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The medicolegal implications of the link between chronic pain and depression
by Dr Priscilla Kent, Consultant Psychiatrist
5 December 2025
Chronic pain is often linked to depression and anxiety. Treatments must address both physical and psychological symptoms, as co-occurring conditions worsen prognosis. Dr Kent explores treatment options and discusses how to help people with chronic pain achieve better quality of life.
Case study: brachial plexus
26 November 2025
Patient A was born via forceps delivery after shoulder dystocia. Shortly after birth she was noted to have abnormal function in her left arm, which was subsequently diagnosed as an obstetric Obstetric Brachial Plexus Injury (OBPI). Initially managed conservatively with physiotherapy, she showed some improvement — but later required two surgical procedures to improve shoulder movement. Despite surgery, she was left with restricted shoulder function, permanent scarring, and a reduced strength and range of motion in the affected arm.
Case study: cauda equina
21 November 2025
This case study describes a male patient with cauda equina syndrome (CES) initially misdiagnosed as sciatica. Delayed MRI and surgery led to prolonged nerve compression, resulting in permanent neurological complications despite eventual pain relief. The case raises concerns about delayed diagnosis and potential clinical negligence.