The criteria for recommending an operant conditioning program for a patient with chronic pain include definable pain behavior. A thorough investigation of all organic factors that may contribute to pain is usually made prior to such treatment. This report describes a patient with chronic pain and mild cognitive deficits related to a truck accident who insidiously developed an extraabdominal desmoid tumor. Desmoid tumors, which may develop after trauma, are associated with incidental connective tissue anomalies. They can be initially mistaken for fibrositic nodules because they have a distribution similar to that in fibromyalgia. This patient's painful tumor was diagnosed while he was participating in a remobilization program. Subsequent resection and irradiation adversely affected rehabilitation goals and reinforced the patient's conviction that all his complaints were organically based.
|Original language||English (US)|
|Number of pages||3|
|Journal||Archives of physical medicine and rehabilitation|
|State||Published - Jan 1 1985|
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation