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Pathologies

Long covid

Description of the different symptoms linked to long Covid by the high French health authority.

Pathologies

Neuropostural syndrome of anterior cervical scars

Description As we defined in neuropostural syndrome, the pain felt by the patient can be neurological and/or postural: Neuropathic pain is related to scarring neuropathy from an anterior cervical scar. Muscle pain is linked to

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Pathologies

Neuropostural Syndrome: Definition

New physiopathological concept sometimes suspected by professionals working on posture (physiotherapist, osteopath, posturologist podiatrist, functional rehabilitation doctor) Definition : Combines scar neuropathy and a global posture disorder aimed at reducing the impact of scar neuropathy.

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Pathologies

Postural assessment by videogrammetry

Non-ionizing technique for measuring postures by taking high-frequency photographs for a period of around twenty seconds with computer reconstruction making it possible to produce reproducible and reliable assessments with a reliability of 0.1 mm. You

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Pathologies

Pain and breast cancer

Pain in breast cancer depends on the disease itself and its local and metastatic course, but also on the treatments implemented. Cancer pain. Pain from excess nociception. Linked to its more or less inflammatory character,

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Guide to pain of myofascial origin

Dental pains

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Temporal muscle Digastric muscle Masseter muscle

Clinical cases

Fibromyalgia and episiotomy

Fibromyalgia and episiotomy Mrs. X, 35, has been coming to a chronic pain consultation for a diffuse pain syndrome labeled as fibromyalgia for several years. Background: Surgical: Tonsillectomy in childhood wisdom teeth in adolescence curettage

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Abdominal pain

Abdominal pain after liposuction

Mrs. X, 55, had abdominal liposuction 1 year ago. A few weeks later Mrs. X begins to be embarrassed by wearing trousers. Wearing the belt (pants) becomes uncomfortable and then intolerable. Mrs. X has since

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Pathologies subscribers

Cervico-thoracic outlet syndrome

Anatomical reminder Cervico-thoracic parade syndrome corresponds to the compression of the brachial plexus (all of the upper limb nerves), the subclavian artery and/or the subclavian vein in the passage formed by the inter-scalènic parade and

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Myofascial syndrome

The antero-lateral (AL) muscle chain

Composition of the antero-lateral (AL) muscle chain Muscles of the main structure of the AL chain: Muscles of the lower limbs:   Front part of the gluteus medius. Fascia lata tensor. Anterior tibial and posterior

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Pathologies

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

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

The anteromedial (AM) muscle chain

Composition of the anteromedial muscle chain:   The main part includes the muscles of the head and trunk, from top to bottom: – Orbicularis of the lips -Digastrics – Anterior part of the sterno-cleido-mastoid -Anterior

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Pathologies

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 subscribers

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.

Read more

Pathologies subscribers

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

Read more

Pathologies subscribers

Global muscle chains

Global muscle chain theory Description of the motor functioning of the body in its entirety and modeling of global muscle chains balancing with each other and defining the posture of an individual as a whole.

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Pathologies

Global muscle chains

Global muscle chain theory Description of the motor functioning of the body in its entirety and modeling of global muscle chains balancing with each other and defining the posture of an individual as a whole.

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Pathologies subscribers

The antero-lateral (AL) muscle chain

Composition of the antero-lateral (AL) muscle chain Muscles of the main structure of the AL chain: Muscles of the lower limbs:   Front part of the gluteus medius. Fascia lata tensor. Anterior tibial and posterior

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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

Read more

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 subscribers

Diabetic neuropathies. MEDECIN

Diabetic neuropathies. The frequency of diabetic neuropathy is more than 50% in patients with diabetes for more than 25 years. There are an estimated 100,000,000 patients with diabetic neuropathy worldwide. At the time of diagnosis

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Headache Treatment

Neurostimulation of the vagus nerve

Neurostimulation of the vagus nerve. Principle The vagus or vagus nerve: Controls the vocal cords, allows swallowing, keeps the larynx open for breathing. Slows heart rate. Starts and controls digestion, Modifies inflammatory reactions, Influence of

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Type of treatment subscribers

Vagus nerve neurostimulation

Neurostimulation of the vagus nerve. Principle The vagus or vagus nerve: Controls the vocal cords, allows swallowing, keeps the larynx open for breathing. Slows heart rate. Starts and controls digestion, Modifies inflammatory reactions, Influence of

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Algodsytrophie (SDRC) après arthroplastie de genou : un modèle physiopathologique et un traitement par injection d’anesthésie locale

Cet article original n’a pas bénéficié d’un comité de lecture pour le moment. Ces résultats sont donc à prendre avec précaution Introduction Le Syndrome douloureux regional complexe (SDRC) est une entité clinique dont l’origine actuelle

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Fibromyalgie : discussion sur une étiologie possible à partir de 3 cas cliniques

Auteur : Dr Yves Guenard Voici 3 descriptions de prise en charge de patients diagnostiqués fibromyalgiques. Pour mémoire vous retrouver la définition de la fibromyalgie dans l’article dédié. Patient 1 Description Mme X, 55 ans,

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Fibromyalgie : discussion sur une étiologie possible à partir de 3 cas cliniques

Voici 3 descriptions de prise en charge de patients diagnostiqués fibromyalgiques. Pour mémoire vous retrouver la définition de la fibromyalgie dans l’article dédié. Patient 1 Description Mme X, 55 ans, a bénéficié il y a

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Anterior neck pain

Swallowing disorders and/or dysphonia of scar origin

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Appearance in the month following surgery by anterior cervical approach (thyroid surgery, ENT surgery and cervical spine

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Anterior neck pain

Swallowing disorders and/or dysphonia of scar origin

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Appearance in the month following surgery by anterior cervical approach (thyroid surgery, ENT surgery and cervical spine

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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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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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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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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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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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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

Read more

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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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 femoral angioplasty Wound, hematoma,

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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

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

Knee surgery (prosthesis, arthroscopy, etc.)

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Knee surgery is done either arthroscopically or by open surgery (knee prosthesis, tendon transposition intervention, ligamentoplasty, etc.).

