title: Pain management after traumatic spinal cord injury.
abstract: Pain is experienced by people suffering from spinal cord injury leading to disability and affecting the person's functional ability, independence, psychological well - being, ability to return to work and quality of life. Pain management in these patients is notoriously difficult due to multiple factors and varied mechanism leading to pain. Only few treatments have been assessed in randomized, controlled trials and management is based on different case reports. We are reporting our experience of managing 2 patients with neuropathic pain following traumatic spinal cord injury. Both the patients were refractory to conventional pain medications but there was significant reduction in pain following lignocaine infusion in the first patient and with ketamine in the second patient.
authors.affiliation: Department of Anaesthesia, North Tees and Hartlepool NHS Trust, United Kingdom. azizamh88@yahoo.com
authors.forename: Aziza Muhammad
authors.initials: AM
authors.lastname: Hussain
authors.forename: Mansoor A
authors.initials: MA
authors.lastname: Khan
mesh_terms: D000328:Adult; D000700:Analgesics / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D004305:Dose-Response Relationship, Drug; D005500:Follow-Up Studies; D006801:Humans; D007262:Infusions, Intravenous; D007649:Ketamine / Q000008:administration & dosage*; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D059226:Nociceptive Pain / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D010147:Pain Measurement; D013119:Spinal Cord Injuries / Q000150:complications*
chemical_list: D000700:Analgesics; D000779:Anesthetics, Local; D007649:Ketamine; D008012:Lidocaine