Dear Dr Sood
Where exactly is the pain in the hand?
Is it constant?
What exacerbates it?
Are there any neuropathic features eg. allodynia
Also, I am interested in where the TENS electrodes being placed.
Karen
>From: "Sood" <[log in to unmask]>
>Reply-To: [log in to unmask]
>To: <[log in to unmask]>, <[log in to unmask]>,
><[log in to unmask]>
>Subject: PAIN In PARALYSIS
>Date: Tue, 29 Jun 1999 09:44:46 +0530
>
>
>Dear friends,
> probably practice of medicine began when one person
>asked another for help in relief of his pain.To erase pain I think it is
>important to find cause or origin of pain.It is in one of rare case of
>this kind I seek opinion of the house.
> Two months back A forty five year old
>lady,developed hemiplegia on left side,with the involvement of face,as she
>was having hypertension,and diabetes no one was surprised,but not until she
>went in for CT brain where a huge meningioma was found.Face has recovered
>not the limbs.She is having flaccid paralysis of left arm.But for her that
>is not the problem ,Problem is SEVERE PAIN in left hand ,not responding to
>any conventional Analgesic,even opium derivatives.
>X-ray,cervical Spine Shows,Decreased intervertibral space in C5/C6 ,C6/C7
>in
>addition to osteoarthritis changes.
>Xray shoulder shows attempt at new bone formation in the inferior surface
>of glnohumral joint,no past h/o any trauma or infection
>Xray left hand is normal exept few osteoporotic areas.
> WHAT COULD BE CAUSE OF PAIN OF SUCH SEVERITY
>IS IT HER TUMOUR,CERVICAL SPINE,SHOULDER,OR HAND
>Her higher functions are normal,memory,is normal.Blood sugar level was
>raised
>at the time if examination which is now under control.She is being given
>carbamazapine Tegritol 400 mg tds for diabetic neuropathy.in addition to
>tramadol
>analgesic,TENS.Cockup Splint, passive exercise and message after
>infrared,cervical traction for cervical spine.
>Thanks
>Dr.Sarveshwar Chander Sood
>Orthopaedic Surgeon & Head
>Department of Physical Medicine & Rehabilitation
>S.B.L.S Civil Hospital
>812/1,Housing Board Colony,Model Town
>Jalandhar City,Punjab State,India
>E-mail [log in to unmask]; [log in to unmask]
>
>Phone 0181-273653,0181-463980
>
______________________________________________________
Get Your Private, Free Email at http://www.hotmail.com
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|