Painful panto

doi:10.1136/bmj.a2138

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James Heffer, general practitioner, The Health Centre, Bradford-on-Avon

jimheffer{at}hotmail.com

My patient, Mr Monie, aged 36 years, came to see me in March and complained of a painful left elbow. The pain had been present for a month or so, and he was not aware of any injury that might have caused it. There was no medical history of note, he took no drugs and was generally fit and well. I knew he was an actor by profession, but this seemed irrelevant to his complaint.

On examination there was no …