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

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Title Back, chest and abdominal pain : Is it spinal referred pain?
Author Harding, Geoff; Yelland, Michael
Journal Name Australian Family Physician
Year Published 2007
Place of publication Australia
Publisher Royal Australian College of General Practitioners
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 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.
Peer Reviewed Yes
Published Yes
Publisher URI http://www.racgp.org.au/afp
Copyright Statement Copyright 2007 Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.
Volume 36
Issue Number 6
Edition 2007
Page from 422
Page to 429
ISSN 0300-8495
Date Accessioned 2008-01-08
Date Available 2008-04-23T11:03:07Z
Language en_AU
Research Centre Griffith Health Institute; Centre for Musculoskeletal Research
Faculty Griffith Health Faculty
Subject Medical and Health Sciences
URI http://hdl.handle.net/10072/17027
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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