- 86.4k views
Management of Neuropathic Pain
Diabetic polyneuropathy is a common complication of diabetes mellitus, characterized by nerve damage throughout the body due to prolonged high blood sugar levels. Symptoms can vary widely, including numbness, tingling, burning pain, weakness, and loss of sensation, typically starting in the feet and gradually spreading to other areas. Diagnosis involves a thorough medical history, neurological examination, and nerve conduction studies. Management focuses on glycemic control through medications, lifestyle modifications, and pain management strategies such as analgesics, anticonvulsants, and antidepressants. Additionally, addressing risk factors such as smoking, hypertension, and dyslipidemia is crucial. Regular monitoring for complications such as foot ulcers and autonomic dysfunction is essential for preventing further nerve damage and improving quality of life.
About the Speaker

Dr. Usama Hassan Saleh
Consultant Orthopedic Surgeon, Medcare Hospitals, Dubai
Dr. Usama Hassan Saleh is currently working as Consultant Orthopedic Surgeon at Medcare Hospitals, Dubai. He earned his medical degree in Egypt before pursuing a clinical fellowship in upper extremity surgery at the University of Toronto, Canada. Holding membership in The Royal College of Surgeons of England (MRCS UK), he furthered his expertise by completing a PhD thesis in knee surgery at Cairo University. Dr. Hassan specializes in sports injuries and arthroscopic surgery of the shoulder, knee, elbow, and wrist, with additional focus on joint replacement surgery of the knee, shoulder, and hip. With extensive training in trauma surgery, including advanced training at the University of Toronto Hospitals, he actively contributes to teaching trauma surgery to junior orthopedic surgeons in the region as an International AO Trauma Faculty.
Upcoming Case Discussions
Hyperlipidemia: From Diagnosis to Treatment
Hyperlipidemia is a condition characterized by elevated levels of lipids, such as cholesterol and triglycerides, in the blood, which can increase the risk of cardiovascular diseases. Diagnosis typically involves blood tests measuring lipid profiles, while treatment focuses on lifestyle changes, such as diet and exercise, alongside medications like statins to manage cholesterol levels and reduce cardiovascular risk. Regular monitoring is essential for effective management and prevention of complications.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Pulmonary Hypertension
Safer alternatives in pain management focus on reducing the reliance on opioids and minimizing the risk of addiction or side effects. Non-opioid medications such as acetaminophen, NSAIDs, and anticonvulsants are increasingly used for managing both acute and chronic pain. Additionally, physical therapy, acupuncture, and cognitive-behavioral therapy are non-pharmacological approaches that effectively address pain without the risks associated with traditional painkillers. For certain cases, interventional procedures like nerve blocks or spinal cord stimulation offer targeted relief while minimizing systemic side effects. These alternatives aim to provide effective pain management while enhancing patient safety and quality of life.
Molecular and Genetic studies in Gynaecological Malignancies
Molecular and genetic studies in gynecological malignancies have revolutionized diagnostics, prognostics, and targeted therapies. Advances in genomic sequencing have identified key mutations in ovarian (BRCA1/2, TP53), endometrial (PTEN, MSI), and cervical cancers (HPV integration, PIK3CA). These findings aid in precision medicine, guiding individualized treatments like PARP inhibitors for BRCA-mutated ovarian cancer. Epigenetic modifications, including DNA methylation and miRNA regulation, further influence tumor progression and therapeutic response. Emerging technologies like liquid biopsies and multi-omics approaches enhance early detection and monitoring. Understanding these molecular pathways is crucial for developing novel therapies and improving survival outcomes in gynecological malignancies.
AI in Enhancing Emergency Care
AI is revolutionizing emergency care by enabling faster, more accurate decision-making. It helps triage patients efficiently, analyze medical data in real-time, and predict outcomes based on historical data, which can prioritize critical cases. AI-powered tools, like diagnostic imaging analysis and predictive algorithms, assist doctors in identifying conditions such as strokes or heart attacks earlier, improving survival rates. Additionally, AI enhances resource allocation and staff management in emergency departments, optimizing response times and reducing workload for healthcare providers.