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Pathologies Doctor

The posterolateral (PL) muscle chain

Composition of the posterolateral (PL) muscle chain Main structures of the PL chain Muscles of the chain of the lower limbs: Gluteus medius. External hamstrings (short and long portion of the biceps femoris) Vastus lateralis

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Pathologies Doctor

The postero-anterior-anterior-posterior (PA AP) muscle chain

Composition of the postero-anterior-anterior-posterior (PA AP) muscle chain: The main chain has 4 muscle groups, each with a specific function: The Sentinel Group of the Vertical Axis: Deep posterior muscles of the spine: Multifids. Inter

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Pathologies Doctor

The postero-median muscle chain (PM)

Composition of the postero-median muscle chain: The main part consists of the head and trunk muscles, from top to bottom: –Tensed musculo-aponeurotic structures from the occiput to the orbital region. –Semispinatus, longissimus of the head.

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Pathologies Doctor

Neuropathic pain

Definition of neuropathic pain The International Association for the Study of Pain (IASP) defines neuropathic pain as pain related to an injury or disease affecting the somatosensory system. It therefore does not have the same

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Guide to scar pain

Pain after posterior lifting of the arm(s)

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description The pain associated with the posterior arm lift has a neuropathic character and affects the posterior part

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Anterior neck pain

Chronic pain after cervical lymph node dissection

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Cervical lymph node dissections can be responsible for neuropathic pain in the neck, face and head: The

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Guide to scar pain

Infiltration of the lumbar spine, rhizolysis

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description A few cases of lumbar pain, radiating into the lower limb, with a neuropathic appearance appear after

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Guide to scar pain

Obstetric or other epidural

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description The realization of an epidural for the childbirth is done by lumbar way in general in L3-L4

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Guide to scar pain

Posterior lumbar spine surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Different types of lumbar spine surgery are offered: Endoscopic surgery for herniated disc (minimally invasive surgery). Open

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Guide to scar pain

Wound, hematoma, burn in the lumbar region

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Whether wounds, hematomas or burns, the healing phase can cause neuropathic pain. The pain can then extend

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Guide to scar pain

Wound, hematoma, chest burn

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Wounds and burns can lead to the formation of cutaneous and subcutaneous fibrous areas responsible for neuropathic

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Ankle and foot pain

Wound, burn, hematoma of the ankle and/or foot

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Wounds and burns of the ankle and foot give visible scars and behave like surgical scars giving

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Ankle and foot pain

Foot surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description The different foot surgeries correct big toe problems (hallux valgus, hallux rigidus, ingrown toenail), metatarsal pain, Morton’s

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Ankle and foot pain

Ankle surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description The ankle can be operated for disabling osteoarthritis, severe sprains, instability, fracture. The interventions are, depending on

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Ankle and foot pain

Wound, hematoma, leg burn

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Wounds and burns of the leg give visible scars and behave like surgical scars giving neuropathic pain

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Guide to scar pain

Wound, hematoma, knee burn

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Wounds and burns of the knee give visible scars and behave like surgical scars giving neuropathic pain

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Guide to scar pain

Bone graft harvesting from the iliac crest

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Some orthopedic surgeries require the implantation of a bone graft. This is taken (often) from the iliac

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Guide to scar pain

Wound, hematoma, thigh burn

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Wounds and burns can lead to the formation of cutaneous and subcutaneous fibrous areas responsible for neuropathic

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Guide to scar pain

Open femoral artery surgery or angioplasty by femoral approach

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description For open surgery, the incision depends on the part of the artery to be treated: For angioplasties

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Guide to scar pain

Varicose vein surgeries

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Anatomical reminder: The internal and external saphenous veins allow the venous return of the lower limb for approximately

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Guide to scar pain

Femur surgery (particularly fracture)

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Femur surgery is basically a femoral shaft fracture treatment surgery. The type of intervention depends on the

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Guide to scar pain

Hip surgery (prosthesis, abutment, etc.)

