Category: Pain

Consensus statement on Patellofemoral pain: Part 1

Saurab Sharma | June 29, 2016

Patellofemoral pain (PFP) is a common condition of the knee that is characterized by the pain behind and around the patella. It is present in 7 – 28% of population and is slightly more common in women. As different researchers define the condition differently in their research, so do the clinicians. This results in difference […]

Initiative to develop outcome measures in Nepal

Saurab Sharma | April 7, 2016

Outcome measures are really important aspects of any practices in health care system. For example, vital signs are routinely assessed in patients admitted in hospital; e.g., temperature, respiratory rate, pulse rate and blood pressure. These are very important to assess the condition of a patient and now is an established rule. Prognosis of the patient […]

Classification of Low Back Pain based on Neuropathic, Nociceptive, or Central Sensitization dominance

Saurab Sharma | February 11, 2016

Low back pain (LBP) is a heterogeneous disorder including patients with dominant nociceptive (e.g., myofascial LBP), neuropathic (e.g., lumbar radiculopathy), and central sensitization pain [1]. Nociceptive pain is defined as “pain arising from actual or threatening damage to non-neural tissue and is due to the activation of nociceptors, or as pain attributable to the activation […]

Why does an old knee hurt?

Saurab Sharma | January 14, 2016

Old knees are mostly painful due to a complex problem called the osteoarthritis (OA). It is one of the most common musculoskeletal disorders, which refers to clinical syndrome of joint pain accompanied by varying degrees of functional limitation and reduced quality of life (1). It affects more than one-third of persons of age more than […]

How can we measure pain?

Saurab Sharma | January 12, 2016

The ultimate aim of any clinician is to relieve afflictions of the patient which is measured in terms of pain. Pain is a psychological phenomenon and naturally there are several facets central to its perception [6]. These include intensity, duration, interference with activities or disability, affect, tolerance, fear avoidance, catastropizing etc. There are multiple validated […]

Hidden contributor of pain in clinical practice – “Catastrophizing”

Saurab Sharma | December 3, 2015

The experience of pain is a complex interplay between psychological, biological, and cultural factors [1]. Individual who experience pain from any surgical procedure or from any injury to the tissue tends to distress or pain. But question arises why the person with same type of injury or surgery tend to have different level of pain […]

Assessment of Pain in clinical and experimental setting

Saurab Sharma | November 30, 2015

Pain assessment has always been a challenge for researchers for many years. They have always tried to quantify pain. Quantitative sensory testing (QST) evaluates the integrity of the entire sensory receptors. It is found to be a reliable and relatively reproducible. Though QST is a subjective test, recent brain imaging studies provide strong evidence that […]