Archive For The “Functional Pain” Category

Functional Pain: Arthritis

By | November 23, 2011

In todays’ blog we will challenge another pathologic anatomy myth, namely that arthritis is a disease that results from disruption of the normal architecture, either gross or microscopic, of a joint or joints in the body. We will ask as we have asked so many times before, whether the anatomical changes are the cause or […]

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Functional Pain: Phantom Limb Pain

By | November 22, 2011

In this blog I would like to turn to one of the most fascinating chronic pain syndromes and what I believe is the purest example of functional pain of which I am aware, phantom limb pain. In this syndrome patients experience highly localized pain in a part of the body, which no longer exists. Most […]

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Functional Pain: Lumbar Disc Disease, Part 2

By | November 20, 2011

In the last blog we discussed the lack of correlation between disc size and location and the pain produced.  Even when the symptoms are concordant, they are not static. In up to 50% of cases, symptoms of acute lumbar radiculopathy will resolve either spontaneously or with steroid therapy. On subsequent scans the disc protrusion may […]

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Functional Pain: Lumbar Disc Disease, Part 1

By | November 19, 2011

If there were ever a chronic pain syndrome that fit the old pathologic anatomy theory of disease, lumbar disc disease would appear to be a perfect candidate. In its simplest for a small section of a single damaged disc makes contact with a single nerve root and produces neuropathic pain in a predictable distribution. The […]

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Functional Pain: Trigeminal Neuralgia

By | November 18, 2011

Trigeminal Neuralgia is a fascinating chronic pain condition involving recurrent attacks of facial pain.  Patients describe a burning pain or a lancinating pain in the distribution of one or more branches of the fifth cranial nerve. The cause is unknown in most cases. Gross and microscopic examination of the involved nerves is typically unremarkable. Medical […]

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Functional Pain: The Independence of Form and Function

By | November 17, 2011

Continuing yesterday’s discussion of pathologic anatomy and pathophysiology, I would like to argue that in the world of chronic pain, at least within the central nervous system, functional pain syndromes abound and that form and function are only loosely related. To do this I will draw some comparisons with computers and the programs and operating […]

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Functional Pain: Preface

By | November 16, 2011

This is an odd name for a series of blogs, since most of the pain that I treat is dysfunctional. That is after all why they come to see me. The pain has gotten to the point that it is interfering with their lives and they want me to do something about it. I am […]

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