People who can’t imagine

When I remember primary school, I remember one of my teachers cutting snot out of his nose with a pair of scissors when he thought no-one was looking. When I remember high school, I remember teachers saying two things, mainly.  "Lorimer, LORIMER, are you with us?" and "Well you certainly have a good imagination..."  In fact, imagining things … [Read more...]

Teaching people about pain – a kind of position paper

Some time ago, I wrote this paper, at the request of the journal Physical Therapy Reviews, on reconceptualising pain. It is a little old now but it has come to be a bit of a position paper. The position has four fundamentals, none of which will be very surprising to anyone I imagine: (i) pain does not provide a measure of the state of the … [Read more...]

Of moose and maple syrup – a Canadian visits BodyinMind

I had the honour of spending the past week with the brilliant and extremely pleasant folks of the Body in Mind group at Neuroscience Research Australia (NeuRA).  The type of work going on here is the definition of cutting edge in my opinion, and I’m sure I was only introduced to a small part of it.  I’m calling it right here right now, look out for … [Read more...]

The genetics of dystonia in CRPS – not what we were expecting

This is yet another important study from the TREND group in the Netherlands. Bob van Hilten, one of that rare breed who is both terrifically successful and remarkably nice, a generous, physical and intellectual sequoia of a man, wrote this little blurb below. As far as my meagre resources can decipher, it provides good evidence that the most likely … [Read more...]

Is CRPS an auto-immune disease

Intravenous Immunoglobulin in Complex Regional Pain Syndrome Andreas Goebel on the results of his latest clinical trial .Just imagine the causes of some chronic pains are completely different from what you had thought. Complex Regional Pain Syndrome is a severe pain which persists after limb trauma. You are unlucky if you develop this nasty … [Read more...]

Preventing CRPS after wrist fracture

The last post described a new paper in BMC Neurology suggesting guidelines for the treatment of CRPS. They also discussed prevention. They concluded that people who fracture their wrist should be given 500 mg daily vitamin C because two RCT's show a reduction in incidence of CRPS in those who do this[1,2] both papers from the same group as the … [Read more...]

Breaking news – new guidelines for treating CRPS

BMC Neurology has just published the findings of a group of Dutch researchers in their quest to develop multidisciplinary guidelines for treatment of CRPS[1].  They looked at literature from 1980 - 2005.  It is a major piece of work and I reckon it deserves publication. It is also a shocker when one produces such a monumental piece of work to have … [Read more...]

What is Complex Regional Pain Syndrome – in plain English

What is Complex Regional Pain Syndrome? Well, complex regional pain syndrome (CRPS) is exactly that Complex: Many, many different problems have been identified in people with CRPS. These problems can be severe and usually involve many of our biological systems.  This makes the situation complex. Regional: The symptoms of CRPS are almost … [Read more...]

Useful Sites for CRPS

TREND CRPS research consortium, The Netherlands CRPS UK RSD Canada Dutch guidelines on treatment for CRPS Downloadable leaflets Royal National Hospital for Rheumatic Disease-a national centre for the management of CRPS, UK CRPS Guidelines can be accessed via the Royal College of Physicians website … [Read more...]