Aim Joint Hypermobility Syndrome (JHS) is an inherited disorder of the connective tissue and can lead to widespread pain, joint instability and fatigue. In order to understand where patients with musculoskeletal symptoms and JHS present to secondary care we have established the prevalence of JHS within the pain management service, a general rheumatology clinic and an orthopaedic clinic of a sin...

Abstract Aims Previous literature provides evidence that in patients with breast pain and a normal examination, the incidence of ipsilateral cancer is approximately equivalent to screening incidence. Isolated not an indication for suspected pathway referral as per NICE guidance. We assessed all clinic referrals one month use appropriate isolated pain, correct primary care management pain. Metho...

BACKGROUND Recently, an 8-item short-form version of the Chronic Pain Acceptance Questionnaire (CPAQ-8) was developed predominantly in an internet sample. Further investigation of the factor structure in a multidisciplinary pain clinic sample is required. Investigation of the concurrent validity of the CPAQ-8 after accounting for the effects of variables commonly measured in the pain clinic set...

Neuropathic pain and its effective management remains a challenging clinical problem in palliative care of cancer patients. In this study Carcinosinum30c (a homeopathic remedy) is used for relief of severe pain in cancer patients, who were a candidate for nerve block procedure (CEPCA). In this case study to seven cancer patients who were referred to pain clinic for nerve block procedure, after ...

OBJECTIVE To evaluate potential alternatives to the numeric rating scale (NRS) for routine pain screening. DESIGN Cross-sectional. SETTING Nineteen Veterans Affairs outpatient clinics in Southern California at two hospitals and six community sites. PATIENTS Five hundred twenty-eight veterans from primary care, cardiology, and oncology clinics sampled in proportion to the total number of v...

BACKGROUND This article examines the association between smoking and pain intensity and functional interference in a heterogeneous group of patients evaluated at a tertiary outpatient pain clinic. Current smoking is associated with less favorable clinical presentations. OBJECTIVE This study was conducted to determine if the smoking status of patients seen in an outpatient pain clinic is assoc...

The erector spinae plane (ESP) block is a novel interfascial technique to relieve various postoperative pain. We described successful management of acute or subacute low back pain in 3 patients using ultrasound guided blocks. Three visited our clinic with variable duration development numerical rating scale 7. Before the visit clinic, they were treated physical therapy and acupuncture minimal e...