1. 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

2. Anatomy of a Medicolegal
Report
• Pre Accident/ Incident
• Post Accident/ Incident
• Summary
• Pain History
• Pain Scores
• Previous Treatments

3. • Employment and ADL
• Examination
Opinion (including causation)
• Prognosis
• Treatment Plan (costed)
• Glossary and additional info

4. 49F Severe RTA
Cervical Facet Joint n Secondary
Myofacial Pain Syndrome
• Emotionally distressed
• Interim payment
• Clinical pain psychology
• Meds and MIPM
• Discharged
• Case concluded

5. 52 F School Secretary
• Poor working environment
• Cramped
• High stress
• WRULD
• Ongoing case

6. 32 F Post Spinal Surgery
• Medical Negligence case
• Unrecognised haematoma formation
• Complicated by infection
• Musculoskeletal pain
• Neuropathic leg pain

7. 34M Industrial Accident
• High pressure oil jet
• Traumatic amputation little/ middle/ ring
fingers
• Phantom limb pain
• Neuropthic stump pain
• Phantom sensations

8. 22M Industrial Accident
• Skip fell on foot
• Crush injury
• Traumatic amputation
• Surgical intervention
• Phantom limb pain
• Neuropthic stump pain
• Phantom sensations

9. 47 F Post Hysterectomy
• Medical Negligence case
• Genitofemoral neuralgia

10. 42F Cosmetic Filler
• Medical Negligence case
• Facial Neuropathic Pain
• Auriculotemporal nerve
• Improving on medication and local nerve
blocks
• ongoing

11. New Instructions
• Practice Manager for full details and TnC
• Competitive discounts for volume report
writing instructions

12. Any
Questions