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WELCOME TO WIKIMSK
The New Zealand Musculoskeletal Medicine Wiki
Nau mai, haere mai! This website is a learning resource that is primarily designed for Musculoskeletal Medicine training in New Zealand. It also aims to be useful for GPs, other doctors, and medical students. It is not written for patients but they are welcome to read the articles. Click on a body region on the skeleton or a portal below to get started.
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Category:Elbow and ForearmCategory:Elbow and ForearmCategory:Hand and WristCategory:Hand and WristCategory:Foot and AnkleCategory:Knee and LegCategory:Pelvis, Hip and ThighCategory:SpineCategory:ShoulderCategory:ShoulderCategory:Head and JawCategory:Chest WallCategory:Chest WallCategory:Abdominal WallCategory:Abdominal WallCategory:WidespreadPortal:Procedures
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24 June 2022: It has been two years since the launch of WikiMSK. Read more
15 March 2022: Server upgrade and new features. Read more
4 March 2022: We've shot past 350 articles. Read more
Featured Wiki Article for 1 March 2025

Tract or Funicular Pain

Funicular or tract pain refers to pain arising from dysfunction or irritation of the longitudinal spinal cord tracts (funiculi) rather than nerve root (radicular) or musculoskeletal structures. It is essentially a central (spinal cord) pain syndrome caused by lesions of the intraspinal sensory pathways (spinothalamic tracts or dorsal columns). Clinically, funicular pain is characteristically diffuse, often burning or stabbing, and does not follow dermatomal distributions. Patients may describe unusual sensations such as a cold, aching dysesthesia in an extremity. A classic example is , an electric shock-like sensation down the spine or limbs with neck flexion, seen in cervical cord demyelination. - Read More
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Featured Open Access Journal Article for 1 November 2024

Open-Label Placebo Injection for Chronic Back Pain With Functional Neuroimaging

JAMA Psychiatry

ABSTRACT - In this randomized clinical trial of 101 adults with chronic back pain, an open-label subcutaneous placebo (saline) injection led to significant improvements in pain intensity, mood, and sleep at 1 month posttreatment compared with usual care. The placebo treatment also led to reduced somatomotor activity and increased medial prefrontal activity during evoked back pain and to increased medial prefrontal-brainstem functional connectivity during spontaneous pain.

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I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

— The Hippocratic Oath: Modern Version, Lasagna 1964