SlideShare a Scribd company logo
1 of 13
Pain Management Concept
AdeWijaya, MD
May 2019
IASP Definition of Pain
• Pain
An unpleasant sensory and emotional experience associated
with actual or potential tissue damage, or described in terms
of such damage.
Type of Pain
Gov.UK
Interventional
Pain
Management
Interventional Pain Management
• Fills the gap
• Minimally invasive teqniques
• Non-surgical alternative to treat pain
Ultrasound-Guided Injections
Ultrasound-Guided Injections
Pain Management Concept
Pain Management Concept

More Related Content

What's hot

GEMC - Pain Management - for Nurses
GEMC - Pain Management - for NursesGEMC - Pain Management - for Nurses
GEMC - Pain Management - for NursesOpen.Michigan
 
Cognitive Behavioral Therapy - Chronic Pain (CBT-CP)
Cognitive Behavioral Therapy - Chronic Pain (CBT-CP)Cognitive Behavioral Therapy - Chronic Pain (CBT-CP)
Cognitive Behavioral Therapy - Chronic Pain (CBT-CP)Michael Changaris
 
Pain assessment in cesarean women
Pain assessment in cesarean womenPain assessment in cesarean women
Pain assessment in cesarean womenDivyaPalakayala
 
CBT for chronic pain
CBT for chronic painCBT for chronic pain
CBT for chronic painPamela Lennon
 
Neonatal Infants Pain Scale (NIPS)
Neonatal Infants Pain Scale (NIPS) Neonatal Infants Pain Scale (NIPS)
Neonatal Infants Pain Scale (NIPS) Anne Dapiton
 
Tool for pain assessment adult
Tool for pain assessment adultTool for pain assessment adult
Tool for pain assessment adultshelliewilson
 
Pain Management Moni.presintation
Pain Management Moni.presintationPain Management Moni.presintation
Pain Management Moni.presintationI. Alhussein
 
Pain Management in Health Care: Implications
Pain Management in Health Care:  ImplicationsPain Management in Health Care:  Implications
Pain Management in Health Care: ImplicationsAnn Hinnen Sparks
 
Assessment Of Fear Avoidance In Chronic Pain - Dr Johan W S Vlaeyen
Assessment Of Fear Avoidance In Chronic Pain - Dr Johan W S VlaeyenAssessment Of Fear Avoidance In Chronic Pain - Dr Johan W S Vlaeyen
Assessment Of Fear Avoidance In Chronic Pain - Dr Johan W S Vlaeyenepicyclops
 
Power pointwithimagesdiseases16nungk
Power pointwithimagesdiseases16nungkPower pointwithimagesdiseases16nungk
Power pointwithimagesdiseases16nungk16nungk
 
Diseases in Communities
Diseases in CommunitiesDiseases in Communities
Diseases in Communities16nungk
 
Treatment of Catastrophizing
Treatment of CatastrophizingTreatment of Catastrophizing
Treatment of CatastrophizingPaul Coelho, MD
 
Chronic pain and the power of expectation
Chronic pain and the power of expectationChronic pain and the power of expectation
Chronic pain and the power of expectationLife After Pain
 

What's hot (19)

GEMC - Pain Management - for Nurses
GEMC - Pain Management - for NursesGEMC - Pain Management - for Nurses
GEMC - Pain Management - for Nurses
 
Cognitive Behavioral Therapy - Chronic Pain (CBT-CP)
Cognitive Behavioral Therapy - Chronic Pain (CBT-CP)Cognitive Behavioral Therapy - Chronic Pain (CBT-CP)
Cognitive Behavioral Therapy - Chronic Pain (CBT-CP)
 
Pain assessment in cesarean women
Pain assessment in cesarean womenPain assessment in cesarean women
Pain assessment in cesarean women
 
CBT for chronic pain
CBT for chronic painCBT for chronic pain
CBT for chronic pain
 
Fundamentals of nursing pain final
Fundamentals of nursing    pain finalFundamentals of nursing    pain final
Fundamentals of nursing pain final
 
Pain and Injury: Preaching in a Wilderness
Pain and Injury: Preaching in a WildernessPain and Injury: Preaching in a Wilderness
Pain and Injury: Preaching in a Wilderness
 
Neonatal Infants Pain Scale (NIPS)
Neonatal Infants Pain Scale (NIPS) Neonatal Infants Pain Scale (NIPS)
Neonatal Infants Pain Scale (NIPS)
 
Tool for pain assessment adult
Tool for pain assessment adultTool for pain assessment adult
Tool for pain assessment adult
 
knee
kneeknee
knee
 
Pain Management Moni.presintation
Pain Management Moni.presintationPain Management Moni.presintation
Pain Management Moni.presintation
 
Pain Management in Health Care: Implications
Pain Management in Health Care:  ImplicationsPain Management in Health Care:  Implications
Pain Management in Health Care: Implications
 
