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Dr. James that is a very important point however many general
practitioners have poor musculo-skeletal diagnostic skills.
My experience in my work and as a pain clinic patient myself, it is very
hard to get decent musculo skeletal pain diagnosis even through some
general practitioners and pain clinics. It took me two GPs and two pain
clinics later to get formal musculo skeletal pain diagnosis. Only at the
final pain clinic I went to did I get a proper diagnosis and proper
examination.
Therefore I am hardly surprised at the high proportion of chest pain
rather than musculo skeletal pain patients getting inappropriately
referred and underdiagnosed.
Re Chest pain and musculoskeletal pain
Dr. James that is a very important point however many general
practitioners have poor musculo-skeletal diagnostic skills.
My experience in my work and as a pain clinic patient myself, it is very
hard to get decent musculo skeletal pain diagnosis even through some
general practitioners and pain clinics. It took me two GPs and two pain
clinics later to get formal musculo skeletal pain diagnosis. Only at the
final pain clinic I went to did I get a proper diagnosis and proper
examination.
Therefore I am hardly surprised at the high proportion of chest pain
rather than musculo skeletal pain patients getting inappropriately
referred and underdiagnosed.
Competing interests:
None declared
Competing interests: No competing interests