HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in ADC Online Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Gauntlett-Gilbert, J Articles by Ramanan, A V Search for Related Content PubMed PubMed Citation Articles by Gauntlett-Gilbert, J Articles by Ramanan, A V

When painkillers don’t kill pain

¹ Pain Management Unit, Royal National Hospital for Rheumatic Diseases and The University of Bath, Bath, UK
² Department of Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol, UK

Correspondence to:
Dr A V Ramanan, Department of Paediatric Rheumatology, Bristol Royal Hospital for Children, Upper Maudlin Street, King David Building, Bristol BS2 8BJ, UK; avramanan@hotmail.com

The first 150 words of the full text of this article appear below.

A 13-year-old boy named Nick presents to the Accident and Emergency Department of his local hospital with severe pain in his left leg. He gives a history of having injured it five months previously during a rugby match, describing it as getting a "dead" leg that eventually got better. He subsequently injured the same leg during rugby again—this time, his knee. At the time the injury appeared trivial and he finished the rugby game. Over the following five days the pain worsens and he attends hospital.

The senior house officer in A&E feels that the history does not suggest significant injury as Nick has been walking around on the leg for several days. On examination she notes that his knee ligaments are stable but that his joints are generally quite hypermobile. She reassures Nick and his parents that there is no serious injury, his leg pain should improve with time, . . . [Full text of this article]

-->
-->
-->
-->
-->