BACKGROUND Chronic pain is prevalent among young people and negatively influences their quality of life. Furthermore, chronic pain in adolescence may persist into adulthood. Therefore, it is important early on to promote the self-management skills of adolescents with chronic pain by improving signaling, referral, and treatment of these youngsters. In this study protocol we describe the designs ...

This 2-part article provides an update on the latest in chronic shoulder pain diagnosis and management. In the first part (“Meeting the challenge of chronic shoulder pain: The diagnosis,” The Journal of Musculoskeletal Medicine, August 2010, page 317), we focused on making the diagnosis on the basis of the patient history, physical examination, and imaging, offering primary care physicians usef...

This 2-part article provides an update on the latest in chronic shoulder pain diagnosis and management. In the first part (“Meeting the challenge of chronic shoulder pain: The diagnosis,” The Journal of Musculoskeletal Medicine, August 2010, page 317), we focused on making the diagnosis on the basis of the patient history, physical examination, and imaging, offering primary care physicians usef...

UNLABELLED Correct diagnosis is the key to managing facial pain of non-dental origin. Acute and chronic facial pain must be differentiated and it is widely accepted that chronic pain refers to pain of 3 months or greater duration. Differentiating the many causes of facial pain can be difficult for busy practitioners, but a logical approach can be beneficial and lead to more rapid diagnoses with...

This chapter addresses the questions of which patients might profitably be referred to pain clinics, as well as when this should happen for the optimum results. Since there are many different types of pain clinic, the question of to which pain clinic should a patient be referred is also examined. The development of multidisciplinary pain clinics and the types of services (assessment and treatme...

OBJECTIVE To examine the factors associated with FPs' referrals of patients with chronic noncancer pain to a tertiary care pain clinic. DESIGN A questionnaire-based survey; data were analyzed using univariate methods. SETTING A tertiary care pain clinic in Toronto, Ont. Participants All FPs who referred patients to the clinic between 2002 and 2005. MAIN OUTCOME MEASURES Variables explored...

Chest pain is one of the most common reasons for admission to emergency department, pediatrics and pediatric cardiology clinics in childhood. While not usually caused by a serious cause, it can be concern patient their parents. Clinicians should inform family benign nature chest pain, unless they consider an important underlying cause. Routine referral these patients department recommended, as ...

Palliative care (PC) is the medical specialty that focuses on improving quality of life through managing pain and other distressing symptoms of a serious illness [1]. Patients with advanced cancer are often candidates for PC and may benefit significantly from access to the multi-disciplinary approach employed by this specialty. In particular, PC has been shown to improve outcomes related to pai...