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Guide to Scar Pain

Knee surgery (prosthesis, arthroscopy, etc.)

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Knee surgery is done either arthroscopically or by open surgery (knee prosthesis, tendon transposition intervention, ligamentoplasty, etc.).

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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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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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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

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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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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Guide to scar pain

Pain in the buttocks and the root of the thigh caused by scarring

We will first recall the notion of cicatricial neuropathy. The causes of lumbar pain of scarring origin are (non-exhaustive): Lumbar spine surgery: by anterior approach by posterior approach Wound, hematoma, burn in the lumbar region

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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

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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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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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

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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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 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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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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Anterior neck 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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Anterior neck 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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Arm, elbow and forearm 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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Arm, elbow and forearm 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

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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Arm, elbow and forearm 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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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 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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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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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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Guide to scar 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

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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Pathologies

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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Pathologies subscribers

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

Read more

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

Read more

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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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 (doctor’s version) Intraoperative

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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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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 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 (doctor) Intraoperative head fixation system (doctor) Scalp and forehead

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Anterior pain of the head

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 (doctor) Intraoperative head fixation system (doctor) Scalp and forehead

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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

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 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 (doctor) Scalp and forehead

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Anterior pain of the head

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 (doctor) Scalp and forehead

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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 (doctor subscription) Intraoperative head fixation system

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Anterior neck pain

Chronic pain after cervical spine surgery by anterior approach

Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Anterior cervical spine surgery is done through an anterior and lateral incision in the midline of the

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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 MEDECIN

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

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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Fibromyalgia

Diffuse Cicatricial Hyperesthesia Syndrome (CDHS) MEDECIN

This new clinical entity is found in a few patients with chronic pain. Définition   Cicatricial neuropathy affecting all of the scars found in a patient. Its current incidence is not known. There is probably

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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

Read more

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 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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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

Read more

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

Read more

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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Neuropathic pain treatment

Mirtazapine

Indications Mirtazapine is indicated in adults for the treatment of major depressive episodes. Mirtazapine is a centrally acting presynaptic α2 antagonist that increases central noradrenergic and serotonergic neurotransmission Dosage Adults: The effective daily dose is

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Neuropathic pain treatment

Mianserin

Old medicine used in depression, sleep disorders and sometimes in chronic pain You will find all the information on the latter by this link

Treatment of neuropathic pain

Mianserin

Old medicine used in depression, sleep disorders and sometimes in chronic pain You will find all the information on the latter by this link

Antidepressants.

Mirtazapine

Indications Mirtazapine is indicated in adults for the treatment of major depressive episodes. Mirtazapine is a centrally acting presynaptic α2 antagonist that increases central noradrenergic and serotonergic neurotransmission Dosage Adults: The effective daily dose is

Read more

Treatment of neuropathic pain

Treatment of neuropathic pain MEDECIN ABONNE

The treatment of neuropathic pain is sometimes difficult and is generally based on the combination of several medicinal and/or non-medicinal methods. Seeking the best relief with the fewest possible side effects is the rule. Of

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Type of treatment

Therapeutic Cannabis MEDECIN ABONNE

Definition of medical cannabis Therapeutic cannabis is the use of different cannabis plants containing dozens of different molecules with multiple properties that can be used in certain human pathologies. In view of the growing number

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Type of treatment subscribers

Therapeutic Cannabis MEDECIN LIBRE

Definition of medical cannabis Therapeutic cannabis is the use of different cannabis plants containing dozens of different molecules with multiple properties that can be used in certain human pathologies. In view of the growing number

Read more

Type of treatment doctor

Therapeutic Cannabis ABONNE LIBRE

Definition of medical cannabis Therapeutic cannabis is the use of different cannabis plants containing dozens of different molecules with multiple properties that can be used in certain human pathologies. In view of the growing number

Read more

Fibromyalgie : discussion sur une étiologie possible à partir de 3 cas cliniques

Voici 3 descriptions de prise en charge de patients diagnostiqués fibromyalgiques. Pour mémoire vous retrouver la définition de la fibromyalgie dans l’article dédié. Patient 1 Description Mme X, 55 ans, a bénéficié il y a

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Pathologies

Explain chronic pain MEDECIN ABONNE

This article is heavily inspired by the book “Explain Pain Supercharger” written by G. Lorimer Moseley and Davis S. Butler The biopsychosocial model to explain chronic pain This model takes into account the individual as

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Pathologies

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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Pathologies subscribers

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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Pathologies

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

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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Pathologies subscribers

Fibular nerve compression syndrome

Anatomical reminder The common peroneal nerve is formed by bifurcation of the sciatic nerve at the apex of the popliteal fossa. It runs along the medial edge of the biceps femoris muscle then its tendon.

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Pathologies subscribers

Idiopathic radial palsy

Anatomical reminder From the posterior and lower part of the axillary fossa, it runs downwards and outwards into the posterior brachial region along the posterior surface of the humerus in the radial groove (in contact

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Pathologies subscribers

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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Pathologies

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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Pathologies subscribers

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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Pathologies subscribers

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

Read more

Pathologies

Carpal tunnel syndrome MEDECIN

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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Pathologies subscribers

Carpal tunnel syndrome MEDECIN

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

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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Pathologies

Cervico-thoracic outlet syndrome

Anatomical reminder Cervico-thoracic parade syndrome corresponds to the compression of the brachial plexus (all of the upper limb nerves), the subclavian artery and/or the subclavian vein in the passage formed by the inter-scalènic parade and

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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

Read more

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

Read more

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

Read more

Pathologies

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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Pathologies subscribers

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

Read more

Guide to pain of myofascial origin

Comprehensive Guide to Myofascial Pain

This guide lists pain related to myofascial syndrome in each part of the body. This first page allows you to choose a part of the body corresponding to your search. Your search results will not

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Guide to pain of myofascial origin

Muscle pain in the head and neck

Choose a clickable area on the following diagrams corresponding to the painful area:

Guide to pain of myofascial origin

Muscle pain in the upper back, shoulder and arm

Choose a clickable area on the following diagrams corresponding to the painful area:

Guide to pain of myofascial origin

Muscle pain in the elbow, arm and hand

Select the painful area that interests you from the following diagrams:

Guide to pain of myofascial origin

Trunk muscle pain

Choose the painful area from the diagrams below.

