All Pain articles
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Differential diagnosesBreast pain: what’s the diagnosis?
Dr Toni Hazell uses case studies to explore three possible causes of breast pain (mastalgia) and how each condition should be managed in primary care
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Test and reflect
Best practice in breast pain (mastalgia)
This CPD activity consists of 5 multiple-choice questions (MCQs) designed to test your knowledge on breast pain (mastalgia)
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News
RCP updates guideline on pain syndrome in adults
The Royal College of Physicians (RCP) has published the second edition of Complex regional pain syndrome in adults—UK guidelines for diagnosis, referral and management in primary and secondary care.
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Implementing guidelines
Accurate diagnosis of migraine is crucial to successful treatment
Dr David Watson and Dr Sandeep Sharma provide an overview of the recommendations from the latest SIGN guidance on managing migraine
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Test and reflect
SIGN 155 guideline on the pharmacological management of migraine
This Guidelines in Practice CPD activity consists of 5 multiple-choice questions (MCQs) designed to test your knowledge on managing migraine in primary care—you will then be prompted to reflect on your learning.
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News
SIGN updates advice on managing migraine
The Scottish Intercollegiate Guidelines Network has published SIGN 155 on Pharmacological management of migraine, including a treatment pathway algorithm.
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Differential diagnoses
Low back pain: what’s the diagnosis?
Dr Simon Somerville considers some possible causes of low back pain and explains that self-management is key to improved quality of life for patients
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Test and reflect
Best practice on pelvic pain in women
This CPD activity consists of 6 multiple-choice questions (MCQs) designed to test your knowledge on pelvic pain in primary care—you will then be prompted to reflect on your learning.
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Differential diagnoses
Pelvic pain in women: what’s the diagnosis?
Dr Neelima Sibal and Dr Pallavi Latthe consider possible causes of pelvic pain in women—is it ectopic pregnancy, endometriosis, pelvic inflammatory disease, or something else?
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News
New and updated quality standards published by NICE
NICE has published Quality Standard (QS) 155 on Low back pain and sciatica in over 16s, and updated QS5 on Chronic kidney disease in adults.
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Hot topic
Pain in chronic disease may be neuropathic
Dr João Calinas Correia explains what neuropathic pain is, how and when it should be assessed, and how comorbid conditions affect prescribing choices
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Top tips
Top tips: headache
Dr David Kernick provides 10 top tips on the diagnosis and management of headache in primary care
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Implementing guidelines
Chronic pain pathways bring evidence-based guidance and support
Dr Lesley A. Colvin summarises the recent SIGN guideline on the management of chronic, non-malignant pain and explains how thorough assessment can improve outcomes
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Hot topic
Frail and vulnerable older people appear to have the most pain
Dr Martin Johnson and Professor Pat Schofield (left) explore the prevalence of pain in older people and summarise the best evidence for a variety of approaches
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Personal view
Fibromyalgia is a clinical diagnosis for primary care
Patients with fibromyalgia benefit from a positive, multimodal approach, say Dr Asim Suleman and Dr Adrian Dunbar
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Implementing guidelines
The majority of people with headache can be managed by GPs
Dr Kay Kennis outlines the NICE guideline on the diagnosis and treatment of tension-type headache, migraine, cluster headache, and medication-overuse headache
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Implementing guidelines
Patient education is vital when prescribing strong opioids for pain
Dr Lindsay Smith explains how the NICE recommendations aim to promote safe and effective prescribing of strong opioids for pain in palliative care in adults
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Implementing guidelines
Effective control of pain in cancer requires detailed assessment
Healthcare professionals have a responsibility to provide analgesia for both background and breakthrough pain in patients with cancer, says Ms Linda Kerr
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Implementing guidelines
Is it a brain tumour? Red flags will help GPs with referral decisions
Dr David Kernick discusses signs and methodology that can be used to determine whether headache is a manifestation of an underlying brain tumour
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Implementing guidelines
Treatment of cancer pain should follow the WHO analgesic ladder
Professor Marie Fallon reviews the SIGN recommendations on using non-opioid and opioid formulations to control both background and breakthrough pain in patients with cancer
