STUDY DESIGN Resident's case problem. BACKGROUND Abdominal pain is a common symptom, but not a common diagnosis, of patients referred to physical therapists for examination and intervention. For patients with primary symptoms of abdominal pain, a thorough evaluation must be performed to determine if symptoms are musculoskeletal in nature or of a nonmusculoskeletal origin that would warrant a ...

BACKGROUND The impact of telephone consultations between pain specialists and primary care physicians regarding the care of patients with chronic pain is unknown. OBJECTIVES To evaluate the impact of telephone consultations between pain specialists and primary care physicians regarding the care of patients with chronic pain. METHODS Patients referred to an interdisciplinary chronic pain ser...

We reviewed the referral pattern of children with chronic pain to a specialized pediatric pain clinic. Data were obtained from referring physicians and medical records and during an interview with patients and their parents by physicians and a psychologist. We analyzed the following: referral diagnosis, demographics, duration of symptoms, number of physicians previously consulted, school attend...

BACKGROUND Pain is often poorly controlled in cancer patients. Chronic pain affects adult patients at all stages of cancer management. Optimal pain management may require attention to psychosocial variables and the inclusion of nonpharmacological techniques. METHODS Three nonpharmacological strategies that are effective in reducing pain caused by cancer--patient psycho-education, supportive p...

STUDY OBJECTIVE: To report the frequency and spectrum of histologically proved diseases of the appendix in patients undergoing laparoscopic surgery for chronic pelvic pain in conjunction with endometriosis in a tertiary referral center. DESIGN: Patient database with retrospective chart review (Canadian Task Force classification II-3). SETTING: University ambulatory endoscopic surgery center—ter...

Objective: Headache is one of the common complaints of referral patients. The prevalence of symptoms of depression and anxiety in patients with headache is significant. The previous researches suggested the role of self-efficacy of pain in modifying psychological symptoms and improving clinical outcomes. The current study aimed at investigating the role of self-efficacy beliefs of pain in psych...

For asymptomatic or minimally symptomatic hernias, a watchful waiting approach is advocated where the patient is reassured and clear instruction is given to seek medical attention urgently if features of strangulation develop. Surgical treatment is approved if the hernia 0 0 0 progressively increases in size month on month, or ! is not commissioned in patients with groin pain with no 0 ! / 0 0 ...