An Overview of Heel Pain

Pain in the heel occurs frequently in people who stand or walk a great deal. This pain may be entirely absent during rest and aggravated by use. The painful area is usually found by manual pressure.

Among the various causes of heel pain injury is the foremost.

Heel pain can manifest in various ways.

There are two bursas between the heel bone and tendoachilles.They are at risk of inflammation from friction produced by ill fitting footwear. [Read more...]

Myofascial Pain Syndrome As Cause of Neck Pain

Myofascial pain is characterized by pain referred from active trigger points. A myofascial trigger point is a hyperirritable locus, which may be palpable as an exquisitely tender, taut band within skeletal muscle.

Compression at those points elicits a characteristic and reproducible pattern of referred pain remote from the location of the tender trigger point. Often, the pain is described as steady, deep, and aching in quality, although it is not uncommon for patients to use words like burning or crushing. [Read more...]

Trauma As A Cause of Elbow Pain

Though trauma and fractures around the elbow would be discussed in their relevant sections, I thought it would be better to get an overview when we are discussing elbow pain

Fractures

Elbow fractures are often easily diagnosed, as there usually is a history of a fall. The physical examination and radiographs confirm the diagnosis. The majority of elbow fractures can be treated without surgery.

Most simple fractures heal without consequence. Complications such as malunions and nonunions may lead to joint stiffness and pain. Surgery usually is required for displaced fractures. [Read more...]

Elbow Pain

Elbow pain is frequent patient complaint seen by a physician. Pain from overuse activities at work or from recreation is most commonly seen. Inflammatory causes account for majority of elbow pains. Most of elbow pains are self limiting and can be treated after clinical diagnosis.

But quite few of inflammatory diseases require further investigations to ascertain the diagnosis.

Major inflammatory causes of elbow pain with exclusion of rheumatoid arthritis are as follow [Read more...]

List of Causes of Neck Pain

Neck pain can have multiple causes. Many structures in the neck can give rise to pain. A pain in the neck could also be due to radiation of the pain from a disease at other place.

Most of the time cause of neck can be understood and found easily. But at times the diagnosis becomes difficult. It is important to be aware of all the causes including rare ones to accurately diagnose the disease.

Here is a list of conditions that might cause neck pain due to direct or indirect involvement. [Read more...]

Approach To Patient With Neck Pain

Neck pain is almost as common a compliant as low back pain. The neck contains many pain-sensitive tissues, which are vulnerable to a variety of painful conditions. The cervical spine is quite mobile; situated between an immobile thorax and relatively weighty head, and thus it is subject varying degrees of trauma.

A patient with minor, self-limited neck pain may never consult a physician. Most of the patients who present with neck pain to a physician can be helped by conservative management. Patients with severe and chronic neck pain usually can be helped by the other therapeutic modalities. [Read more...]

Understanding Acute And Chronic Pain

Acute pain is one of the basic adaptations that most species have to warn the organism of internal or external stimuli potentially harmful to the well-being of that organism. It usually increases as the severity of the injury or disease increases, although the painful sensation may be present after the injury.

Continued stimulation also can lead to increased sensitivity, sensitization, and severe pain even to a weak, painful stimuli.

The sensitization process can take place in both the peripheral as well as the central nervous system. As the healing process takes place, acute pain tends to subside. [Read more...]

A Brief Note On History of Pain Relief

Mankind has undoubtedly experienced pain since the beginning of time. From prehistroric bones to artifacts of ancient civilizations, evidence of pain and attempts at its relief has been found throughout history.

Early man attributed pain to demons, evil humors, and dead spirits. Accordingly, treatment of pain entailed discouraging their entrance into the body, blocking their entry, or once inside, drawing, transferring, or removing them from the body. Later, pain was felt to be a punishment from the gods. [Read more...]