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description There are two main approaches in hip surgery: a lateral approach and an anterior approach. Each of

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Guide to scar pain

Pudendal nerve surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description There are different surgical approaches to free the pudendal nerve in its entirety: The transgluteal pathway or

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Guide to scar pain

Testicular surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Testicular surgery is generally done by 3 types first: We will take advantage of this chapter to

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Guide to scar pain

Urinary incontinence surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Surgical technique Use in case of failure of perineal and sphincter rehabilitation. Several surgical techniques have been

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Guide to scar pain

Promontofixation for cure of cystocele and/or rectocele

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description The main painful complications of this surgery partly resemble the pain found in the article on pain

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Guide to scar pain

Episiotomy, bartholinitis

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description The surgical approaches to these two procedures are vulvar for bartholinitis +/- perineal for episiotomy. We will

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Abdominal pain

Wound, hematoma, abdominal burn

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Whether wounds, hematomas or burns, the healing phase can cause neuropathic pain. The pain can then extend

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Abdominal pain

Abdominoplasty surgery, surgical liposuction

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Like all surgeries, cosmetic surgery can be responsible for chronic pain. Abdominal liposuction rarely gives pain but

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Abdominal pain

Pubalgia surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Surgical technique The approach is located above the inguinal ligament Induced pain: The neuropathic pain induced by

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Abdominal pain

Open or laparoscopic or robotic prostate surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Open prostate surgery is done through a horizontal or vertical incision: Laparoscopic surgery is done by 5

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Guide to scar pain

Gynecological surgery by laparoscopy

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Like all laparoscopies, surgical trocar routes can be responsible for neuropathic pain. In gynecological surgery, most routes

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Guide to scar pain

Open gynecological surgery or caesarean section

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description This surgery is performed by a more or less wide horizontal suprapubic incision (in green). It can

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Abdominal pain

Open or laparoscopic inguinal hernia surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description This surgery is responsible for neuropathic pain in the territory of 3 different nerves of D12-L1-L2 origin.

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Abdominal pain

Anterior lumbar spine surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description This approach allows direct work on the vertebral body and the disc. It is responsible for certain

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Abdominal pain

Abdominal aorta, iliac and femoral artery surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description There are different approaches to perform abdominal aortic surgery: Peritoneal approaches: Extraperitoneal approaches: Chronic postoperative pain of

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Abdominal pain

Kidney or ureteral or adrenal surgery by laparoscopic route

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Laparoscopic retroperitoneal surgery is done through lateral incisions between the ribs above and the iliac crest below.

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Abdominal pain

Open renal, ureteral or adrenal surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Open retroperitoneal surgery is performed by a horizontal and lateral incision between the ribs above and the

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Abdominal pain

Laparoscopic abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Like all laparoscopies, surgical trocar routes can be responsible for neuropathic pain. In abdominal surgery, the paths

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Abdominal pain

Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen)

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Open abdominal surgery includes different routes dictated by the underlying surgery to be performed. The neuropathic pains

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Guide to scar pain

Hand surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Hand surgery has two major components: Reconstructive surgery: wound, section, carpal or finger fracture, serious sprain of

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Guide to scar pain

Wrist surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Wrist surgery includes: Tendon and nerve repair surgery Treatment of wrist fractures Wrist or carpal osteoarthritis surgery

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Guide to scar pain

Post vaccination pain

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description The most common injection site is laterally on the deltoid on the non-dominant side. Secondly especially in

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Anterior chest pain

Pain after contraceptive implant removal

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Contraceptive implants are generally positioned subcutaneously on the medial aspect of the non-dominant arm. sometimes their removal

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Guide to scar pain

Elbow surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Elbow surgery includes different types of intervention (fewer than on other joints): Arthrolysis of the elbow Consists

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Guide to scar pain

Shoulder, collarbone, thoraco-brachial outlet surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Shoulder surgery includes acts performed by arthroscopy (treatment of rotator cuff and acromioclavicular joint pathologies), open surgery

