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This section covers pain anywhere between shoulders to the bottom of ribs. It can arise from
- Inside the thoracic cavity (inside chest)
- From the chest wall including the thoracic spine
- Be referred from the neighbouring areas and structures such as abdomen, cervical spine.
Chest wall pain can originate from any of the chest wall structures including bones, joints, muscles, cartilage, ligaments, tendons, nerves, skin and soft tissue. It generally increases with arm movement and is accompanied by localised tenderness Read More
Neuropathic or nerve pain arises as a result to damage or improper functioning of the nerves/nervous system. It presents as poorly localised burning, shooting or electric shock like pain with altered sensitivity in the affected area. Sudden increase in pain severity is commonly observed. Over the period time sometimes skin changes, weakness and wasting of muscles can develop Read More
Chronic post surgical pain (CPSP) is pain localized to the surgical site or a referred area persisting 3 months after surgery. To diagnose CPSP pain should have been absent before surgery or should have different characteristics from preoperative pain. Other possible causes of the pain such as infection, recurrence of original problem etc need to be excluded Read More
Chest wall pain can originate from any of the chest wall structures including bones, joints, muscles, cartilage, ligaments, tendons, nerves, skin and soft tissue. It generally increases with arm movement and is accompanied by localised tenderness Read More
In simple words, low back pain can be defined as pain experienced in the bottom region of spine (between lower margins of ribs and the gluteal folds). It may remain localised to back or radiate to the legs Read More
Shoulder pain may be an isolated problem localised to the shoulder or be a part of widespread pain as in rheumatoid arthritis. A combination of history, examination and diagnostic investigations is utilised to identify the pathology and guide further management Read More
Chronic abdominal pain is a common reason for seeking medical attention. Pain generators in abdominal pain are not always easy to identify and may be located inside the abdomen, in the abdominal wall or in the nearby organs with pain being referred to the abdomen Read More
Neck Pain is a pain posteriorly anywhere between the skull base and thoracic spine. It is the largest cause of musculoskeletal disability after low back pain. Approximately two-thirds of the population will suffer from neck pain at some time in their life with high prevalence in middle ages Read More
Pain in cancer may arise due to many reasons and is often the presenting complaint leading to the diagnosis of cancer. It may be
- Related to cancer itself or its spread to other body parts
- A late presentation due to side effect of treatments such as chemotherapy, radiotherapy and surgery
- A result of extra stress placed on other body parts for example shoulder pain due to using of a stick for walking
- A totally unrelated coincidental problem such as arthritis Read More
Diabetic Neuropathy where patients complain of a burning sensation most commonly in the sole of feet, worst at night time
- Infections such as Post heretic neuralgia, HIV
- Persistent post surgery pain or trauma involving nerve damage Read More
Globally, musculoskeletal pain is a common reason of disability and seeking medical advice. It may be localised to one area or present as a widespread/ multisite pain. Musculoskeletal symptoms may be a consequence of orthopaedic, neurologic or rheumatologic processes and hence a comprehensive history and examination is required. Based on the findings further tests and imaging are requested to confirm the diagnosis or rule out other serious conditions Read More
Knee pain can be a source of significant disability in all age groups as it limits mobility. It can be classified into traumatic or non traumatic and based on the site of pain into anterior, medial, lateral and posterior. The common reasons for knee pain vary with age group and pain site Read More
Neuropathic or nerve pain arises as a result to damage or improper functioning of the nerves/nervous system. It presents as poorly localised burning, shooting or electric shock like pain with altered sensitivity in the affected area. Sudden increase in pain severity is commonly observed Read More
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