Search results

eventually become constant even at rest with continued aggravation. In some cases the patient may have a stiff-legged gait due to avoidance of knee flexion

but this may be due to irritation of the posterior abdominal wall, in which case the pain is not truly referred in nature. Somatic referred pain is referred

trauma, Sudden onset of pain, Minor trauma with risk factors (age over 50, history of osteoporosis, corticosteroid use) Infection, crystal arthritis: fever

frequently confused. Neurectomy refers to injury distal to the DRG, in which case the DRG survive for a long time and still generate impulses that can activate

toxicology registers (almost all cases due to multisubstance) Misused gabapentinoids obtained from healthcare providers in 63% cases (UK and US study) In 2019

aspect of the joint. STT osteoarthritis is commonly seen on x-rays but most cases are not clinically significant. The STT joint is the second most common site

hypertension, smoking history, diabetes, sedentary lifestyle, obesity, stroke, ischaemic heart disease, impaired ABPI. Infection: fever, history of risk factors

4, 6, 12, and 18 months. History taking should include risk factors such as breech delivery or presentation, family history of DDH, and other indicators

nerve roots above to determine the superior border. See Downs et al on the history of dermatome maps. Bolk 1898 and Herringham 1886 Much of the initial research

temporally with the spinal surgery, for example in those with a distant history of successful spinal surgery. The IASP state that the term is used to encompass

symptoms can occur but usually there is one dominant side. A common theme in case reports is significant delay to diagnosis and misdiagnosis, and even incorrectly

Coccygeal plexus. Courtesy of Dr Matt Skalski, from the case rID: 33690

there is a history of direct trauma to the elbow or of repetitive use. At other times there is no antecedent history at all. Even in cases where the bursa

fist. Oral prednisone can be used in this case. Dupuytren's contracture is a progressive disease in most cases. 75% of patients develop advanced disease

combine in an additive manner. However this is not necessarily always the case. There have been many variants of this design over the years to try and optimise

injection. Of 178 new cases of low back pain +/- leg pain, there were 21 cases of symptomatic interspinous oedema (12% prevalence), 6 cases of asymptomatic interspinous

straightforward, the following differentials should be considered. A careful history and physical examination can usually rule out most of these conditions.

the head in the case of injury to the upper cervical segments; or to the posterior upper limb girdle or anterior chest wall in the case of injury to the

begin to solve it? Example Consider the following case. A 60-year-old woman presents with two months history of bilateral shoulder pain, morning stiffness

(bisphosphanates are first line) and vitamin D are prescribed for preventative care. One case controlled study found that teriparatide improves pain, reduces analgesic