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Anterior chest pain

Locoregional anesthesia by infraclavicular approach

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description The neuropathic pains linked to the realization of this anesthesia are distributed around the puncture point towards

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Anterior chest pain

Placement of a central venous line by a subclavian access

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description 3 approaches to the central venous network are possible, the puncture area can be the source of

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Anterior chest pain

Placement or removal of an implantable port (SIEV)

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description 3 approaches to the central venous network are possible, the puncture area can be the cause of

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Anterior chest pain

Thoracic aortic surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Two surgical approaches are described, isolated or associated: Sternotomy surgery Post-sternotomy scarring neuropathies can be located on

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Anterior chest pain

Breast surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Breast surgery is limited to operations on a tumor resulting in partial or complete removal of the

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Anterior chest pain

Pulmonary surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Lung surgery can be performed: by open surgery (thoracotomy) with a wide incision allowing a passage between

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Anterior chest pain

Cardiac or mediastinal surgery by sternotomy

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Post-sternotomy scarring neuropathies can be located on the median part but can also affect the anterior chest

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Autonomic nervous system damage from scarring or post trauma

Stubborn constipation of scarring origin

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description After having seen many patients, it seems that, in some of them, the scars located in the

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Anterior neck pain

Chronic pain after loco-regional anesthesia of the brachial plexus by cervical approach (BIS, echoguided)

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Used most of the time for shoulder surgery, this anesthesia technique can contribute to chronic pain such

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Anterior neck pain

Chronic pain after placement of central approach by jugular approach

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description The central routes via the jugular route are set up in certain major surgeries, resuscitation and the

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Anterior head pain

Chronic pain after carotid surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description The usual incision for this surgery is through an opening 7/8 cm in front of the sterno-cleido-mastoid

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Anterior neck pain

Chronic pain after parotid surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Apart from the classic description of damage to the facial nerve (VII) from parotid surgery (first green

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Anterior neck pain

Chronic pain after thyroid or parathyroid surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description These surgeries can cause pain: Neuropathic on the anterior part of the neck with upward and/or downward

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Guide to scar pain

Chronic pain after cervical spine surgery by posterior approach

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Cervical spine surgery via the posterior approach is performed through a vertical posterior incision on the middle

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Anterior head pain

Chronic pain from hematoma of the scalp, forehead

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description After many clinical observations, some patients who have had head and neck trauma with hematomas present with

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Anterior head pain

Chronic wound pain of scalp and forehead

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description All wounds of the face, neck or scalp, especially when they are sutured, are likely to give

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Anterior head pain

Chronic pain related to intraoperative head fixation system for cerebral or cervical surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Some cerebral or cervical surgeries first require the fixation of the head which, to be rigorous, requires

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Anterior head pain

Chronic pain after stereotactic brain surgery

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description This surgery first requires the fixation of the head which, to be rigorous, requires the use of

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Guide to scar pain

Lumbar pain of scar origin

We will first recall the notion of cicatricial neuropathy. The causes of lumbar pain of scarring origin are (non-exhaustive): Lumbar spine surgery: anteriorly by posterior approach Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas,

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Guide to scar pain

Posterior chest pain of scarring origin

We will first recall the notion of cicatricial neuropathy. The causes of anterior chest pain of scarring origin are (not exhaustive) Pulmonary surgery Dorsal spine surgery by: Lateral approach (the pain is the same as

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Guide to scar pain

Posterior neck pain of scarring origin

We will first recall the notion of cicatricial neuropathy. These pains are neuropathic pains. The causes of posterior neck pain of scarring origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery Intraoperative head fixation

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Guide to scar pain

Posterior pain of the head of scar origin

We will first recall the notion of cicatricial neuropathy. The causes of posterior pain of the head of scarring origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery Intraoperative head fixation system Chronic wound

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Ankle and foot pain

Scarred ankle and foot pain

We will first recall the notion of cicatricial neuropathy. Causes of ankle and foot pain of scarring origin are (non-exhaustive): Knee surgery (prosthesis, arthroscopy, etc.) Wound, burn, hematoma of the knee Wound, burn, hematoma of

