Two adolescents with debilitating, medication-resistant, chronic pain of th
e low back and abdomen with intermittent pain of the genitalia were diagnos
ed with intervertebral disk disease at spinal cord levels that correlated w
ith their signs. Both patients had undergone multiple evaluations by physic
ians of different specialties and both underwent appendectomy without relie
f of their pain. The history of the onset of pain was important in determin
ing the affected levels. The pain of both individuals was mimicked and loca
lized by percussion of the vertebral spines at the level of disk protrusion
. This maneuver and careful review of the history were important in making
the correct diagnosis in each case. In both patients, treatment with novel
magnetic devices provided rapid relief that was sustained for more than 2 y
ears. These cases highlight the need for careful evaluation and correct dia
gnosis of abdominal and genital pain in young patients to avoid costly and
unnecessary medical intervention and the stigma of painful debility. (C) 20
00 by Elsevier Science Inc. All rights reserved.