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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 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%