Psoriatic Arthropathy

Female 36 GP letter (March 2015) - presented to GP with 10 week history of painful swelling on right hand, just proximal to MCP joint of index finger on the dorsal aspect. Able to make a full fist. No history of injury. On examination soft tender swelling just lateral to right index finger MCP joint which becomes more prominent when fist is [...] Read more

Foot Pain

78 Female Apr 2017 - an object fell on to the left foot. No pain at the time. Pain in the foot started 3-4 months later. Mar 2018 - GP requested x-ray (L) foot. NAD. Apr 2019 - seen in physiotherapy. Patient reported that pain started after something fell on her left foot. Full ROM. Tender over cuniform, cuboid and navicular. Able to stand on [...] Read more

Intestinal Tumour

38 male History of low back pain - approx 5 years. Feb 2021 - attended GP surgery for back pain + left leg pain. Gave a 2 month history for symptoms. Jumped out of a van which made the symptoms worse. Also reported P+N in the left leg. No B+B issues. Booked for FCP appt next day. Patient DNA. July 2021 - attended A&E for GI, Abdominal pain. [...] Read more

Plasmacytoma | Cases

Retrospective case study 66 Male 1 year history of right thigh pain Attended physiotherapy. Given exercises for tight thigh muscle. No improvement. Consulted GP 10-12 months after physiotherapy as he developed problems with sit to stand. GP requested X-ray pelvis. X-ray report as follows. GP referral for x-ray mentions – “Injury right leg two [...] Read more

Lung Cancer | Pancoast

71 male First appointment 3 Month history of Right rhomboid pain. Aggravated by shoulder movements. Struggles to get to sleep and occasionally wakes up. No P+N or numbness. No dizziness, diplopia, dysarthria, dysphagia, drop attacks, nausea. Exam Slight winging right scapula. Full shoulder ROM Full shoulder strength Provisional Diagnosis [...] Read more

Back Pain | Ankylosing Spondylitis | Cases

26 ♂ Presented to MSK service with back pain. Gave a 7 year history of back pain (started aged 19) Seen previously in MSK service 5 years ago (aged 21). Had an MRI scan which was normal. Has has physiotherapy in the past. Has been regularly having chiropractic treatment. Reports that his back remains arched when he is lying supine (lordosis [...] Read more

Hip Osteonecrosis | Cases

59 ♂ B/L groin pain. 10/10 VAS Initially started on the left side like lateral hip pain. Had 2 steroid injections for lateral hip pain. Uses walking stick. Painful with weight bearing, getting in / out of car. No spinal symptoms. Recent X-ray NAD Exam Antalgic gait Pain deep in groin Hip flexion limited to 90° B/L Minimal internal and external [...] Read more

Knee Synovitis | Cases

87 female , 6 month history of knee pain Difficult weight bearing. Uses 1 walking crutch. Limited flexion and extension ROM due to pain. Swelling present in the whole leg rather than just the knee. Attended A&E twice due to severity of pain. Was given a knee x-ray. X-ray Report Mild degenerative changes noted particularly in relation to the [...] Read more

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