Guide to pain of myofascial origin

Muscle pain in the lower trunk, buttocks and pelvis

Choose the painful area that interests you by selecting it with a click:

Guide to pain of myofascial origin

Muscle pain in the hip, thigh and knee

Select the painful area on the following diagrams:

Guide to pain of myofascial origin

Muscle pain in the leg, ankle and foot

Choose a painful area: <

Guide to pain of myofascial origin

Pain of myofascial origin in the posterior part of the ankle

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Soleus and tibialis posterior muscles

Guide to pain of myofascial origin

Anterior leg pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Tibialis anterior muscle (subscription) Hip adductors (subscription)

Guide to pain of myofascial origin

Posterior leg pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Muscles of the posterior compartment of the leg (soleus, plantaris, tibialis posterior,

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Guide to pain of myofascial origin

Anterior and medial knee pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Vastus medialis, rectus femoris and gracilis muscles (quadriceps femoris) Adductor muscles Sartorius

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Guide to pain of myofascial origin

Lateral knee pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Vastus lateralis muscle (quadriceps femoris)

Guide to pain of myofascial origin

Anterior knee pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Rectus femoris and vastus medialis muscles (quadriceps femoris) Hip adductors

Guide to pain of myofascial origin

Medial thigh pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Hip adductors Sartorius muscle Quadriceps femoris muscle  

Guide to pain of myofascial origin

Posterior thigh pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Gluteus minimus muscle Piriformis muscle Posterior thigh muscles Internal obturator muscle

Guide to pain of myofascial origin

Anterior thigh pain of muscular origin

  Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Iliopsoas muscle Quadriceps femoris muscle Sartorius muscle Hip adductors

Guide to pain of myofascial origin

Posterior knee pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Muscle of the posterior compartment of the thigh (biceps femoris, semi-membranous, semi-tendinous)

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Guide to pain of myofascial origin

Lateral hip and thigh pain

  Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Gluteus minimus muscle Square muscle of the loins Tensor fascia lata

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Guide to pain of myofascial origin

Lateral chest pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Serratus anterior Latissimus dorsi muscle

Guide to pain of myofascial origin

Anterior chest pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Pectoralis major muscle Pectoralis minor muscle Sternal muscle Scalene muscles Sternocleidomastoid muscle

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Guide to pain of myofascial origin

Lower posterior chest pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Iliocostal thoracic muscle Multifidus muscle Posterior and inferior serratus muscle Rectus abdominis

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Guide to pain of myofascial origin

Palmar finger pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Latissimus dorsi muscle Subclavian muscle Serratus anterior Infraspinatus muscle Flexor muscles of

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Guide to pain of myofascial origin

Palmar wrist and hand pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Pectoralis minor muscle Serratus anterior Infraspinatus muscle Flexor carpi radialis muscle Flexor

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Guide to pain of myofascial origin

Anterior (palmar) 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: Serratus anterior Infraspinatus muscle Triceps brachii muscle Palmaris longus muscle Pronator teres

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Guide to pain of myofascial origin

Anterior elbow pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Biceps brachii muscle Brachialis muscle

Guide to pain of myofascial origin

Back pain of the fingers of the hand

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 Infraspinatus muscle Subclavian muscle Latissimus dorsi muscle Finger extensor muscles

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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) Teres major muscle Infraspinatus muscle Coracobrachialis muscle Triceps

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Guide to pain of myofascial origin

Lateral ankle pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Fibular muscles

Guide to pain of myofascial origin

Pain in the last 4 toes of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Flexor digitorum longus muscles Long extensor muscles of the toes Posterior tibialis

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Guide to pain of myofascial origin

Hallux pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Anterior tibialis muscle Posterior tibialis muscle Flexor longus muscles of the toes

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Guide to pain of myofascial origin

Dorsal pain in the forefoot of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Anterior tibialis muscle Extensor hallucis and hallux longus muscles Deep intrinsic muscles

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Guide to pain of myofascial origin

Pain in the underside of the foot of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Muscles of the posterior compartment of the leg (soleus, gastrocnemius, tibialis posterior,

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Guide to pain of myofascial origin

Muscle pain in the heel

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Soleus and tibialis posterior muscles Plantar square muscle Hallux abductor muscle

Guide to pain of myofascial origin

Medial ankle pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Hallux abductor muscle Flexor digitorum longus muscle

Guide to pain of myofascial origin

Anterior ankle pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Anterior tibialis muscle Fibular muscle Long extensor muscles of the toes

Guide to pain of myofascial origin

Upper back 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 Levator scapula muscle Supraspinatus muscle Trapezius muscle Multifidus muscles Splenius

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Guide to pain of myofascial origin

Face and jaw pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Masseter muscle Lateral pterygoid muscle Medial pterygoid muscle Digastric muscle Trapezius muscle

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Guide to pain of myofascial origin

Eye and eyebrow pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Temporal muscle Masseter muscle Orbicularis oculi muscle (subscription required) Sterno-cleido-mastoid muscle (subscription

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Guide to pain of myofascial origin

Toothache

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Temporal muscle               Digastric muscle Masseter

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Guide to pain of myofascial origin

Anterior neck pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Digastric muscle (on subscription) Media pterygoid muscle (on subscription) Sterno-cleido-mastoid muscle (on

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Guide to pain of myofascial origin

Posterior neck pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Trapezius muscle Multifidus and semispinatus muscle Splenius muscle of the neck Levator

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Guide to pain of myofascial origin

Ear and temporomandibular joint pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Masseter muscle Sternocleidomastoid muscle Lateral pterygoid muscle Medial pterygoid muscle

Guide to pain of myofascial origin

Pain in the front (front) part of the head

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Occipito-frontal muscle Sternocleidomastoid muscle (subscription) Semispinatus muscle (subscription) Zygomaticus major muscle (subscription)

