Kenneth Kee

A Simple Guide to Neuralgia and Related Nerve Disorders (A Simple Guide to Medical Conditions, #37) (eBook, ePUB)

• Format: ePub

Produktbeschreibung

Neuralgia

What is Neuralgia?

Neuralgia is any form of pain along a nerve.

What are the causes of Neuralgia?

1. Pressure on a nerve (intervertebral disc or trauma)

2. Inflammation of the nerve by herpes zoster virus ( shingles or herpes zoster)

3. Unknown cause (trigeminal neuralgia or idiopathic)

What are the symptoms of Neuralgia?

1. Pain is along the course or distribution of a nerve.

2. Pain is usually very severe and may be:
a. burning
b. sharp or lancinating
c. irritating
d. aching
e. unpleasant
f. lightning like
g. perversion of other sensation such as tingling, needle like
h. very often described as unlike other pain

3. It is often worse at night

4. It is often made worse by pressure on the nerve and triggered by minimal stimuli such as light touch along the distribution of the nerve.

What are the common types of neuralgia?

1. Sciatica

Sciatica is the pain in the back that radiates down the buttock and thigh down to the leg and foot often aggravated by sneezing or coughing.

Sitting on the painful side of the buttock makes it worse.

Bending or stooping to get some objects also made it worse.

Walking aggravates the pain intensity.

Straight leg raising test is definitely positive for pain and a confirmation of the sciatica.

2. Herpes zoster

Herpes zoster or shingles can give rise to severe pain down one nerve.

It occurs in association with blister like rashes along the path of the nerve.

It is usually common in the elderly and in people whose body resistance is low.

Because of the blister rashes, sometimes scarring occurs over the skin rashes and there may be sensory loss.

The pain in the nerve is not affected by the sensory loss and can be so severe that some patients may attempt suicide.

Often the pain can persists for the rest of the patient's life.

3. Trigeminal neuralgia

Trigeminal neuralgia is another pain which affects the fifth nerve in the face and can very painful.

I had one patient who could not stand the pain and had his nerve cut in order to find relief in spite of the drooping of one side of the face after the surgery by an ENT surgeon.

In spite of the operation, the nerve regenerates itself and the pain returns three years later.

I had to give injections of surgical spirit into the nerve before the pain finally stopped.

How severe is the pain of Neuralgia?

The pain is usually severe enough for the doctor to prescribe painkillers and special drugs like tegretol or gabapentin which reduce the inflammation of the nerve.

For some people the slightest touch or contact with clothing can cause unbearable pain.

How is Neuralgia diagnosed?

1. X-ray of the lumbar spine, teeth, skull and cervical spine

2. MRI of the skull, lumbar and cervical spine

3. Nerve conduction tests

How is Neuralgia treated?

In most cases Neuralgia clears on its own in a few weeks and seldom recurs.

Medical Treatment:

1. Treatment consists of painkillers,

2. Anti nerve inflammation drugs like tegretol and gababentin

3. Antidepressants

4. Anticonvulsants

Injections of Local anesthetic

1. Local nerve block

Surgery:

4. Surgical transection of the nerve-usually recurrence cause more severe neuralgia.

5. In the case of prolapsed or herniated intervertebral disc pressing against the nerve, surgery may be required:

a. Laminectomy the prolapsed disc may be removed

b. Microdiscectomy

This surgery involved insertion of a titanium disc in place of the removed prolapsed disc.

TABLE OF CONTENT

Chapter 1
Neuralgia

Chapter 2...

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 27. April 2013
• Englisch
• ISBN-13: 9781301605330
• Artikelnr.: 75905182

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...