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Guide to scar pain

Scarred leg pain

We will first recall the notion of cicatricial neuropathy. The causes of scarred leg pain are (non-exhaustive): Knee surgery (prosthesis, arthroscopy, etc.) Wound, burn, hematoma of the knee Wound, burn, hematoma of the leg Varicose

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Guide to scar pain

Thigh, knee and leg pain caused by scarring

We will first recall the notion of cicatricial neuropathy. The causes of scarred thigh pain are (non-exhaustive): Hip surgery (prosthesis, abutment, etc.) Femur surgery (particularly fracture) Open femoral artery surgery or angioplasty by femoral approach

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Guide to scar pain

Thigh pain caused by scarring

We will first recall the notion of cicatricial neuropathy. The causes of scarred thigh pain are (non-exhaustive): Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.) Open renal, ureteral or adrenal surgery

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Guide to scar pain

Lower abdominal, pelvic and root of thigh pain of scarring origin

We will first recall the notion of cicatricial neuropathy. The causes of abdominal pain of scarring origin are (non-exhaustive): Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.) Open renal, ureteral or

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Abdominal pain

Abdominal pain of scarring origin

We will first recall the notion of cicatricial neuropathy. The causes of abdominal pain of scarring origin are (non-exhaustive): Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.) Open renal, ureteral or

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Guide to scar pain

Pain in the wrist and hand caused by scarring

We will first recall the notion of cicatricial neuropathy. The causes of pain in the elbow and forearm of scarring origin are (non-exhaustive): Cervical spine surgery by posterior approach Cervical surgery by anterior approach Shoulder,

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Guide to scar pain

Forearm pain caused by scarring

We will first recall the notion of cicatricial neuropathy. The causes of pain in the elbow and forearm of scarring origin are (non-exhaustive): Cervical spine surgery by posterior approach Cervical surgery by anterior approach Shoulder,

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Guide to scar pain

Pain in the arm, elbow and forearm caused by scarring

We will first recall the notion of cicatricial neuropathy. The causes of pain in the elbow and forearm of scarring origin are (non-exhaustive): Cervical spine surgery by posterior approach Cervical surgery by anterior approach Shoulder,

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Guide to scar pain

Shoulder and arm pain caused by scarring

We will first recall the notion of cicatricial neuropathy. The causes of shoulder and arm pain of scarring origin are (non-exhaustive): Shoulder, collarbone, thoraco-brachial outlet surgery Cervical spine surgery by posterior approach Cervical spine surgery

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Anterior chest pain

Anterior chest pain of scarring origin

We will first recall the notion of cicatricial neuropathy. Causes of anterior chest pain of scarring origin are (non-exhaustive): Cardiac or mediastinal surgery by sternotomy Pulmonary surgery Dorsal spine surgery by: Lateral approach (the pain

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Anterior neck pain

Anterior neck pain of scarring origin

We will first recall the notion of cicatricial neuropathy. The causes of anterior cervical pain of scarring origin are (non-exhaustive): Cervical spine surgery: Anterior approach Intraoperative head fixation system Thyroid and parathyroid surgery Cervical lymph

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Anterior head pain

Facial pain caused by scarring

We will first recall the notion of cicatricial neuropathy. The causes of anterior headaches of cicatricial origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery Intraoperative head fixation system Scalp and forehead wound Scalp

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Anterior head pain

Anterior head pain of scar origin

We will first recall the notion of cicatricial neuropathy. The causes of anterior headaches of cicatricial origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor) Intraoperative head fixation system Scalp and forehead wound

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Guide to scar pain

Guide to chronic scarring or post-traumatic pain

Definition of scarring or post-traumatic pain The guide to scarring pain references all neuropathic-type pain found after surgery, trauma (hematoma, sprain, dislocations), burns, medical procedures (infiltrations, drug injections, vaccines, manipulations ). Symptoms are described in