Guide to pain of myofascial origin

Pain in the temporal part of the head

A number of muscles in the neck and head can be responsible for pain referred to the temporal part of the head. Trapezius muscle (by subscription). Splenius muscle Sterno-cleido-mastoid muscle (on subscription). Temporal muscle Sub-occipital

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Guide to pain of myofascial origin

Pain in the back of the head

The following muscles may be responsible for pain in the back of the head: Trapezius muscle Semispinatus muscle Splenius muscle of the neck Suboccipital muscles Occipito-frontal muscle Sternocleidomastoid muscle Digastric muscle Temporal muscle

Guide to pain of myofascial origin

Vertex pain of muscular origin

Two muscles can be responsible for this isolated pain: Sterno-cleido-mastoid muscle (on subscription) Splenius capitis muscle

Guide to pain of myofascial origin

Pelvic pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Pelvic floor muscles Hip adductors

Guide to pain of myofascial origin

Lower abdominal pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Abdominal muscles Iliocostal muscle of the thorax Square muscle of the loins

Guide to pain of myofascial origin

Buttock pain

Here is the list of muscles potentially responsible for this pain, a line can be selected for more detail on a particular muscle: Longissimus muscle of the thorax Iliocostal muscle of the lower back Multifidus

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Guide to pain of myofascial origin

Iliosacral pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Multifidus muscle Square muscle of the loins Gluteus maximus muscle Gluteus medius

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Guide to pain of myofascial origin

Lower back pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Longissimus muscle of the thorax Thoracic and lumbar iliocostal muscles Multifidus muscle

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Guide to pain of myofascial origin

Sacral and buttock pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Longissimus muscle of the thorax Iliocostal muscle of the loins Multifidus muscle

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Guide to pain of myofascial origin

Abdominal pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Abdominal muscles   Iliocostal muscle of the thorax

Guide to pain of myofascial origin

Pain in the back of the shoulder

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Deltoid muscle Levator scapula muscle Scalene muscles Supraspinatus muscle Teres major muscle

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Guide to pain of myofascial origin

Pain in the back of the arm

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 Deltoid muscle Subscapular muscle Infraspinatus muscle Triceps brachii muscle Teres

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Guide to pain of myofascial origin

Posterior-median chest 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 Latissimus dorsi muscle Levator scapula muscle Iliocostal thoracic muscle Multifidus

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Guide to pain of myofascial origin

Pain in the front side of the shoulder

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Infraspinatus muscle Deltoid muscle Scalene muscles Supraspinatus muscle Pectoralis major muscle Pectoralis

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Guide to pain of myofascial origin

Pain in the front of the arm

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 Supraspinatus muscle Infraspinatus muscle Deltoid muscle Sternal muscle Subclavian muscle

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Guide to pain of myofascial origin

Medial epicondyle pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Pectoralis major muscle Pectoralis minor muscle  

Guide to pain of myofascial origin

Olecranon pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Triceps brachii muscle Posterior and superior serratus muscle

Guide to pain of myofascial origin

Pain in the external or lateral epicondyle

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Supinator muscle Supraspinatus muscle Triceps brachii muscle Anconeus muscle 4th and 5th

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Guide to pain of myofascial origin

Ulnar 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: Latissimus dorsi muscle   Pectoralis minor muscle Posterior and superior serratus muscle

Guide to pain of myofascial origin

Forearm pain on its radial edge

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 Supraspinatus muscle Infraspinatus muscle Subclavian muscle Brachioradialis muscle

Guide to pain of myofascial origin

Back pain in wrist and hand

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Latissimus dorsi muscle Posterior and superior serratus muscle Scalene muscles Subscapularis muscle

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Guide to pain of myofascial origin

Pain in the thumb and radial edge of the hand

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Infraspinatus muscle Scalene muscles Brachialis muscle Brachioradialis muscle Supinator muscle Flexor pollicis

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Guide to pain of myofascial origin

Comprehensive Guide to Myofascial Pain

This guide lists pain related to myofascial syndrome in each part of the body. This first page allows you to choose a part of the body corresponding to your search. Your search results will not

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Guide to pain of myofascial origin

Muscle pain in the leg, ankle and foot

Choose a painful area: <

Guide to pain of myofascial origin

Muscle pain in the hip, thigh and knee

Select the painful area on the following diagrams:

Guide to pain of myofascial origin

Muscle pain in the lower trunk, buttocks and pelvis

Choose the painful area that interests you by selecting it with a click:

Guide to pain of myofascial origin

Trunk muscle pain

Choose the painful area from the diagrams below.

Guide to pain of myofascial origin

Muscle pain in the elbow, arm and hand

Select the painful area that interests you from the following diagrams:

Guide to pain of myofascial origin

Muscle pain in the upper back, shoulder and arm

Choose a clickable area on the following diagrams corresponding to the painful area:

Guide to pain of myofascial origin

Muscle pain in the head and neck

Choose a clickable area on the following diagrams corresponding to the painful area:

Guide to pain of myofascial origin

Pain in the thumb and radial edge of the hand

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Infraspinatus muscle Scalene muscles Brachialis muscle Brachioradialis muscle Supinator muscle Flexor pollicis

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Guide to pain of myofascial origin

Back pain in wrist and hand

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Latissimus dorsi muscle Posterior and superior serratus muscle Scalene muscles Subscapularis muscle

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Non classé

Douleur de l’avant-bras sur son bord radial

Voici la liste des muscles potentiellement responsables de ces douleurs, un lien est sélectionnable pour plus de détail sur un muscle particulier : Muscles scalènes Muscle supra-épineux Muscle infra-épineux Muscle sous-clavier Muscle brachio-radial    

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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

Ulnar 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: Latissimus dorsi muscle Pectoralis minor muscle Posterior and superior serratus muscle  

Guide to pain of myofascial origin

Pain in the external or lateral epicondyle

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Supinator muscle Supraspinatus muscle Triceps brachii muscle Anconeus muscle 4th and 5th

Read more

Guide to pain of myofascial origin

Olecranon pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Triceps brachii muscle Posterior and superior serratus muscle

