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dc.contributor.authorHarding, Geoffen_US
dc.contributor.authorYelland, Michaelen_US
dc.date.accessioned2017-04-24T11:26:03Z
dc.date.available2017-04-24T11:26:03Z
dc.date.issued2007en_US
dc.date.modified2008-04-23T11:03:07Z
dc.identifier.issn03008495en_US
dc.identifier.urihttp://hdl.handle.net/10072/17027
dc.description.abstractBACKGROUND 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.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.format.extent301659 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherRoyal Australian College of General Practitionersen_US
dc.publisher.placeAustraliaen_US
dc.publisher.urihttp://www.racgp.org.au/afpen_AU
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom422en_US
dc.relation.ispartofpageto429en_US
dc.relation.ispartofedition2007en_US
dc.relation.ispartofissue6en_US
dc.relation.ispartofjournalAustralian Family Physicianen_US
dc.relation.ispartofvolume36en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchcode329999en_US
dc.titleBack, chest and abdominal pain : Is it spinal referred pain?en_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.rights.copyrightCopyright 2007 Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.en_AU
gro.date.issued2007
gro.hasfulltextFull Text


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