Assessment Of Fear Avoidance In Chronic Pain - Dr Johan W S Vlaeyen
Assessment Of Fear Avoidance In Chronic Pain - Dr Johan W S VlaeyenAssessment Of Fear Avoidance In Chronic Pain - Dr Johan W S Vlaeyen
Assessment Of Fear Avoidance In Chronic Pain - Dr Johan W S Vlaeyen
 
pain intervention in modern practice - kees besse
pain intervention in modern practice - kees bessepain intervention in modern practice - kees besse
pain intervention in modern practice - kees besse
 
Power pointwithimagesdiseases16nungk
Power pointwithimagesdiseases16nungkPower pointwithimagesdiseases16nungk
Power pointwithimagesdiseases16nungk
 
Diseases in Communities
Diseases in CommunitiesDiseases in Communities
Diseases in Communities
 
Valley View Care Home
Valley View Care HomeValley View Care Home
Valley View Care Home
 
Managing Chronic Pain -guidance
Managing Chronic Pain -guidanceManaging Chronic Pain -guidance
Managing Chronic Pain -guidance
 
Treatment of Catastrophizing
Treatment of CatastrophizingTreatment of Catastrophizing
Treatment of Catastrophizing
 
Chronic pain and the power of expectation
Chronic pain and the power of expectationChronic pain and the power of expectation
Chronic pain and the power of expectation
 

More from Ade Wijaya

Flail Arm Syndrome: An Atypical Variant of Motor Neuron Disease
Flail Arm Syndrome: An Atypical Variant of Motor Neuron DiseaseFlail Arm Syndrome: An Atypical Variant of Motor Neuron Disease
Flail Arm Syndrome: An Atypical Variant of Motor Neuron DiseaseAde Wijaya
 
Dentatorubral Pallidoluysian Atrophy.pptx
Dentatorubral Pallidoluysian Atrophy.pptxDentatorubral Pallidoluysian Atrophy.pptx
Dentatorubral Pallidoluysian Atrophy.pptxAde Wijaya
 
Anti-MAG Neuropathy.pptx
Anti-MAG Neuropathy.pptxAnti-MAG Neuropathy.pptx
Anti-MAG Neuropathy.pptxAde Wijaya
 
Trigeminal Trophic Syndrome.pptx
Trigeminal Trophic Syndrome.pptxTrigeminal Trophic Syndrome.pptx
Trigeminal Trophic Syndrome.pptxAde Wijaya
 
Acute Exacerbation of Trigeminal Neuralgia.pptx
Acute Exacerbation of Trigeminal Neuralgia.pptxAcute Exacerbation of Trigeminal Neuralgia.pptx
Acute Exacerbation of Trigeminal Neuralgia.pptxAde Wijaya
 
Management of Motor Fluctuations in Parkinson Disease.pptx
Management of Motor Fluctuations in Parkinson Disease.pptxManagement of Motor Fluctuations in Parkinson Disease.pptx
Management of Motor Fluctuations in Parkinson Disease.pptxAde Wijaya
 
Role of Clopidogrel in Minor Stroke and Transient Ischaemic Attack.pptx
Role of Clopidogrel in Minor Stroke and Transient Ischaemic Attack.pptxRole of Clopidogrel in Minor Stroke and Transient Ischaemic Attack.pptx
Role of Clopidogrel in Minor Stroke and Transient Ischaemic Attack.pptxAde Wijaya
 
Transient Epileptic Amnesia.pptx
Transient Epileptic Amnesia.pptxTransient Epileptic Amnesia.pptx
Transient Epileptic Amnesia.pptxAde Wijaya
 
Management of Benzodiazepine Misuse and Dependence.pptx
Management of Benzodiazepine Misuse and Dependence.pptxManagement of Benzodiazepine Misuse and Dependence.pptx
Management of Benzodiazepine Misuse and Dependence.pptxAde Wijaya
 
Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia a...
Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia a...Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia a...
Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia a...Ade Wijaya
 
Cerebral Superficial Siderosis.pptx
Cerebral Superficial Siderosis.pptxCerebral Superficial Siderosis.pptx
Cerebral Superficial Siderosis.pptxAde Wijaya
 
Frontotemporal Brain Sagging Syndrome.pptx
Frontotemporal Brain Sagging Syndrome.pptxFrontotemporal Brain Sagging Syndrome.pptx
Frontotemporal Brain Sagging Syndrome.pptxAde Wijaya
 
Epidural Blood Patch.pptx
Epidural Blood Patch.pptxEpidural Blood Patch.pptx
Epidural Blood Patch.pptxAde Wijaya
 
Spontaneous Intracranial Hypotension.pptx
Spontaneous Intracranial Hypotension.pptxSpontaneous Intracranial Hypotension.pptx
Spontaneous Intracranial Hypotension.pptxAde Wijaya
 
Clinical Evaluation and Management of Facial Nerve Trauma
Clinical Evaluation and Management of Facial Nerve TraumaClinical Evaluation and Management of Facial Nerve Trauma
Clinical Evaluation and Management of Facial Nerve TraumaAde Wijaya
 
Argyrophilic Grain Disease.pptx
Argyrophilic Grain Disease.pptxArgyrophilic Grain Disease.pptx
Argyrophilic Grain Disease.pptxAde Wijaya
 
