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March 19, 1960

Lectures on the Interpretation of Pain in Orthopedic Practice

JAMA. 1960;172(12):1340. doi:10.1001/jama.1960.03020120118035

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The author believes that there are two concepts against which the student should be thoroughly immunized. The first is the idea that one must be dealing with a psychoneurosis if the origin of a pain cannot be established. The other is the defeatist viewpoint expressed by telling the patient that he will just have to live with his pain. The physician should determine whether a certain painful syndrome is of peripheral origin, such as that caused by the pressure of a herniated nucleus pulposus on a nerve root, or if is of central origin and within the domain of the neurologist and neurosurgeon. Pain speaks its own language. If pain is premonitory of a presenting sign, a careful analysis may reveal the condition while it is still in a reversible stage.

The broad coverage of this subject is indicated by the following list of subjects discussed: the perception, conduction, allocation,

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