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PAIN CONTROL IN MUSCULOSKELETAL INJURIES

September/October 2003   ISSN-1059-6518    Volume 16 Number 5

PAIN CONTROL IN MUSCULOSKELETAL INJURIES

Frank Hubbell, DO

The pain associated with musculoskeletal injuries is caused by swelling or direct stimulation of pain receptors.  Swelling causes distention of tissues thus stimulating stretch pain receptors.  Swelling is also an inflammatory response, and with it comes the production of various inflammatory chemical mediators, such as prostaglandin, that directly and indirectly stimulate pain receptors. Pain control can be achieved by several mechanisms:  minimizing swelling, preventing the production of prostaglandin, or blocking the nerve receptors responsible for pain.

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MUSCULOSKELETAL TRAUMA Part 3

This is the third and final article in this series on Musculoskeletal Trauma. The first article reviewed injuries to the skull, face, spine, and pelvis. The second reviewed injuries to the extremities. This article will review orthopedic emergencies and dislocations. The material in this series applies directly to providing care in the wilderness or extended care environment beyond the “golden hour.”

September/October 2003    ISSN-1059-6518    Volume 16 Number 5

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MUSCULOSKELETAL TRAUMA Part 2

As part II of the last issues’s article on musculoskeletal trauma, this article is dedicated to a review of trauma to the appendicular skeleton, i.e. the extremities.  As in the previous article, the material directly applies to providing care in the wilderness or extended care environment, beyond the “golden hour.”

May/June 2003      ISSN-1059-6518     Volume 16 Number 3

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MUSCULOSKELETAL TRAUMA

This and the next issue of the WMN are dedicated to a head-to-toe review of injuries to the
musculoskeletal system. The material applies directly to providing care in the wilderness or extended care environment, during disaster relief work, or anytime outside of the “golden hour.”
Injuries to the axial skeleton, the head, spine, and pelvis are the focus of this issue while the next
installment will deal with injuries to the chest and the appendicular skeleton, i.e. the extremities.

March/April 2003      ISSN-1059-6518    Volume 16 Number 2

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