Pain Management

  • V. Rastogi
  • Sandeep Khuba
  • Anand Vishal


Pain because of leg ulceration can influence the quality of life of patient and can have serious psychological and social effects. The most common leg ulcers are venous, ischemic, and neurotrophic. More than 95 % of chronic leg ulcers fit into one of the recognized categories [1]. The pain may be severe in all types of ulcer with the possible exception of diabetic sensory neuropathy. Pain causes the release of catecholamines via limbic system, increase levels of adrenaline and nor adrenaline and steroids, often decreases appetite, reduces mobility, and may lead to depression. Pain is a response to tissue damage and influences patients’ compliance. The ulcers are quite painful. Nocturnal ischemic rest pain in the distal forefoot is typical of chronic leg ulcers.


Trigeminal Neuralgia Chronic Wound Intermittent Claudication Pyoderma Gangrenosum Rest Pain 
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Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Pain and Palliative Care Division, Department of AnaesthesiaInstitute of Medical Sciences, Banaras Hindu UniversityVaranasiIndia
  2. 2.Department of AnaesthesiologySanjay Gandhi Postgraduate Institute of Medical SciencesLucknowIndia
  3. 3.Department of MedicineRML Institute of Medical SciencesNew DelhiIndia

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