Biomedical subjects

B Rounsefell

Publications and source records attributed to B Rounsefell.

3 recordsLinked to original sources

PubMed1996

Baseline correlates of the response to the treatment of chronic localized myofascial pain syndrome by injection of local anaesthetic.

Myofascial pain syndromes (MPS) occur commonly in the community. Treatment by injection of local anaesthetic has met with variable success. We studied 50 out-patients with chronic localized MPS in order to find baseline correlates related to response to treatment. Data collected included sociodemographic and clinical histories as well as psychometric measures of self-efficacy, health locus of control and illness behaviour. Pretreatment pain intensity and scores on the Denial scale of the Illness Behavior Questionnaire (IBQ) were found to be associated with an immediate improvement in pain, while scores on the Affective Inhibition scale of the IBQ were associated with pain relief lasting up to 24 hours. The immediate response was not predictive of the duration of the effect of the treatment. This study shows that the severity of the pain and its role as part of a psychological coping strategy are related to the response to local treatment of MPS.

Adult↗

PubMed1990

Intractable neck pain.

A retrospective survey of 1,661 patients seen over a 10-year period at a pain clinic yielded 55 patients with intractable neck pain as the presenting complaint. In 89% there was an industrial or motor vehicle accident as the precipitating event, 78% were involved in legal proceedings relating to the accident, and in 87% the pain radiated to neighboring structures. Diagnostically, 36% had no physical signs, and cervical radiographs were normal for 46%. There was a high incidence of previous psychiatric treatment (53%) and major intrafamily problems (60%). Treatment mainly by psychotherapy or tricyclic antidepressants resulted in some benefit for 56% of patients. Legal compensation and change in occupation were not major factors influencing the outcome of treatment.

Accidents, Occupational↗

PubMed1988

Dental patients in a general pain clinic.

Case histories of 15 patients with dental pain who were examined at the Royal Adelaide Hospital Pain Clinic were reviewed. These were the only patients with dental pain seen at the clinic over a 10-year period and represent less than 1% of the total patients fully examined at the clinic. Only one patient had an underlying organic problem; the remainder had a diagnosis of atypical facial pain. Common characteristics that pointed to the diagnosis of intractability were the duration of the pain, extensive and multiple ineffective treatments, a history of pain elsewhere in the body, and a history of psychologic disturbance. Ten of the 12 patients who were offered and accepted psychotherapeutic treatment had appreciable symptomatic relief. No dental or surgical treatments resulted in any pain relief.

Adult↗