Professional Documents
Culture Documents
PAIN
Dr Mehran Rezvani pain fellowship
anesthesiologist & acupuncturist
pressure
puncture
squeeze
tension
heat
cold
Change in pH
Histamine-like
materials
Serotonin
Bradykinin
Other similar
polypeptides
Nociceptive stimulation :
o Direct trauma (e.g., an arteriography
needle)
o Stretch (as with balloon dilatation or
stent)
o Shear (as in arterial dissection)
Dr Mehran Rezvani pain fellowship
anesthesiologist & acupuncturist
VASCULAR PAIN
SYNDROMES
Pain is a common manifestation of
various vascular disorders
Location, quality, and natural history of
such pain may be crucial to the
diagnosis or treatment of the
condition
VASCULAR PAIN
SYNDROMES
Intermittent Claudication
Pain Syndromes Following Stroke
Aortic and Other Large Artery Pain
Rest Pain, Ulcers, and Gangrene
Pain Associated With Venous Disorders
Pain Associated With Diseases Involving
Small Arteries
Intermittent
Claudication
Dr Mehran Rezvani pain fellowship
anesthesiologist & acupuncturist
Intermittent claudication is a
condition that is characterized by
pain and lameness during
muscular exercise or during
walking
The most frequent cause is narrowing
of arteries in the lower leg and foot
by arteriosclerosis
Dr Mehran Rezvani pain fellowship
anesthesiologist & acupuncturist
D.D. of Intermittent
claudication
Neurogenic claudication
Venous claudication
Myositis (administration of various statin
Medications)
Neurogenic Claudication
o Pain radiating to both lower extremities at
the posterolateral aspects of the thighs and
legs
o Worse with walking and with lumbar
extension, and is relieved by sitting down
o The pain is often associated with
numbness, and with heaviness or weakness
Dr Mehran Rezvani pain fellowship
anesthesiologist & acupuncturist
Revascularization
Whose job performance or lifestyle is
compromised by claudication
Who do not have a response to
exercise and pharmacotherapy
The riskbenefit ratio with
revascularization is favorable
Revascularization
Catheter based intervention
Atherectomy
Stenting
Angioplasty
Pain Syndromes
Following
Stroke
Dr Mehran Rezvani pain fellowship
anesthesiologist & acupuncturist