Nature of the pain

The nature of the pain may reveal its likely origin. Establish where the pain is worst— whether it is central (proximal) or peripheral. The following are general characteristics and guides to diagnosis:

• aching throbbing pain = inflammation, e.g. sacroiliitis

• deep aching diffuse pain = referred pain, e.g. dysmenorrhoea

• superficial steady diffuse pain = local pain, e.g. muscular strain

• boring deep pain = bone disease, e.g. neoplasia, Paget's disease

• intense sharp or stabbing (superimposed on a dull ache) = radicular pain, e.g. sciatica

A comparison of the significant features of the two most common types of pain—mechanical and inflammatory—is presented in Table 33.4 .

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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