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169

exercises; manipulation under anaesthetic; traction; injection into facet joints; trigger point injections; chiropractic treatment; summary.

52. The medico-legal examination

 Guidance texts; range of movement; behaviour; medical records; bias; content of the report; word processors.

53. The diagnosis

 What is the cause of the pain? summary.

54. The prognosis

 Demographic factors; clinical signs on presentation; the mechanics of the injury; x ray signs; the effects of treatment; recovery time and return to work; major studies; summary.

55. Pre-existing neck problems

 Naturally occurring neck pain; degenerative disease.

56. Malingering and functional overlay

57.Conclusions

 The main principles.

 

FIGURES

  FIGURE 28: The percentage of patients after road traffic accident with continuing significant pain: Parmar & Raymakers, 1993.

  FIGURE 29: Residual Incapacity, redrawn from the Quebec Task Force Study, 1995.

  FIGURE 30: Residual symptoms, redrawn from Murray, Pitcher & Galasco, 1993