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dc.contributor.authorHarding, Geoff
dc.contributor.authorYelland, Michael
dc.date.accessioned2017-05-03T14:11:05Z
dc.date.available2017-05-03T14:11:05Z
dc.date.issued2007
dc.date.modified2008-04-23T11:03:07Z
dc.identifier.issn0300-8495
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.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent301659 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherRoyal Australian College of General Practitioners
dc.publisher.placeAustralia
dc.publisher.urihttp://www.racgp.org.au/afp
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom422
dc.relation.ispartofpageto429
dc.relation.ispartofedition2007
dc.relation.ispartofissue6
dc.relation.ispartofjournalAustralian Family Physician
dc.relation.ispartofvolume36
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3202
dc.titleBack, chest and abdominal pain : Is it spinal referred pain?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2007 Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.
gro.date.issued2007
gro.hasfulltextFull Text
gro.griffith.authorYelland, Michael


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