In this issue of the Scandinavian Journal of Pain Vigdis Solhaug and Espen Molden publish an interesting and important review of negative interactions between drugs we prescribe for patients suffering from chronic pain and other, non-pain drugs that patients take for other health problems . They also describe how our genes can cause major differences in how individual patients react differently to analgesic drugs . After one of Professor Espen Molden’s informative lectures on these topics, we discussed how we can understand the following conundrum in this chronic pain patient’s history:1An educational patient historyThis 72 year old lady had multiple painful degenerative changes in her back, also a narrow spinal nerve canal at L2, causing radiating pain to her left hip and thigh region, our experienced neurosurgeon considered that her degenerated osteoporotic back skeleton would make it too risky to try to operate, even with micro-surgical technique. She also has a constantly painful left knee and leg after failed surgery for a fractured tibia; she developed a compartment syndrome, but this was not diagnosed until several extremely painful days later, and too late to save leg muscles. She has been wheelchair bound for more than 15 years. However, at
Scandinavian Journal of Pain – de Gruyter
Published: Oct 1, 2017
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