Competence of pain treatment goes beyond pharmacotherapy, combines it with i.a. pysiotherapy and kinesitherapy, which may precede and should be used after surgical procedures.
The art of combining various fields of medicine in order for fighting pain is useful when correct clinical diagnosis is stated. Pain treatment in musculoskeletal system diseases – part II presents ways of therapeutic procedures in painful shoulder syndrome, periarticular inflammations of elbow joint, bursitis of limbs, plantar aponeurositis, and other derivations of knee and hip pain. Read full text »

There seems to have appeared an alternative to surgery for patients suffering from Dupuytren’s contracture. Pharmaceutical company, Auxilium Pharmaceuticals Inc. produces Xiaflex, which will be known in Europe as Xiapex. The medicine has been proven effective in a broad range of patients (1). Treatment with Xiaflex significantly reduced the angle of contracture in both metacarpophalangeal (MP) and proximal interphalangeal (PIP) joints, with clinically meaningful responses in both less severe and more severe contractures (2). Almost a year ago the medicine was approved by Food & Drug Administration as the only pharmacological method of treating Dupuytren’s contracture. Read full text »