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David Emerson discusses the incidence, symptoms and management of pain in people who have been poisoned by the lesser weever fishThe lesser weever fish is found around the coastline of the UK, particularly in the south and west of England. The spines on the fish's first dorsal fin and gill covers release a poison that can cause excruciating pain in anyone who stands on them. Emergency staff should be aware, therefore, of the symptoms of lesser weever fish stings in patients who present with severe pain in the foot. Immersion of the foot in hot water is the most effective treatment.