Guide to pain of myofascial origin

Medial epicondyle pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Pectoralis major muscle Pectoralis minor muscle  

Guide to pain of myofascial origin

Pain in the front of the arm

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 Supraspinatus muscle Infraspinatus muscle Deltoid muscle Sternal muscle Subclavian muscle

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Guide to pain of myofascial origin

Pain in the front side of the shoulder

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Infraspinatus muscle Deltoid muscle Scalene muscles Supraspinatus muscle Pectoralis major muscle Pectoralis

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Guide to pain of myofascial origin

Posterior-median chest 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 Latissimus dorsi muscle Levator scapula muscle Iliocostal thoracic muscle Multifidus

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Guide to pain of myofascial origin

Pain in the back of the arm

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 Deltoid muscle Subscapular muscle Infraspinatus muscle Triceps brachii muscle Teres

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Guide to pain of myofascial origin

Pain in the back of the shoulder

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Deltoid muscle Levator scapula muscle Scalene muscles Supraspinatus muscle Teres major muscle

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Guide to pain of myofascial origin

Upper back pain

Here is the list of muscles potentially responsible: Scalene muscles Levator scapula muscle Supraspinatus muscle Trapezius muscle Multifidus muscles Splenius muscle of the neck Rhomboid muscle Triceps brachii muscle Biceps brachii muscle

Guide to pain of myofascial origin

Face and jaw pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Masseter muscle Lateral pterygoid muscle Medial pterygoid muscle Digastric muscle Trapezius muscle

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Guide to pain of myofascial origin

Toothache

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Temporal muscle               Digastric muscle  

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Guide to pain of myofascial origin

Anterior neck pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Digastric muscle Medial pterygoid muscle Sternocleidomastoid muscle

Guide to pain of myofascial origin

Posterior neck pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Trapezius muscle Multifidus and semispinatus muscles Splenius muscle of the neck Levator

Read more

Guide to pain of myofascial origin

Pelvic pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Pelvic floor muscles Hip adductors

Guide to pain of myofascial origin

Lower abdominal pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Abdominal muscles Iliocostal muscle of the thorax Square muscle of the loins

Guide to pain of myofascial origin

Buttock pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Longissimus muscle of the thorax Iliocostal muscle of the loins Multifidus muscle

Read more

Guide to pain of myofascial origin

Iliosacral pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Multifidus muscle Square muscle of the loins Gluteus maximus muscle Gluteus medius

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Guide to pain of myofascial origin

Sacral and buttock pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Longissimus muscle of the thorax Iliocostal muscle of the loins Multifidus muscle

Read more

Guide to pain of myofascial origin

Abdominal pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Abdominal muscles Iliocostal muscle of the thorax

Guide to pain of myofascial origin

Lateral chest pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Serratus anterior Latissimus dorsi muscle

Guide to pain of myofascial origin

Anterior chest pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Pectoralis major muscle Pectoralis minor muscle Sternal muscle Scalene muscles Sternocleidomastoid muscle

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Guide to pain of myofascial origin

Lower posterior chest pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Iliocostal thoracic muscle Multifidus muscle Posterior and inferior serratus muscle rectus abdominis

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Guide to pain of myofascial origin

Palmar finger pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Latissimus dorsi muscle Subclavian muscle Infraspinatus muscle Serratus anterior Flexor muscles of

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Guide to pain of myofascial origin

Palmar wrist and hand pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Small pectoral muscle Infraspinatus muscle Serratus anterior Flexor carpi radialis muscle Flexor

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Guide to pain of myofascial origin

Anterior (palmar) 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: Serratus anterior Infraspinatus muscle Triceps brachii muscle Palmaris longus muscle Pronator teres

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Guide to pain of myofascial origin

Anterior elbow pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Biceps brachii muscle Brachialis muscle

Guide to pain of myofascial origin

Back pain of the fingers of the hand

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 Infraspinatus muscle Subclavian muscle Latissimus dorsi muscle Finger extensor muscles

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Guide to pain of myofascial origin

Forearm pain on its radial edge

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 Supraspinatus muscle Infraspinatus muscle Subclavian muscle Brachioradialis muscle  

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

Lateral ankle pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Fibular muscles  

Guide to pain of myofascial origin

Pain in the last 4 toes of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Flexor digitorum longus muscles Long extensor muscles of the toes Posterior tibialis

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Guide to pain of myofascial origin

Hallux pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Anterior tibialis muscle Posterior tibialis muscle Flexor longus muscles of the toes

Read more

Guide to pain of myofascial origin

Dorsal pain in the forefoot of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Anterior tibialis muscle Extensor hallucis and hallux longus muscles Deep intrinsic muscles

Read more

Guide to pain of myofascial origin

Pain in the underside of the foot of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Muscles of the posterior compartment of the leg (soleus, gastrocnemius, tibialis posterior,

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Guide to pain of myofascial origin

Muscle pain in the heel

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Soleus and tibialis posterior muscles Plantar square muscle Hallux abductor muscle

Guide to pain of myofascial origin

Medial ankle pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Hallux abductor muscle   The pain goes up on the medial part

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Guide to pain of myofascial origin

Anterior ankle pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Anterior tibialis muscle Fibular muscle Long extensor muscles of the toes

Guide to pain of myofascial origin

Pain of myofascial origin in the posterior part of the ankle

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Soleus and tibialis posterior muscles

Guide to pain of myofascial origin

Anterior leg pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Anterior tibialis muscle Hip adductors

Guide to pain of myofascial origin

Lateral leg pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Gluteus minimus muscle Quadriceps femoris muscle (vastus lateralis) Gastrocnemius muscle Fibular muscles

Guide to pain of myofascial origin

Posterior leg pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Muscles of the posterior compartment of the leg (soleus, plantaris, tibialis posterior,

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Guide to pain of myofascial origin

Anterior and medial knee pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Vastus medialis, rectus femoris and gracilis muscles (quadriceps femoris) Adductor muscles Sartorius

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Guide to pain of myofascial origin

Anterior knee pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Rectus femoris and vastus medialis muscles (quadriceps femoris) Hip adductors

