Clinicians commonly evaluate patients for the cause of chronic pain but do not always diagnose the type of pain. The pathophysiology of pain, if accurately determined, can help in the selection of appropriate treatment.
Injury or major complaint: Complains of R lateral elbow pain at rest and when carrying briefcase. Present approximately 2 weeks. James does not recall specific trauma. James has been unable to swing tennis racket without pain. (if golfer’s elbow, pain would be on medial aspect of elbow)
Injury or major complaint: Progressive bilateral shoulder pain over 2-3 months. No specific mechanism of injury. Job description includes lifting of heavy boxes and general maintenance and cleaning with use of mops.
Injury or major complaint: Complains of progressive nagging bilateral knee pain present over 6 months. Pain is present at rest and worse with increased activity and cycling. The doctors have diagnosed Robert with bilateral knee arthritis in the past.