Category: Pain

Dr Ramos-Galvez explains how complications can develop into chronic pain after spinal surgery

Complex Regional Pain Syndrome in a medicolegal context In this series of videos Dr Chris Jenner, consultant in pain medicine and expert witness, discusses Complex Regional Pain Syndrome and the extent to which it can be defined as a psychological condition. Read Dr Jenner’s article below and watch his series of short videos about CRPS here. […]

There are two types of CRPS – type 1 is caused by an initiating event such as a soft tissue injury or immobilisation in a tight cast. CRPS type II is characterised by the presence of a defined nerve injury. Both types of CRPS involve continuing pain, allodynia, or hyperalgesia that is usually disproportionate to the […]

Fibromyalgia, or Fibromyalgia Pain Syndrome, is a chronic and widespread musculoskeletal pain and fatigue disorder. It is defined as a long-term, body-wide pain in muscles, ligaments and tendons (the soft fibrous tissues in the body). It is typically characterised by widespread aches and pains, restless sleep, feeling tired on waking, fatigue, anxiety, depression and disturbances of […]

In this article, Dr Ivan Ramos-Galvez LMS, FRCA FFPMRCA explores Complex Regional Pain Syndrome (CRPS) in detail, looking at pathophysiology theories and different treatment approaches. Dr Ivan Ramos-Galvez LMS, FRCA FFPMRCA has a NHS practice is at the Royal Berkshire Hospital and a private practice at Spire Dunedin and Circle Hospitals in Reading.He is fast becoming […]

Medicolegal Partners receive instructions on a significant number of personal injury claims related to road traffic accidents. Many of the chronic pain conditions which exist long after the index event are caused by whiplash injuries that may seem relatively minor at the time. Whiplash is often caused by rear-end motor vehicle accidents inflicting sudden distortions […]

Amputation of a limb is generally as a result of a severe infection in the limb, gangrene, often as a result of peripheral arterial disease, serious trauma such as a crush or blast wound or deformity which affects movement and function.  Whilst common sense suggests that amputation for the relief of chronic pain must be […]

It can provide great reassurance to a claimant, or indeed when defending a claim, to know that the Expert providing an opinion is experienced in treating all types of chronic pain and is regularly diagnosing and treating patients with a range of chronic pain conditions in their every day clinical practice. Dr Christopher Jenner and […]

What is Cognitive Behavioural Therapy? Cognitive Behavioural Therapy (CBT) is a form of talk therapy that has been proven to help treat a wide range of emotional and physical health conditions, including chronic pain and CRPS. CBT analyses how people think about a situation and how this affects the way they act. It has a […]

There are a range of medications, procedures and therapies that are known to efficiently manage chronic pain conditions – however, it should be acknowledged that not all methods of lessening pain have to be suggested by a medical professional. Making small changes to everyday life has been found to decrease chronic pain, making it easier […]

THE BACK OF LITIGATION By DR IVAN RAMOS-GALVEZ LMS, FRCA, FFPMRCA, Consultant in Pain Medicine at Medicolegal Associates Ltd and Spire Dunedin Hospital. The lower back is the area of the back situated between the inferior border of the rib cage and the creases of the buttocks. At any given time, 33% of the population […]

Anti-depressants are one of the most commonly prescribed classes of medication in the world. They are primarily used to treat depression, but can be used to treat other psychiatric disorders and although they are not specifically intended to treat pain, they have also become a mainstay in the treatment of chronic pain. It is believed […]