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Pain expert Professor Harald Breivik reviews your clinical scenarios and offers his views and advice. If you would like Professor Breivik to review and discuss your scenario in paineurope, contact info@paineurope.com with details

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13 items

Non-pharmacological pain treatment: spinal cord stimulation

Spinal cord stimulation is a well-established method that can relieve pain in a number of conditions. However, it is difficult to predict the response in a particular patient, says pain expert Professor Harald Breivik

Non-pharmacological pain treatment: Mirror therapy for one-sided phantom limb or CRPS pain

Pain expert Professor Harald Breivik looks at the role of a non-pharmacological pain treatment – mirror therapy – in the treatment of one-sided phantom limb or chronic regional pain syndrome (CRPS)

Opioid use and driving

Opioid therapy at stable dosage for chronic pain does not necessarily cause loss of driving ability, however, the doctor and patient must consider all additional risk factors for unsafe driving, explains pain expert Professor Harald Breivik

Relief of acute pain after surgery in opioid-tolerant patients

Pain expert, Professor Harald Breivik, discusses the difficulties encountered when managing perioperative pain in patients on long-term opioid treatment and emphasises the need for gradual dose titration

Intrathecal infusion of a local anaesthetic with opioid and an alpha-2-agonist for intractable pain in terminal cancer patients

Pain expert Professor Harald Breivik discusses an infusion of a local anaesthetic with fentanyl and adrenaline in a cancer patient with intractable pain, arguing that lack of evidence of effect is not evidence of lack of effect

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