partners.com/our-experts/dr-ivan-ramos-galvez/ The thought […]

In this article Dr Chris Jenner discusses the use of surveillance in personal injury cases. Covert surveillance is increasingly used by defendants where a claim involves ongoing pain without an apparent organic cause. Whilst in most cases surveillance footage can be easily explained, there are occasions where it can leave a medical expert unable to […]

In the absence of definitive diagnostic tests, the presence or absence of Complex Regional Pain Syndrome (CRPS) can be hard to establish and this can present many challenges for those involved in litigation. In this article, Dr Ivan Ramos-Galvez, Consultant in Pain Medicine, will discuss the issues involved in defending a medico legal claim for […]

Dr Ivan Ramos-Galvez LMS, FRCA, FFPMRCA is a Consultant in Pain Medicine and leading expert witness with a speciality in CRPS. In the second of his series of articles he discusses the challenges CRPS can present in both diagnosing and proving a medico legal claim. Complex regional pain syndrome (CRPS) usually presents as chronic pain, which […]

Fibromyalgia (FM) is a relatively common chronic rheumatic pain condition, characterised by widespread pain, fatigue and sleep disturbance. It occurs in around 3% of the population and is more frequently diagnosed in women than in men. While FM is often thought of as a recent discovery, it has in fact been described for centuries. However, […]

Opioids are natural and synthetic substances that activate opioid neuroreceptors in the central and peripheral nervous systems and include morphine, codeine, fentanyl, tramadol, methadone, oxycodone and hydrocodone (1–3). Despite a lack of evidence of their efficacy, they are frequently used to treat chronic pain (2). This condition is estimated to affect 20% of adults globally […]