This study was rather biased. There was no discussion on the value of
the role of musculoskeletal medicine. Every year doctors trained in
musculoskeletal medicine or medical osteopathy do thousands of successful
manipulations to those with chronic shoulder pain and obviate the need for
surgery.This is better for the patient , less traumatic and less
expensive.
Physiotherapy is very limited in prognosis however pain specialist
physiotherapists do have a good role to play here as do pain clinics in
the management of chronic pain.
Surgery should always be the last resport as like with back pain it does not
always lead to a significant improvement and in some cases can make
symptoms--including movement restriction.
Competing interests:
None declared
Competing interests:
No competing interests
13 November 2005
Fenella Lemonsky
Chronic pain patient and communication skills trainer to NHS staff
Rapid Response:
musculo skeletal medicine
This study was rather biased. There was no discussion on the value of
the role of musculoskeletal medicine. Every year doctors trained in
musculoskeletal medicine or medical osteopathy do thousands of successful
manipulations to those with chronic shoulder pain and obviate the need for
surgery.This is better for the patient , less traumatic and less
expensive.
Physiotherapy is very limited in prognosis however pain specialist
physiotherapists do have a good role to play here as do pain clinics in
the management of chronic pain.
Surgery should always be the last resport as like with back pain it does not
always lead to a significant improvement and in some cases can make
symptoms--including movement restriction.
Competing interests:
None declared
Competing interests: No competing interests