Guide to pain of myofascial origin

Lateral knee pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Vastus lateralis muscle (quadriceps femoris)

Guide to pain of myofascial origin

Medial thigh pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Hip adductors Sartorius muscle Quadriceps femoris muscle  

Guide to pain of myofascial origin

Posterior thigh pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Gluteus minimus muscle Piriformis muscle Posterior thigh muscles Internal obturator muscle

Guide to pain of myofascial origin

Anterior thigh pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Iliopsoas muscle Quadriceps femoris muscle Sartorius muscle Hip adductors

Guide to pain of myofascial origin

Posterior knee pain of muscular origin

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Muscle of the posterior compartment of the thigh (biceps femoris, semi-membranous, semi-tendinous)

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Guide to pain of myofascial origin

Lateral hip and thigh pain

Here is the list of muscles potentially responsible for these pains, a link can be selected for more details on a particular muscle: Gluteus minimus muscle Square muscle of the loins Tensor fascia lata muscle

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Type of treatment

Physiotherapy MEDECIN ABONNE

Definition of Physiotherapy: Set of therapeutic processes using natural physical agents such as water, heat, cold, light, electric currents, etc. The effectiveness of physiotherapy within functional rehabilitation is remarkable if the technique is well adapted

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Guide to pain of myofascial origin

Myofascial syndrome of the tensor fasciae latae and sartorius muscles

Anatomical reminder Tensor fascia lata muscle Description 1 – Anterior superior iliac spine 2 – Ilio-tibial tract 3 – Lateral tubercle of the tibia The tensor muscle of the fascia attaches, above, to the antero-external

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Guide to pain of myofascial origin

Serratus Anterior Myofascial Syndrome MEDECIN ABONNE

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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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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Guide to pain of myofascial origin

Myofascial syndrome of the pectoral muscle MEDECIN ABONNE

Anatomical reminder Description Made up of the pectoral muscle which has 3 heads: Head Clavicular Sternal head costal leader An abdominal boss for some and subclavian muscle The subclavian muscle sits under the collarbone and

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Guide to pain of myofascial origin

Myofascial syndrome of the extensor muscles of the hand MEDECIN ABONNE

Anatomical reminder Description 1 – Brachioradialis muscle 2 – Extensor carpi radialis longus 3 – Extensor carpi radialis brevis 4 – Abductor pollicis longus 5 – Thumb extensor brevis 6 – Long thumb extensor 7

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Facial neuralgia

Trigeminal neuralgia MEDECIN ABONNE

The trigeminal nerve (V: anatomical reminder), the V divided into 3 territories V1, V2 and V3. Description : It is most often a woman over 50, frequent around 70 years. The pain is systematized in

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Guide to pain of myofascial origin

Myofascial syndrome of the brachialis muscle

Anatomical reminder The muscle is inserted, above, on the humeral diaphysis in its anterior part and, below, on the proximal part of the ulna (cubitus). Its only role is the flexion of the elbow. Síndrome

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Guide to pain of myofascial origin

Myofascial syndrome of the coracobrachialis muscle MEDECIN ABONNE

Anatomical reminder The coraco-brachialis muscle attaches, above, to the coracoid process and, below, to the medial part, in its middle part, of the humeral diaphysis its function is the flexion and adduction of the arm

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Guide to pain of myofascial origin

Latissimus dorsi muscle myofascial syndrome ABONNE

Anatomical reminder This very extensive muscle is inserted, in its medial part, on the spines of the last 6 thoracic vertebrae, the 5 lumbar vertebrae, on the sacrum, on the iliac crest and on the

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Douleur de la fesse

Voici la liste des muscles potentiellement responsables de ces douleurs, un lien est sélectionnable pour plus de détail sur un muscle particulier :  Muscle longissimus du thorax         Muscle ilio-costal des lombes

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Douleur dorsale de l’avant-bras

Voici la liste des muscles potentiellement responsables de ces douleurs, un lien est sélectionnable pour plus de détail sur un muscle particulier : Muscles scalènes (petit scaléne)         Muscle grand rond  

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Guide to pain of myofascial origin

Torticollis: myofascial syndrome of the levator scapula muscle MEDECIN ABONNE

Anatomical reminder The levator scapula attaches above to the transverse processes of the first 4 cervical vertebrae and below to the superomedial angle of the scapula. Its role is: to elevate the medial aspect of

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Guide to pain of myofascial origin

Myofascial syndrome of the square muscle of the loins MEDECIN ABONNE

Anatomical reminder   The anatomical insertions on 3 different structures give rise to 3 groups of fibers of different orientation: The fibers, which start at the top of the twelfth side and attach, at the

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Guide to pain of myofascial origin

Myofascial syndrome of the piriformis muscle and short lateral rotator muscles MEDECIN ABONNE

Anatomical reminder These muscles include: The piriformis muscle The upper and lower gastrocnemius muscles The square femoris muscle The internal and external obturator muscles 1- gluteus maximus muscle (cut) 2- gluteus medius muscle (sectioned) 3-

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Quand la morphine fait mal MEDECIN ABONNE

Il faut tout d’abord définir l’hyperalgésie et l’allodynie , l’hyperalgésie primaire et secondaire : Hyperalgésie : pour un stimulus douloureux donné, la sensation douloureuse est anormalement augmentée Allodynie : une sensation normalement non douloureuse le

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Hyperalgésie secondaire induite par les morphiniques MEDECIN LIBRE

Il faut tout d’abord définir l’hyperalgésie et l’allodynie , l’hyperalgésie primaire et secondaire : Hyperalgésie : pour un stimulus douloureux donné, la sensation douloureuse est anormalement augmentée Allodynie : une sensation normalement non douloureuse le

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Pathologies

Endorphins MEDECIN ABONNE

Definition An endorphin (from the abbreviation endogenous morphine) is a , that is to say a [ tooltip title=”A peptide is a polymer of amino acids linked together by peptide bonds”]peptide[/tooltip] acting as a neurotransmitter,

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Récepteurs opioïdes MEDECIN ABONNE

