Most persistent chest pain syndromes develop following trauma of some sort and very frequently the medical treatment of coronary artery disease or any injury requiring surgery on the chest wall. Some chest pain may be referred or coming from the neck and also occasionally results from a degenerative spinal condition such as scoliosis. Patients with severe osteoporosis may suffer a spontaneous fracture and subsequent pain. We have treatments for all of these pain syndromes.
After we determine your diagnosis we will review your treatment options and seek to minimize the risk and maximize your chance of achieving long term reduction in your pain.
Post Surgical Pain
Mrs Jones (not her real name), 55 years old, came to a musculoskeletal specialist seeking advice for a 3-year history of progressively worsening pain in both knees. Her knees were stiff for about 20 minutes when she arose in the morning and for a few minutes after getting up from a chair during the day. She had difficulty walking > 30 minutes because of pain, and her symptoms were exacerbated by kneeling, squatting, or descending stairs. Although sitting, resting, and reclining relieved her pain, she became stiff if she stayed in one position for too long. Her symptoms were worse on humid or cold days, and she occasionally felt as if one of her knees would “give out.”