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Compressive

Tarsal tunnel syndrome

Pathophysiology. Tarsal tunnel syndrome is a tunnel syndrome characterized by compression of the posterior tibial nerve and/or its distal terminal branches by the internal annular ligament. The posterior tibial nerve gives, in the retro-malleolar region,

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Compressive

Howship-Romberg syndrome

Anatomical reminder Corresponds to damage to the obturator nerve Born from roots L2-L3-L4 It first passes behind the psoas major, emerges from it via the medial edge and descends vertically into the pelvis from which

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Compressive

Meralgia paresthetica syndrome

Anatomical reminder Originates from the ventral branches of the 2nd and 3rd lumbar root It passes behind the psoas muscle (in red), exits the lateral part of the psoas towards its middle and crosses ventrally

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Compressive

Anterior interosseous nerve syndrome

Anatomical reminder The interosseous nerve is the main branch of the median nerve in the forearm. It appears between 5 and 8 cm below the elbow at the level of the pronator teres muscle. He

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Compressive

Suprascapular nerve syndrome

Anatomical reminder The suprascapular nerve detaches from the upper primary trunk of the brachial plexus. It contains C5 C6 fibers. It passes through the coracoid notch (1) under the coracoid ligament (in green) then at

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Compressive

Guyon compartment syndrome

Anatomical reminder There is no synovium in Guyon’s canal where only the artery and the ulnar nerve pass. Consequently, any compression of the ulnar nerve in this compartment is of extrinsic origin. At the wrist,

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Compressive

Ulnar canal syndrome at the elbow

Anatomical reminder 1- Radial nerve 2- vessels 3-Median nerve 4- Brachialis muscle 5- Humerus 6-Ulnar nerve 7- Olecranon The ulnar nerve travels in the epitrochleo-olecranon groove on the inner side of the elbow. It relates

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Compressive

Carpal tunnel syndrome

Anatomical reminder Carpal tunnel syndrome is linked to compression of the median nerve in the wrist. The carpal tunnel is a narrow tunnel formed posteriorly by the carpal bones and anteriorly by the anterior annular

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Compressive

Canal syndromes

Root canal syndromes: definition Nerve compression syndromes, called “ductal syndromes” (entrapment neuropathy in the English) are defined as the clinical translation of a conflict between a peripheral nerve trunk and a particular anatomical region of

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Guide to pain of myofascial origin

Posterior forearm pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Scalene muscles (small scalene) Infraspinatus muscle Teres major muscle Coracobrachialis muscle Triceps

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Guide to pain of myofascial origin

Serratus Anterior Myofascial Syndrome

Anatomical reminder Description It is made up of 3 groups of fibres: At the top, muscle fibers insert on the first rib and join behind the scapula. Intermediate, groups of fibers are inserted on the

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Pathologies Doctor

Cicatricial neuropathy

A new concept: Cicatricial neuropathy. The most misunderstood and yet the most frequent of the neuropathies responsible for neuropathic pain. Indeed, a recent study carried out by a Parisian pain center finds an incidence between

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Guide to pain of myofascial origin

Myofascial syndrome of the posterior leg muscles ABONNE LIBRE

Anatomical reminder From the surface to the depth we find: –The gastrocnemius muscle composed of two heads, medial and lateral (former internal and external twin). It is inserted, proximally, on the posterior distal end of

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Guide to pain of myofascial origin

Myofascial trapezius syndrome

Anatomical reminder The trapezius muscle consists of 3 parts: upper, middle and lower. The anatomical insertions of the two trapezius form a diamond extending from the occiput to the T12 vertebra. Laterally, it attaches to

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Pathologies Doctor

Peripheral nerves

Nerves are formed by the axons of nerve cells (the axon is an extension of the nerve cell). These axons are or are not surrounded by myelin sheath from other cells: Schawnn cells. Anatomy: A

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Headache

Cough headache

Diagnostic criteria: A. headache fulfilling criteria B,C,D B. brutal, lasting 1sec to 30 minutes C. caused by coughing and/or Valsalva (blocked forced expiration), D. not attributed to another condition. Before being called primary, we must

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Post operative chronic pain