medicolegal pain medicine 11.11.10

Medicolegal Case Histories

Dr. Christopher A. Jenner MB BS, FRCA

Consultant in Pain Medicine, Imperial Healthcare NHS Trust

Medical Director London Pain Consultants andSpinal Healthcare

11th November 2010

Anatomy of a Medicolegal Report

• Pre Accident/ Incident

• Post Accident/ Incident

• Summary

• Pain History

• Pain Scores

• Previous Treatments

• Employment and ADL

• Examination

Opinion (including causation)

• Prognosis

• Treatment Plan (costed)

• Glossary and additional info

49F Severe RTA

Cervical Facet Joint n Secondary Myofacial Pain Syndrome

• Emotionally distressed

• Interim payment

• Clinical pain psychology

• Meds and MIPM

• Discharged

• Case concluded

52 F School Secretary

• Poor working environment

• Cramped

• High stress

• WRULD

• Ongoing case

32 F Post Spinal Surgery

• Medical Negligence case

• Unrecognised haematoma formation

• Complicated by infection

• Musculoskeletal pain

• Neuropathic leg pain

34M Industrial Accident• High pressure oil jet

• Traumatic amputation little/ middle/ ring fingers

• Phantom limb pain

• Neuropthic stump pain

• Phantom sensations

22M Industrial Accident

• Skip fell on foot

• Crush injury

• Traumatic amputation

• Surgical intervention

• Phantom limb pain

• Neuropthic stump pain

• Phantom sensations

47 F Post Hysterectomy

• Medical Negligence case

• Genitofemoral neuralgia

42F Cosmetic Filler

• Medical Negligence case

• Facial Neuropathic Pain

• Auriculotemporal nerve

• Improving on medication and local nerve blocks

• ongoing

New Instructions

• Practice Manager for full details and TnC

• Competitive discounts for volume report writing instructions

Any Questions