Définition Les récepteurs opioïdes sont des récepteurs situés, sur les cellules, pouvant être stimulés par un opioïde (dérivés du mot opium) . Description Ils existent 4 sous types de récepteurs opioïdes :  Delta (δ) Kappa (κ) Mu (μ)  récepteurs

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Guide to pain of myofascial origin

Myofascial syndrome of the deep intrinsic muscles of the foot MEDECIN ABONNE

Anatomical reminder The deep intrinsic muscles of the foot are composed of: plantar quadratus muscle lumbrical muscles flexor hallucis brevis muscle flexor muscle of the little toe interosseous muscles. 1- Lumbar muscles 2- Plantar square

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Guide to pain of myofascial origin

Myofascial syndrome of the extensor digitorum longus muscles MEDECIN ABONNE

Anatomical reminder Composed of 2 muscles: the extensor digitorum longus and the extensor hallucis longus. 1 -Tibia 2-Extensor hallucis longus muscle 3-Inferior extensor reticunalum 4-Tendon of the extensor hallucis longus 5-Tendon of the extensor digitorum

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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 head and neck splenius MEDECIN

Anatomical reminder It is composed of an upper part, the splenius muscle of the head, and a lower part, the splenius muscle of the neck: They lie directly under the trapezius muscle. 1- semi-spinous of

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Guide to pain of myofascial origin

Myofascial syndrome of the suboccipital muscles. MEDECIN

Anatomical reminder 1- splenius of the head (sectioned). 2- semi-spinous (sectioned) 3- longissimus of the head (sectioned) 4- superior oblique of the head 5- posterior rectus minor 6- posterior rectus capitis 7- inferior oblique of

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Guide to pain of myofascial origin

Myofascial trapezius syndrome MEDECIN

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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Guide to pain of myofascial origin

Myofascial syndrome of the popliteal muscle MEDECIN ABONNE

Anatomical reminder It takes its proximal insertions on the lateral face of the external or lateral femoral condyle and distal from the medial side of the posterior face of the tibia. It prevents the femur

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Guide to pain of myofascial origin

Myofascial syndrome of the quadriceps femoris muscles MEDECIN ABONNE

Anatomical reminder Muscle composed of 4 heads: Right femoral vastus medialis Vast Intermediate wide lateral The muscles of the quadriceps group insert all 4, distally, on the patella. The patella is attached to the anterior

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Guide to pain of myofascial origin

Myofascial syndrome of the posterior leg muscles MEDECIN ABONNE

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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Lombalgie à distance de l’accouchement MEDECIN ABONNE

Selon cette étude relativement ancienne, 37 % des femmes ayant accouchées souffrent encore de lombalgie dans les 12 à 18 mois suivant l’accouchement (1). La lombalgie commune post accouchement est liée aux modifications de posture  de la

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Lombalgie à distance de l’accouchement MEDECIN LIBRE

Selon cette étude relativement ancienne, 37 % des femmes ayant accouchées souffrent encore de lombalgie dans les 12 à 18 mois suivant l’accouchement (1). La lombalgie commune post accouchement est liée aux modifications de posture  de la

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Lombalgie à distance de l’accouchement ABONNE LIBRE

Selon cette étude relativement ancienne, 37 % des femmes ayant accouchées souffrent encore de lombalgie dans les 12 à 18 mois suivant l’accouchement (1). La lombalgie commune post accouchement est liée aux modifications de posture  de la

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Pathologies

Low back pain of lumbosacral origin MEDECIN ABONNE

Part of the underlying descriptions are taken from Robert Maigne’s book: “Pain of spinal origin, understanding diagnosis and treatment” All of the elements making up the mobile spinal segments can be responsible for acute or

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Guide to pain of myofascial origin

Myofascial syndrome of the gluteus medius muscle: lumbago muscle MEDECIN ABONNE

Anatomical reminder The posterior part of the gluteus medius muscle sits deep within the gluteus maximus muscle. Its lower part covers the small gluteus muscle. The proximal insertions of the muscle are on the anterior

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Clinical cases

Pain after anterior cervical spine surgery for herniated disc MEDECIN ABONNE

Mrs. X, 55 years old, was operated on for a C5-C6 cervical hernia 3 years ago via a right anterior approach. After a transient improvement, there is a reappearance of pain at the cervical level,

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Clinical cases

Chronic pain after bimalleolar ankle fracture MEDECIN LIBRE

M X, 45 years old, victim of a bi-malleolar ankle fracture operated on 14 months ago, has significant residual pain limiting walking and returning to work (the patient is a self-employed physiotherapist). Following his operation,

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Pathologies

Pudendal nerve neuralgia MEDECIN ABONNE

Pathophysiology of neuralgia of the pudendal nerve Classic pudendal nerve neuralgia is a tunnel syndrome (like carpal tunnel syndrome). There are two areas of possible conflict in the pelvic area: at the level of the

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Pathologies

Pelviperineal innervation MEDECIN ABONNE

Description of the perineal pelvic innervation Perineal pelvic innervation by somatic nerves includes: The genitocrural nerve and the iliohypogastric nerve from levels D12-L1-L2, The cluneal (or lesser sciatic) nerve coming from L4-L5-S1 and The pudendal

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Guide to pain of myofascial origin

Myofascial syndrome of the posterior leg muscles MEDECIN 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 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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Type of treatment

Lamaline (paracetamol + opium + caffeine) MEDECIN ABONNE

Composition : Capsule: – Paracetamol 300mg – Opium powder 10mg – Caffeine 30mg Suppository: – Paracetamol 500mg – Opium powder 15mg – Caffeine 50mg Indications : Symptomatic treatment of pain of moderate to intense intensity

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Type of treatment

Codeine MEDECIN ABONNE

Indications: Used in the treatment of moderate to severe pain. Used as a cough suppressant. Dosage The dosage should be adjusted to the intensity of the pain; the lowest effective dose should generally be used,

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Type of treatment

Tramadol MEDECIN ABONNE

Indications: Tramadol is indicated for the treatment of moderate to intense pain, particularly postoperative pain for the injectable form. Available in the form of capsules with prolonged release or not, in drinkable form and in

