Chest pain is an alarming complaint in children, leading an often frightened and concerned family to a pediatrician or emergency room and commonly to a subsequent referral to a pediatric cardiologist. Because of the well-known association of chest pain with significant cardiovascular disease and sudden death in adult patients, medical personnel commonly share heightened concerns over pediatric ...

This article describes some of the miscellaneous etiologies of pediatric chest pain that are important to recognize early and diagnose. Up to 45% of pediatric chest pain cases may elude definitive diagnosis. Serious morbidity or mortality is infrequent. Accurate diagnosis of more obscure causes may help to avoid unnecessary emergency department evaluation and cardiology referral, while also all...

It is not uncommon for patients with muscle pain to end up in a chiropractic office, either by referral from another clinician or by self-referral. There are many conditions including trauma that are associated with inflammation of muscles. Even healthy people who overdo it with strenuous exercise can suffer temporary inflammatory changes in their muscles. Many conditions that seem to involve t...

Patients with trigeminal neuralgia may be treated in many ways before referral for definitive surgery. This aspect has been looked at in a group of 140 consecutive patients. Patients on prolonged medication have been studied with respect to the period over which the pain occurred and the amount of carbamazepine taken. Earlier referral for surgery is recommended for some of these patients and gu...

BACKGROUND The purpose of the present paper was to assess efficiency of treatment and long-term functional outcome of complex regional pain syndromes (CRPS) in children who were treated in the chronic pain clinic at a major tertiary hospital in Israel. METHODS The files of 14 children with CRPS were analyzed retrospectively. Demographic data, initiating event, referring source, time needed fo...

Age, gender and duration of symptoms were determined, together with all treatment options/information provided to patients. 50 consecutive patients were questioned. The mean duration of LBP was 8.7 months. Average age was 45 years. The percentage of patients attending each modality is shown in table 1. No patients received all the treatment modalities, and 4% had failed to receive any prior to ...

Although they are common symptoms of ALS , there is little information on the prevalence spasticity and spasticity-related pain. Consecutive patients were prospectively recruited from an referral center. Clinical assessment, functional scores, features pains has been recorded. In a cohort 150 patients, 36% presented with spasticity. Spastic younger, longer duration disease. Spasticity accelerat...

A case study of a middle aged female with severe musculoskeletal medical conditions causing severe pain is presented. The referral for psychological services was conducted in concordance with the medical treatments. In this case, the complex nature of the severe musculoskeletal medical conditions necessitated intensive care and the collaborative communications provided this to the patient. A ta...

BACKGROUND GPs have to respond to conflicting policy developments. As gatekeeper they are supposed to manage the growing demand for specialist services and as patient advocate they should be responsive to patients' preferences. We used an innovative approach to develop a referral guideline for patients with chronic knee pain that explicitly incorporates patients' preferences. METHODS A guidel...

BACKGROUND Patients in sub-Saharan Africa commonly experience pain, which often is un-assessed and undertreated. One hindrance to routine pain assessment in these settings is the lack of a single-item pain rating scale validated for the particular context. The goal of this study was to examine the face validity and cultural acceptability of two single-item pain scales, the Numerical Rating Scal...