Have you considered inter-facetal joint trouble? This diagnosed is
by inability to fully rotate at the hips to 90 degrees on one side or
the other while sitting. Tenderness over one area of the thoracic
spine. Pain improves on lifting the patient up by the elbows and may
be cured by Maitland's maneuver followed by clicking the ? displaced
joint back. I have seen loads of cases and relieved many anxious souls
even some stuck on drips in intensive scare wards. My guess is that it
is the commonest cause and one that is never taught in medical schools.
Mike D'Souza
I have an "experience based" hand-out on this which I could attach if
wanted.
On 28 Dec 2007, at 15:16, Alistair Holmes wrote:
> ? Post herpetic neuralgia/nerve entrapment syndrome, any response to
> use of
> local capsacin?
> Alistair
>
> -----Original Message-----
> From: Paul Bromley [mailto:[log in to unmask]]
> Sent: 28 December 2007 15:07
> To: [log in to unmask]
> Subject: Atypical chest pain - ? who to refer to??
>
>
> Chap with atypical chest pain - early 40s, already been to see
> cardiologists
> and being investigated for an abnormal ECG - ?? cardiomyopathy, but
> they
> obviously do not think it is causing the chest pain. Also he is very
> fit and
> cycles ++. Pain he describes as a burning pain, like sunburn L side of
> chest. Worse with exercise. PPIs not effective. Who would you refer
> to?? One
> of those funny ones!
>
> Any thoughts? Had this now since July without any relief.
>
> I hate these where they do not fall into a specific area as no-one is
> interested.
>
> --
> Best Wishes
>
> Paul Bromley
>
> www.informatiks.com
> Custom EMIS LV Software.
> vuE | GPLabels | GPDocs | eGFRChecker
MICHAEL D'SOUZA
[log in to unmask]
|