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The patients with neck pain on one or both sides with clinical symptoms suggestive of facet joint as pain generator is very common. Many times it is being referred as spondylosis of the cervical spine. 

I saw 2 patients, similar complaints with severe agonizing pain in the back. They had history of cancer of prostate, operated, taken Chemotherapy few cycles and were doing well. One fine day suddenly pain in back started and it became unbearable. MRI showed pathological fracture with bone marrow edema. One patient had fracture at L2 and other one had this at L4 vertebra. We advised them VERTEBROPLASTY as immediate treatment to stabilise their spine, avoid further reduction in height of vertebra and instant pain relief.

Its a easy and simple treatment for musculoskeletal injuries.

Trigeminal neuralgia (TN) is a neuropathic pain condition affecting the face. It has a significant impact on the quality of life and physical function of patients. Evidence suggests that the likely etiology is vascular compression of the trigeminal nerve leading to focal demyelination and aberrant neural discharge. Secondary causes such as multiple sclerosis or brain tumors can also produce symptomatic TN. Treatment must be individualized to each patient. 

This is one of very exciting and original research article recently published in LANCET. I am sure this will be game changing in future management of SCI patients.