eMedicine Specialties > Physical Medicine and Rehabilitation > Medical Diseases
Chronic Pain Syndrome: Multimedia
Updated: Jun 29, 2009
Multimedia
![]() | Media file 1: Sagittal magnetic resonance imaging (MRI) scan of the cervical spine in a patient with cervical radiculopathy. This image reveals a C6-C7 herniated nucleus pulposus. |
![]() | Media file 2: Axial magnetic resonance imaging (MRI) scan of the cervical spine in a patient with cervical radiculopathy. This image reveals a C6-C7 herniated nucleus pulposus. |
![]() | Media file 3: Osteoarthritis of the knee, Kellgren stage III. |
![]() | Media file 4: Nerve irritation in the herniated disk occurs at the root (sciatic radiculitis). In piriformis syndrome, the irritation extends to the full thickness of the nerve (sciatic neuritis). |
![]() | Media file 5: Changes in the hand caused by rheumatoid arthritis. Photograph by David Effron MD, FACEP. |
![]() | Media file 6: Oblique view of the cervical spine demonstrates 2 levels of foraminal stenosis (white arrows) resulting from facet hypertrophy (yellow arrow) and uncovertebral joint hypertrophy. |
![]() | Media file 8: Schematic anatomical representations, sympathetic chain and stellate ganglion. |
![]() | Media file 9: Stellate block, important anatomical landmarks (surface and cross-sectional views). |
![]() | Media file 10: Pertinent anatomy for lumbar sympathetic block (cross-sectional view). |
![]() | Media file 11: Severe colitis noted during colonoscopy. The mucosa is grossly denuded, with active bleeding noted. This patient had her colon resected very shortly after this view was obtained. |
![]() | Media file 12: Active endometriosis with red and powder-burn lesions; adhesions from old scarring are present. |
More on Chronic Pain Syndrome |
| Overview: Chronic Pain Syndrome |
| Differential Diagnoses & Workup: Chronic Pain Syndrome |
| Treatment & Medication: Chronic Pain Syndrome |
| Follow-up: Chronic Pain Syndrome |
Multimedia: Chronic Pain Syndrome |
| References |
| Further Reading |
| « Previous Page |
References
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[Best Evidence] Irving G, Jensen M, Cramer M, et al. Efficacy and tolerability of gastric-retentive gabapentin for the treatment of postherpetic neuralgia: results of a double-blind, randomized, placebo-controlled clinical trial. Clin J Pain. Mar-Apr 2009;25(3):185-92. [Medline].
Nijs J, Van Oosterwijck J, De Hertogh W. Rehabilitation of chronic whiplash: treatment of cervical dysfunctions or chronic pain syndrome?. Clin Rheumatol. Mar 2009;28(3):243-51. [Medline].
Durosaro O, Davis MD, Hooten WM, et al. Intervention for erythromelalgia, a chronic pain syndrome: comprehensive pain rehabilitation center, Mayo Clinic. Arch Dermatol. Dec 2008;144(12):1578-83. [Medline].
[Best Evidence] Ranoux D, Attal N, Morain F, et al. Botulinum toxin type A induces direct analgesic effects in chronic neuropathic pain. Ann Neurol. Sep 2008;64(3):274-83. [Medline].
[Best Evidence] Kroenke K, Bair MJ, Damush TM, et al. Optimized antidepressant therapy and pain self-management in primary care patients with depression and musculoskeletal pain: a randomized controlled trial. JAMA. May 27 2009;301(20):2099-110. [Medline].
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Luzzi G, O''Leary M. Chronic pelvic pain syndrome. BMJ. May 8 1999;318(7193):1227-8. [Medline].
Maleki J, LeBel AA, Bennett GJ, Schwartzman RJ. Patterns of spread in complex regional pain syndrome, type I (reflex sympathetic dystrophy). Pain. Dec 1 2000;88(3):259-66. [Medline].
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Moore J, Kennedy S. Causes of chronic pelvic pain. Baillieres Best Pract Res Clin Obstet Gynaecol. Jun 2000;14(3):389-402. [Medline].
