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