Anti-IgLON5 Disease.pptx
Anti-IgLON5 Disease.pptxAnti-IgLON5 Disease.pptx
Anti-IgLON5 Disease.pptxAde Wijaya
 
Globular Glial Tauopathies.pptx
Globular Glial Tauopathies.pptxGlobular Glial Tauopathies.pptx
Globular Glial Tauopathies.pptxAde Wijaya
 
The Tauopathies.pptx
The Tauopathies.pptxThe Tauopathies.pptx
The Tauopathies.pptxAde Wijaya
 
Primary Progressive Aphasia.pptx
Primary Progressive Aphasia.pptxPrimary Progressive Aphasia.pptx
Primary Progressive Aphasia.pptxAde Wijaya
 

More from Ade Wijaya (20)

Flail Arm Syndrome: An Atypical Variant of Motor Neuron Disease
Flail Arm Syndrome: An Atypical Variant of Motor Neuron DiseaseFlail Arm Syndrome: An Atypical Variant of Motor Neuron Disease
Flail Arm Syndrome: An Atypical Variant of Motor Neuron Disease
 
Dentatorubral Pallidoluysian Atrophy.pptx
Dentatorubral Pallidoluysian Atrophy.pptxDentatorubral Pallidoluysian Atrophy.pptx
Dentatorubral Pallidoluysian Atrophy.pptx
 
Anti-MAG Neuropathy.pptx
Anti-MAG Neuropathy.pptxAnti-MAG Neuropathy.pptx
Anti-MAG Neuropathy.pptx
 
Trigeminal Trophic Syndrome.pptx
Trigeminal Trophic Syndrome.pptxTrigeminal Trophic Syndrome.pptx
Trigeminal Trophic Syndrome.pptx
 
Acute Exacerbation of Trigeminal Neuralgia.pptx
Acute Exacerbation of Trigeminal Neuralgia.pptxAcute Exacerbation of Trigeminal Neuralgia.pptx
Acute Exacerbation of Trigeminal Neuralgia.pptx
 
Management of Motor Fluctuations in Parkinson Disease.pptx
Management of Motor Fluctuations in Parkinson Disease.pptxManagement of Motor Fluctuations in Parkinson Disease.pptx
Management of Motor Fluctuations in Parkinson Disease.pptx
 
Role of Clopidogrel in Minor Stroke and Transient Ischaemic Attack.pptx
Role of Clopidogrel in Minor Stroke and Transient Ischaemic Attack.pptxRole of Clopidogrel in Minor Stroke and Transient Ischaemic Attack.pptx
Role of Clopidogrel in Minor Stroke and Transient Ischaemic Attack.pptx
 
Transient Epileptic Amnesia.pptx
Transient Epileptic Amnesia.pptxTransient Epileptic Amnesia.pptx
Transient Epileptic Amnesia.pptx
 
Management of Benzodiazepine Misuse and Dependence.pptx
Management of Benzodiazepine Misuse and Dependence.pptxManagement of Benzodiazepine Misuse and Dependence.pptx
Management of Benzodiazepine Misuse and Dependence.pptx
 
Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia a...
Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia a...Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia a...
Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia a...
 
Cerebral Superficial Siderosis.pptx
Cerebral Superficial Siderosis.pptxCerebral Superficial Siderosis.pptx
Cerebral Superficial Siderosis.pptx
 
Frontotemporal Brain Sagging Syndrome.pptx
Frontotemporal Brain Sagging Syndrome.pptxFrontotemporal Brain Sagging Syndrome.pptx
Frontotemporal Brain Sagging Syndrome.pptx
 
Epidural Blood Patch.pptx
Epidural Blood Patch.pptxEpidural Blood Patch.pptx
Epidural Blood Patch.pptx
 
Spontaneous Intracranial Hypotension.pptx
Spontaneous Intracranial Hypotension.pptxSpontaneous Intracranial Hypotension.pptx
Spontaneous Intracranial Hypotension.pptx
 
Clinical Evaluation and Management of Facial Nerve Trauma
Clinical Evaluation and Management of Facial Nerve TraumaClinical Evaluation and Management of Facial Nerve Trauma
Clinical Evaluation and Management of Facial Nerve Trauma
 
Argyrophilic Grain Disease.pptx
Argyrophilic Grain Disease.pptxArgyrophilic Grain Disease.pptx
Argyrophilic Grain Disease.pptx
 
Anti-IgLON5 Disease.pptx
Anti-IgLON5 Disease.pptxAnti-IgLON5 Disease.pptx
Anti-IgLON5 Disease.pptx
 
Globular Glial Tauopathies.pptx
Globular Glial Tauopathies.pptxGlobular Glial Tauopathies.pptx
Globular Glial Tauopathies.pptx
 
The Tauopathies.pptx
The Tauopathies.pptxThe Tauopathies.pptx
The Tauopathies.pptx
 
Primary Progressive Aphasia.pptx
Primary Progressive Aphasia.pptxPrimary Progressive Aphasia.pptx
Primary Progressive Aphasia.pptx
 

Recently uploaded

Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Genuine Call Girls
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...narwatsonia7
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 

Pain Management Concept