Dr Paul Wrigley
Conjoint Associate Professor, The University of Sydney, Faculty of Medicine & Health, Sydney, Australia
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Conjoint Associate Professor Paul Wrigley has senior clinical, teaching and research appointments in Pain Medicine at the Royal North Shore Hospital, University of Sydney and the Faculty of Pain Medicine in Australia. He trained in Anaesthesia (1999) and Pain Medicine (2000) and has completed a basic science PhD in neuropharmacology (2007). He maintains an active translational clinical research program and his government advocacy has led to greater community access to pain treatment. He has received numerous awards for research and clinical practice in Pain Medicine and serves on local and national committees concerned with pain education and delivery of service.
Online profile: https://www.sydney.edu.au/medicine-health/about/our-people/academic-staff/paul-wrigley.html |
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'The Influence of Preserved Somatosensory Pathways in complete Spinal Cord Injury on Pain.'
Paul J Wrigley1,2, Alan C Wainwright1,2, Dan S J Costa1,2,3, Philip J Siddall2,3, Ali Asghari1, Pramote Euasobhon4, Eindra Aung1,2
1Pain Management Research Institute, Kolling Institute, Northern Sydney Local Health District and The University of Sydney, NSW 2065 Australia,
2The University of Sydney, Faculty of Medicine and Health, Sydney Medical School - Northern, NSW 2065 Australia
3School of Psychology, University of Sydney, NSW, Australia
4Department of Pain Management, HammondCare, Greenwich Hospital, River Road, Greenwich NSW 2065 Australia
5Siriraj Pain Clinic, Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Trauma to the spinal cord rarely results in complete division of the cord with surviving nerves sometimes remaining silent or failing to function normally. The term motor or sensory discomplete has been used to describe this important but unclassified subgroup of complete spinal cord injury (SCI). Importantly, silent motor or sensory pathways may contribute to aversive symptoms (spasticity, pain) or improve reparative rehabilitation following acute SCI. This presentation will outline the challenges of identifying this important sub-group of people with complete SCI and the relevance to pain management.
1Pain Management Research Institute, Kolling Institute, Northern Sydney Local Health District and The University of Sydney, NSW 2065 Australia,
2The University of Sydney, Faculty of Medicine and Health, Sydney Medical School - Northern, NSW 2065 Australia
3School of Psychology, University of Sydney, NSW, Australia
4Department of Pain Management, HammondCare, Greenwich Hospital, River Road, Greenwich NSW 2065 Australia
5Siriraj Pain Clinic, Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Trauma to the spinal cord rarely results in complete division of the cord with surviving nerves sometimes remaining silent or failing to function normally. The term motor or sensory discomplete has been used to describe this important but unclassified subgroup of complete spinal cord injury (SCI). Importantly, silent motor or sensory pathways may contribute to aversive symptoms (spasticity, pain) or improve reparative rehabilitation following acute SCI. This presentation will outline the challenges of identifying this important sub-group of people with complete SCI and the relevance to pain management.
'Care pathways for people attending emergency departments frequently with chronic pain.'
Paul J Wrigley1,2,3, Margaret T Bruce1, Eindra Aung1,2.
1Pain Management Research Institute, Kolling Institute, Northern Sydney Local Health District and The University of Sydney, NSW 2065 Australia.
2The University of Sydney, Faculty of Medicine and Health, Sydney Medical School - Northern, NSW 2065 Australia
3Michael J Cousins Pain Management Research Centre, Royal North Shore Hospital, Northern Sydney Local Health District, NSW 2065
People attending Emergency Departments (ED) frequently present complex management needs, attract significant preventable costs and are often exposed to unnecessary and unhelpful treatments and investigations. People who have chronic non-cancer pain as a major co-morbidity are an important subset of this group. The rapid turnaround hospital-based care in ED is a difficult setting to coordinate a plan to address the reasons for their attendance. This group of people ideally need access to support services that help them better manage in the community. This presentation will lay the foundations of the global literature on this topic. A local district-wide care pathway for identified frequent ED attenders with chronic pain will be used to illustrate this complex area.
1Pain Management Research Institute, Kolling Institute, Northern Sydney Local Health District and The University of Sydney, NSW 2065 Australia.
2The University of Sydney, Faculty of Medicine and Health, Sydney Medical School - Northern, NSW 2065 Australia
3Michael J Cousins Pain Management Research Centre, Royal North Shore Hospital, Northern Sydney Local Health District, NSW 2065
People attending Emergency Departments (ED) frequently present complex management needs, attract significant preventable costs and are often exposed to unnecessary and unhelpful treatments and investigations. People who have chronic non-cancer pain as a major co-morbidity are an important subset of this group. The rapid turnaround hospital-based care in ED is a difficult setting to coordinate a plan to address the reasons for their attendance. This group of people ideally need access to support services that help them better manage in the community. This presentation will lay the foundations of the global literature on this topic. A local district-wide care pathway for identified frequent ED attenders with chronic pain will be used to illustrate this complex area.
