The impact of pain neuroscience education in a Hispanic-American population: A mixed-methods exploratory study.

Background: Chronic pain and pain catastrophization are growing problems across the United States, within the Hispanic-American population. Pain neuroscience education (PNE) changes pain knowledge and beliefs in many populations, but its impact on reconceptualization in people of Hispanic-American origin is unknown.

Purpose: Explore the changes in pain knowledge in Hispanic-American individuals and the process involved in reconceptualization following a PNE lecture.

Diffuse Idiopathic Skeletal Hyperostosis in a Patient With Shoulder Pain.

A 74-year-old man was referred to physical therapy by his primary care physician for insidious onset of right shoulder pain. Following examination, spinal radiographs and the human leukocyte antigen (HLA-B27) test, which is used to identify common autoimmune disorders, were completed. The radiographs revealed multilevel changes consistent with diffuse idiopathic skeletal hyperostosis, and the HLA-B27 test was positive.

Fifth Metatarsal Avulsion Fracture in an Adolescent Tennis Player.

A 17-year-old male tennis player presented to physical therapy via direct access with complaints of intermittent left lateral foot pain. Due to positive fracture testing and application of the Ottawa foot/ankle rules, an orthopaedist was consulted and radiographic imaging was performed. Radiographs revealed a nondisplaced avulsion fracture of the fifth metatarsal.

Spontaneous Osteonecrosis of the Knee.

A 69-year-old man was referred to physical therapy by his primary care physician for an insidious onset of right medial knee pain that had been present for over 4 weeks. Due to the disproportionate response following initial management, he was referred to an orthopaedist for imaging. Magnetic resonance imaging revealed medial femoral condyle osteopenia, bone marrow edema, and subchondral bone collapse, and subsequently the patient was diagnosed with spontaneous osteonecrosis of the knee.