BACKGROUND Lumbar spine radiography has limited use in diagnosing the cause of acute low back pain. Consensus-based guidelines recommend that lumbar spine x-rays are not used routinely. However there have been no studies of the effect of referral for radiography at first presentation with low back pain in primary care. AIM To compare short and long-term physical, social, and psychiatric outco...

Pain arising from damage or malfunction of the nervous system (for example postherpetic neuralgia, peripheral nerve injuries and the neuropathies) is often severe and resistant to standard analgesics. These patients are commonly seen in pain clinics where they receive a variety of treatments including psychotropic drugs (such as antidepressants and anticonvulsants), nerve blocks and stimulation...

BACKGROUND Pain referral patterns of asymptomatic costotransverse joints have not been established. The objective of this study was to determine the pain referral patterns of asymptomatic costotransverse joints via provocative intra-articular injection. METHODS Eight asymptomatic male volunteers received a combined total of 21 intra-articular costotransverse joint injections. Fluoroscopic ima...

Pulpal pain does not refer to an endodontically treated tooth. Nevertheless, such a potential may exist based on a learned phenomenon due to previous treatment experiences but is rarely reported. Further, it is seldom reported to occur with atypical features. This case report is on a patient who was presented with pain in endodontically treated lower first molar (36) and recommended to undergo ...

The cervical spine may be the source of many pain syndromes, including : neck pain, headaches of cervical origin, cervical radiculopathies, upper thoracic pain and even shoulder and elbow pain. This paper deals with the referral of cervical pain to the upper part of the thorax. The major point is that in this case, the pain is felt at the thoracic level and not in the neck (or at a lesser exten...

OBJECTIVE The sternoclavicular joint (SCJ) is commonly affected by rheumatological conditions. Case reports suggest that it may refer pain to distant areas, potentially leading to delays in diagnosis and inappropriately targeted investigations. Therefore, we studied the patterns of pain referral from the SCJ of nine healthy volunteers. METHODS Hypertonic saline was injected into the SCJ of ni...

Introduction: Physical symptoms associated with depression and common psychiatric disorders sometimes lead to the misdiagnosis of depressive disorders. The aim of this study was to determine the frequency distribution of different chief complaints in patients with major depressive disorder referring to psychiatric clinics according to their demographic characteristics and source of referral. Me...

This is a case report of a 33-year-old woman who presented with an eight year history of deep left knee pain. The pain was originally diagnosed as deriving from osteoarthrosis of the hip secondary to dysplasia, however, the same pain returned at seven months, and again at 10 months, after successful hip resurfacing arthroplasty. Six to eight weeks after the start of the second relapse of referr...