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Rickert VI, Kozlowski KJ. Pelvic pain. A SAFE approach. Obstet Gynecol Clin North Am. Mar 2000;27(1):181-93. [Medline].
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Schwartzman RJ, Maleki J. Postinjury neuropathic pain syndromes. Med Clin North Am. May 1999;83(3):597-626. [Medline].
Severens JL, Oerlemans HM, Weegels AJ, et al. Cost-effectiveness analysis of adjuvant physical or occupational therapy for patients with reflex sympathetic dystrophy. Arch Phys Med Rehabil. Sep 1999;80(9):1038-43. [Medline].
Steege JF. Office assessment of chronic pelvic pain. Clin Obstet Gynecol. Sep 1997;40(3):554-63. [Medline].
Further Reading
Related eMedicine topics:
Arthritis, Rheumatoid
Chronic Pelvic Pain
Chronic Pelvic Pain Syndrome and Prostatodynia
Corticosteroid Injections of Joints and Soft Tissues
Epidural Steroid Injections
Fibromyalgia [Pediatrics: General Medicine]
Fibromyalgia [Physical Medicine and Rehabilitation]
Fibromyalgia [Rheumatology]
Image-guided Stellate Ganglion Blocks
Osteoarthritis [Orthopedic Surgery]
Osteoarthritis [Physical Medicine and Rehabilitation]
Osteoarthritis [Rheumatology]
Osteoarthritis, Primary
Paraspinal Injections - Facet Joint and Nerve Root Blocks
Pathophysiology of Chronic Back Pain
Rheumatoid Arthritis [Physical Medicine and Rehabilitation]
Rheumatoid Arthritis [Rheumatology]
Therapeutic Injections for Pain Management
Virtual Reality Biofeedback in Chronic Pain and Psychiatry
Clinical guidelines:
Chronic pelvic pain. In: Guidelines on chronic pelvic pain. European Association of Urology - Medical Specialty Society. 2008 Mar. 55 pages. NGC:006454
Fibromyalgia treatment guideline. University of Texas at Austin School of Nursing, Family Nurse Practitioner Program - Academic Institution. 2005 May. 13 pages. NGC:004350
General treatment of chronic pelvic pain. In: Guidelines on chronic pelvic pain. European Association of Urology - Medical Specialty Society. 2008 Mar. 13 pages. NGC:006520
Management of fibromyalgia syndrome. American Pain Society Fibromyalgia Panel - Independent Expert Panel. 2004 Nov 17. 8 pages. NGC:004057
Prostatitis and chronic pelvic pain syndrome. In: Guidelines on the management of urinary and male genital tract infections. European Association of Urology - Medical Specialty Society. 2008 Mar. 10 pages. NGC:006494
Psychological factors in chronic pelvic pain. In: Guidelines on chronic pelvic pain. European Association of Urology - Medical Specialty Society. 2008 Mar. 8 pages. NGC:006519
Clinical trials:
Botulinum Toxin Type A for the Treatment of Male Chronic Pelvic Pain Syndrome (BTX-URO-01)
Efficacy of TMS in Chronic Idiopathic Pain Disorders
Neurotropin to Treat Chronic Neuropathic Pain
Supporting Effect of Dronabinol on Behavioral Therapy in Fibromyalgia and Chronic Back Pain
Transcranial Magnetic Stimulation for Treating Women With Chronic Widespread Pain
Keywords
chronic pain syndrome, pain management, pain relief, fibromyalgia, chronic pain, muscle pain, arthritis pain, pain medicine, TENS, TENS unit, pain meds, pain treatment, pain therapy, nerve block, pain medications, treatment for pain, chronic pain treatment, chronic pain relief, pain relievers, neuropathic pain, chronic pain management, spinal cord stimulation, nerve stimulation, nerve blocks, chronic regional pain syndrome, transcutaneous electrical nerve stimulation, chronic benign pain syndrome, chronic intractable benign pain syndrome
























Multimedia: Chronic Pain Syndrome