Neck and back pain on the background of on-going urological problems and a life crisis

Author: Foell, Jens1

Source: International Musculoskeletal Medicine, Volume 31, Number 3, September 2009 , pp. 123-125(3)

Publisher: Maney Publishing

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Abstract:

A 41-year-old man presented in general practice with neck and back pain. Assessment showed somatic dysfunction in the cervical spine and thoracic outlet, and concurrent issues arising from orchidectomy including psychosocial problems which might determine a poor prognosis. Management included manual therapy to the symptomatic area, co-ordination of specialist services and counselling against his catastrophisation and helplessness. The interim outcome was of pain relief and a more positive attitude to planning his life-style and potential for work.

Keywords: NECKPAIN; PSYCHOSOCIAL; ORCHIDECTOMY; MANUALTHERAPY

Document Type: Case report

DOI: 10.1179/175361409X12472218840726

Affiliations: 1: General Practitioner, Specialist in Rehabilitation Medicine, The Medical Centre, 292 Munster Road, London SW66BQ, UK;, Email: j.foell@imperial.ac.uk

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