HISTORY OF PAIN Prof Mehdi Hasan Mumtaz EARLY

  • Slides: 22
Download presentation
HISTORY OF PAIN Prof. Mehdi Hasan Mumtaz

HISTORY OF PAIN Prof. Mehdi Hasan Mumtaz

EARLY d PAIN v Demons. v Evil humors v Dead spirits d TREATMENT v

EARLY d PAIN v Demons. v Evil humors v Dead spirits d TREATMENT v Block entry v Transferring v Removal

PAIN Punishment from God Pain – Latin word “Poena” (Punishment)

PAIN Punishment from God Pain – Latin word “Poena” (Punishment)

SOURCE OF PAIN d Ongoing mystery. d Aristolte (384 -322 BC). “Sensorium Commune”

SOURCE OF PAIN d Ongoing mystery. d Aristolte (384 -322 BC). “Sensorium Commune”

SOURCE OF PAIN th 18 century two Schools of Thought “HEART vs BRAIN”

SOURCE OF PAIN th 18 century two Schools of Thought “HEART vs BRAIN”

SOURCE OF PAIN d Ancient Egyptians View. d Ancient Indians View. d Ancient Chinese

SOURCE OF PAIN d Ancient Egyptians View. d Ancient Indians View. d Ancient Chinese View.

SOURCE OF PAIN “views” d d d d Alcmaeon Pythagorus Hippocrates Democritus PLATO Aristolte

SOURCE OF PAIN “views” d d d d Alcmaeon Pythagorus Hippocrates Democritus PLATO Aristolte Herophilis Erasistratus (500 BC) (566 – 497 BC) (460 – 370 BC) (460 – 362 BC) (427 – 347 BC) (315 – 280 BC) (310 – 250 BC)

SOURCE OF PAIN d d Celsius Observation. Galen (AD 130 – 200) William Havvey

SOURCE OF PAIN d d Celsius Observation. Galen (AD 130 – 200) William Havvey (1628) Descartes (1664) Melzack & Walls (1965) “Article in Science”

MEDICINE d Opium poppy d Thomas Sydenham (1624 – 1689) d Sir William Osler

MEDICINE d Opium poppy d Thomas Sydenham (1624 – 1689) d Sir William Osler (1849 – 1919) d Missionaries in China d Friedrich Wilhclm Adam Sertuerner (1783 – 1841). (4000 BC)

MEDICINE Local Anaesthetics d Procain – Alfred Einhorn (1856 -1917) d Albert Niemann (1860)

MEDICINE Local Anaesthetics d Procain – Alfred Einhorn (1856 -1917) d Albert Niemann (1860) d Karl Koller (1884) d Francesco Pizarro (1533)

MEDICINE COX – 2

MEDICINE COX – 2

MEDICINE d d Aspirin Salicin Ancient Egyptians Myrtle Leaves (Myrtus Communis) Hippocrates Winter Willow

MEDICINE d d Aspirin Salicin Ancient Egyptians Myrtle Leaves (Myrtus Communis) Hippocrates Winter Willow bark. (Salix Alba) Druids Meadow Sweat. (Filipendula Ulmanria)

MEDICINE d Methyl Salicylate. v Sweat Birch. (Betula lenta) v Wintergreen (Oil wintergreen)

MEDICINE d Methyl Salicylate. v Sweat Birch. (Betula lenta) v Wintergreen (Oil wintergreen)

MEDICINE SALICIN ASPIRIN (Bayer) “Filipendula Ulmaria” or Spirea Ulmaria Suffix “in” common Aspirin =

MEDICINE SALICIN ASPIRIN (Bayer) “Filipendula Ulmaria” or Spirea Ulmaria Suffix “in” common Aspirin = Acetyl (a) spirea (spir) & (in)

MEDICINE DIACETYL MORPHINE “Bayer” (Heroin)

MEDICINE DIACETYL MORPHINE “Bayer” (Heroin)

PAIN CLINICS First Multidisciplinary Pain Clinic Temple of Aesculapius “Greek God of Medicine”

PAIN CLINICS First Multidisciplinary Pain Clinic Temple of Aesculapius “Greek God of Medicine”

MODES OF TREATMENT d Magic potions – Nepenthe. d Bandages. d Medical, physical procedures.

MODES OF TREATMENT d Magic potions – Nepenthe. d Bandages. d Medical, physical procedures. d Mystical & transcendental energies.

PAIN CLINICS d d 1948 – E. A. Rovenstine “ E. M. Paper

PAIN CLINICS d d 1948 – E. A. Rovenstine “ E. M. Paper

PAIN CLINICS d 1944 – John Bonica (1917 -1994). d Pain control – Madigan

PAIN CLINICS d 1944 – John Bonica (1917 -1994). d Pain control – Madigan Army Hospital Washington. d Orthopedist, Neurosurgeon, Psychiatrist.

PAIN CLINIC “JOHN BONICA” d d d 1947 – “ 1960 - Multidisciplinary clinic.

PAIN CLINIC “JOHN BONICA” d d d 1947 – “ 1960 - Multidisciplinary clinic. Tacoma General Hospital. Moved to University of Washington

PAIN CLINIC d 1947 – William K. Livingston d Pain Project – University of

PAIN CLINIC d 1947 – William K. Livingston d Pain Project – University of Oregon

PAIN CLINIC “Sever chronic pain is massive economic and social problem” d What we

PAIN CLINIC “Sever chronic pain is massive economic and social problem” d What we are achieving? d How can we improve the service? d What does the patient expect?