Management of Intractable Pain

Anterior cingulotomy for intractable pain

Article history: Received 25 September 2016 Accepted 1 October 2016 Conservative therapy is often the first-line treatment for many symptoms of various disease processes, including pain. Nevertheless, if pharmacological or medical management fails for those patients with severe and chronic pain, a surgical strategy may be a reasonable option. First performed for psychiatric disorders, cinguloto...

The management of intractable haematuria.

The relief of intractable pain by surgery.

In general the treatment of any painful condition is the treatment of its cause. But sometimes this is not possible, either because the underlying pathological process cannot be influenced favourably, or because its nature is not known while the pain itself cannot be relieved by medical treatment. Examples of the first subgroup are seen when nerve trunks are involved by malignant disease, by po...

Psychiatric Aspects of Chronic Intractable Pain

Two hundred patients with chronic intractable pain have been evaluated in order to study the clinical characteristics of pain and associated psychiatric illnesses. The commonest site of pain was reported to be head and face, usually dull in nature. Almost 75% of patients reported continuous pain. A great majority (40%-80%) had some psycho-social problem or other problem resultant from the chron...

Management of intractable spontaneous epistaxis

BACKGROUND Epistaxis is a common otolaryngology emergency and is often controlled with first-line interventions such as cautery, hemostatic agents, or anterior nasal packing. A subset of patients will continue to bleed and require more aggressive therapy. METHODS Intractable spontaneous epistaxis was traditionally managed with posterior nasal packing and prolonged hospital admission. In an ef...