Pain is a symptom and not a diagnosis and, as such, medical reports that only reference or diagnose pain are not sufficient to constitute PFME of an injury, trauma or illness.” Notably, the Board found that pain was  not sufficient for PFME, despite positive clinical findings, which claimant’s counsel argued were indicative of an injury. Since PFME is an issue which is usually never revisited, as it is interlocutory, it is important to be aggressive at the outset of the claim and recognizing that just because a diagnosis is given with statement of causal relationship, that diagnosis may not be an actual “injury,” and a finding of PFME should be argued against accordingly.