Letters

Chronic forearm pain

BMJ 1997; 314 doi: http://dx.doi.org/10.1136/bmj.314.7086.1041a (Published 05 April 1997) Cite this as: BMJ 1997;314:1041

Thermography is a sensitive adjunct to diagnosis

  1. C M Colles, Veterinary surgeona,
  2. A G Pusey, Registered osteopathb,
  3. J Brooks, Registered osteopathb
  1. a Avonvale Veterinary Group, Ratley, Banbury OX1 56DF
  2. b A G Pusey and Associates, Haywards Heath, Sussex
  3. c Pulvertaft Hand Centre, Derbyshire Royal Infirmary, Derby DE1 2QY

    Editor—Reporting on thermographic changes in keyboard operators with chronic forearm pain, S D Sharma and colleagues suggest that thermography needs further evaluation as a diagnostic tool and that it may become a useful means of assessing the efficacy of treatment.1 Our experience over a five year period of the use of thermography as an aid to diagnosis and later as a means of objective assessment of the effects of treatment on horses in a veterinary practice strongly supports this view.2

    The initial subjects were 49 horses suffering from persistent non-specific lameness or chronic back pain which had not responded to standard veterinary treatment. All were referred for manipulative treatment using osteopathic techniques. More recently some 400 horses have been assessed before and after treatment, and in 80% of equine cases with chronic back pain, no orthopaedic or neurological pathology was found.3 The parallel …

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