NHS Tayside has apologised to a patient for a delay in referring her to a pain clinic.
Watchdog the Scottish Public Services Ombudsman (SPSO) investigated the board after the patient complained about the orthopaedic care and treatment provided to her.
The patient, referred to as Mrs C, said she was given injections into her spine without being examined by a consultant, and that at her review appointment she was not physically examined, despite having pain.
She was also concerned about a failure by staff to communicate reasonably with her after her review appointment, and that they did not refer her to the pain clinic.
The SPSO found it was unreasonable that Mrs C was not physically examined before the injections were administered, or when she was reviewed at a later appointment.
The organisation also said there was an unreasonable delay in referring her to the clinic and upheld this aspect of the complaint.
The SPSO also ruled that NHS Tayside should ensure orthopaedic consultants carry out physical examinations both before administering facet joint injections and at review appointments if the patient is complaining of ongoing pain, and make changes to its complaints handling procedure.
A spokeswoman for NHS Tayside said: “We have apologised to the patient and have taken action to address the recommendations in the report.”