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  • Back, chest and abdominal pain : Is it spinal referred pain?

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    47844_1.pdf (294.5Kb)
    Author(s)
    Harding, Geoff
    Yelland, Michael
    Griffith University Author(s)
    Yelland, Michael
    Year published
    2007
    Metadata
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    Abstract
    BACKGROUND In patients with pain in the back, chest or abdomen, it may be difficult to differentiate nonmusculoskeletal causes from musculoskeletal causes. OBJECTIVE This article discusses the mechanisms of musculoskeletal referred pain and the key clinical features that help the practitioner differentiate such pain from nonmusculoskeletal pain, thereby informing appropriate management. DISCUSSION Patterns of pain referred from musculoskeletal structures in the back have been well documented from experimentally induced pain. The key features on history that point to spinal referred pain are pain on movement, tenderness ...
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    BACKGROUND In patients with pain in the back, chest or abdomen, it may be difficult to differentiate nonmusculoskeletal causes from musculoskeletal causes. OBJECTIVE This article discusses the mechanisms of musculoskeletal referred pain and the key clinical features that help the practitioner differentiate such pain from nonmusculoskeletal pain, thereby informing appropriate management. DISCUSSION Patterns of pain referred from musculoskeletal structures in the back have been well documented from experimentally induced pain. The key features on history that point to spinal referred pain are pain on movement, tenderness and tightness of musculoskeletal structures at a spinal level supplying the painful area, and an absence or paucity of symptoms suggestive of a nonmusculoskeletal cause. Radiological investigations are often of little value in confirming a musculoskeletal cause. A positive response to therapy directed at the musculoskeletal source supports - but does not prove - a diagnosis of musculoskeletal referred pain.
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    Journal Title
    Australian Family Physician
    Volume
    36
    Issue
    6
    Publisher URI
    http://www.racgp.org.au/afp
    Copyright Statement
    © 2007 Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.
    Subject
    Clinical Sciences
    Public Health and Health Services
    Publication URI
    http://hdl.handle.net/10072/17027
    Collection
    • Journal articles

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