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Lower extremity hyperalgesia and allodynia: a case review for evidence based pain diagnosis
Citation
Nagarajan, M, Lower extremity hyperalgesia and allodynia: a case review for evidence based pain diagnosis, Abstracts from APA Conference Week, 01-05 October, Sydney, pp. 29. (2009) [Conference Extract]
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Abstract
The clinical presentation of pain may be influenced by
multiple etiological factors. It is a clinician’s most important
responsibility to determine the underlying causes of the
patient’s symptoms with differential assessment based on
sound multidimensional clinical reasoning. The aim of this
case review is to describe evidence based pain diagnosis
of the patient present with lower quarter hyperalgesia
and allodynia. A 42-year old female was referred for
physiotherapy with severe low back pain with progressive
burning sensation in the left lower limb and left waist
since three months. She had a past history of cervical spine
myelomalacia (central cord syndrome) and right parital
lobe epilepsy. During routine musculoskeletal evaluation,
we found Grade I spondylolythesis at L5–S1 level, mild
type II complex regional pain syndrome. Together with
these findings the central cord syndrome and parital lobe
epilepsy were considered as the major factors for developing
the pain. She was found positive for psychosocial illness,
which may also influence the pain. Based on the available
evidence towards various models and classification of pain,
the possible mechanisms for present ongoing pain were identified. The evidence for diagnostic options is reviewed.
Sound clinical reasoning gave us a good explanation
about the underlying causes of pain and helped us to
concurrently think about prognosis with current medical
management. Accordingly rehabilitative measures were
tailored, considering a bio-psychosocial approach. This
case reminded us that, the mechanism based pain diagnosis
plays a major role in a broad understanding of pain, in order
to effectively manage the clinical presentation of pain in
musculoskeletal physiotherapy practice.
Item Details
Item Type: | Conference Extract |
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Keywords: | low back pain, hyperalgesia, allodynia, physiotherapy |
Research Division: | Health Sciences |
Research Group: | Allied health and rehabilitation science |
Research Field: | Physiotherapy |
Objective Division: | Health |
Objective Group: | Provision of health and support services |
Objective Field: | Allied health therapies (excl. mental health services) |
UTAS Author: | Nagarajan, M (Dr Nagarajan Manickaraj) |
ID Code: | 148384 |
Year Published: | 2009 |
Deposited By: | Health Sciences |
Deposited On: | 2022-01-04 |
Last Modified: | 2022-02-03 |
Downloads: | 0 |
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