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Patients suffer needlessly because of a lack of awareness by physicians of painful conditions that respond dramatically to local anesthesia. Three examples are scapulocostal syndrome, infraspinatus syndrome, and piriform syndrome. The first of these can masquerade as tension headache, whiplash, or hyperventilation-anxiety, and the second as bursitis. The third can mimic herniated intervertebral disk.
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J. Blair Pace (1975) studied this question.
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