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Type of treatment

Nefopam MEDECIN ABONNE

Indications : Analgesic drugs not related to other classes of analgesics. No anti-inflammatory effect, no antipyretic effect, no slowing of transit, no respiratory depression. Symptomatic treatment of acute painful conditions, particularly postoperative pain. This medication

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Type of treatment

Acetylsalicylic acid (Aspirin) MEDECIN ABONNE

Indications: – Symptomatic treatment of mild to moderate pain and/or febrile states. – Chronic inflammatory rheumatism, acute articular rheumatism in children. – Symptomatic treatment of inflammatory rheumatism in adults. Dosage: Mild to moderate pain and/or

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Headache Treatment

Paracetamol MEDECIN ABONNE

Indications : Symptomatic treatment of mild to moderate pain and/or feverish states. Dosage: From 50 kg: 1 gram 3 to 4 times a day with a delay, between 2 intakes, of at least 4 hours.

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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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Guide to pain of myofascial origin

Sternal muscle myofascial syndrome MEDECIN ABONNE

Anatomy of the sternal muscle The sternal muscle is an inconstant muscle whose fibers run parallel on either side of the sternum. They are located above the insertion of the pectoral muscle on the sternum

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Type of treatment

Nonsteroidal anti-inflammatory drugs (NSAIDs) MEDECIN ABONNE

Many molecules have nonsteroidal anti-inflammatory effects (NSAIDs). Action mechanism : Blocks the production of inflammatory substances. Indications: Depends on the analgesic and anti-inflammatory activity of NSAIDs and the extent of the manifestations of intolerance to

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Treatment of neuropathic pain

Treatment of neuropathic pain ABONNE

The treatment of neuropathic pain is sometimes difficult and is generally based on the combination of several medicinal and/or non-medicinal methods. Seeking the best relief with the fewest possible side effects is the rule. Of

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Pathologies subscribers

Evolution of polyradiculoneuritis sensory impairment MEDECIN

Polyradiculoneuritis. Possible development The topographic evolution of this pathology is dependent on the length of the nerves. Its evolution can be schematized as follows (in red):

Type of treatment

Ischemic muscle compression MEDECIN ABONNE

Ischemic muscle compression is used in the treatment of myofascial syndromes. It consists of exerting sustained pressure on the area of muscle contracture responsible for the myofascial syndrome. To apply this technique, the responsible muscle

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Guide to pain of myofascial origin

Head and neck muscles MEDECIN ABONNE

The temporalis muscle The masseter muscle The digastric muscle The occipito-frontal muscles. Dental pain of muscular origin. The facial muscles. The lateral pterygoid muscle The medial pterygoid muscle The posterior neck muscles The suboccipital muscles

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Myofascial syndrome

Trunk muscles MEDECIN ABONNE

List of muscles referenced on the site: Pectoral major Small pectoral Scalenes Sternocleidomastoid Sternal Subclavian Myofascial syndromes of the abdominal muscles Serratus anterior Latissimus dorsi Posterior and inferior serratus Multifidus Thoracic iliocostal Lumbar iliocostal Longissimus

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Guide to pain of myofascial origin

Lower limb muscles MEDECIN ABONNE

List of lower limb muscles and associated myofascial syndrome. The quadratus lumborum muscle Pelvic floor muscles The gluteus minimus muscle The gluteus medius muscle The gluteus maximus muscle The piriformis and other lateral rotators muscles

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Guide to pain of myofascial origin

Upper limb muscles MEDECIN ABONNE

List of upper limb muscles and related myofascial syndrome: The teres major muscle. The teres minor muscle The subscapularis muscle. The supraspinatus muscle. The deltoid muscle The infraspinatus muscle The pectoralis major muscle The pectoralis

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Guide to pain of myofascial origin

Occipito-frontal myofascial syndrome MEDECIN ABONNE

Anatomy of the occipitofrontalis muscle. This muscle is composed of an anterior frontal part and an occipital part (in red). They are attached to an aponeurosis which covers the skull (in yellow) and which slides

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Non classé

Amitriptyline MEDECIN

Indications : – Major depressive episodes. – Peripheral neuropathic pain in adults. – Nocturnal enuresis in children in cases where any organic pathology has been excluded. Dosage in neuropathic pain: Treatment should start at low

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Non classé

Muscles du tronc MEDECIN LIBRE

Liste des muscles référencés dans le site : Grand pectoral Petit pectoral Scalènes Sterno-cléido-mastoïdien Sternal Subclavier Syndromes myofasciaux des muscles abdominaux Dentelé antérieur Grand dorsal Dentelé postérieur et inférieur Multifide Ilio-costal thoracique Ilio-costal lombaire Longissimus

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Théorie du gate control

Acupuncture. Principes et théories en médecin Chinoise.

Introduction. L’acupuncture est une médecine. Son fonctionnement est déterminée par une physiologie, une physiopathologie et une approche du malade par rapport au monde extérieur qui lui est propre. Elle ne se limite pas à l’utilisation

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Non classé

Dermatomes

The dermatome is an area of skin innervated by a single spinal nerve or cranial nerve (or nerve root). Below is a schematic representation of the different dermatomes of the human body.

Dorso-lumbar junction syndrome

Thoracic junction syndrome MEDECIN ABONNE

Description Also described as Maigne syndrome, this syndrome combines lower back pain and/or pubalgia and/or lateral hip involvement (in yellow). The topography of this pain and the associated clinical signs correspond perfectly to the nervous

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Pathologies

Peripheral neuropathies MEDECIN ABONNE

Definition. The peripheral nervous system is composed of: – Spinal nerve roots, – the posterior spinal ganglia, – the peripheral nerves up to their terminal ramifications, – the autonomic nervous system, – the cranial nerves

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Pathologies

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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Fibromyalgia

Fibromyalgia MEDECIN ABONNE

This frequent pathology poses problems of public health, diagnosis, origin and finally treatment. Diagnosis of fibromyalgia Previously it was necessary to test by the pressure of the thumb from 11 to 18 points (The pressure

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Clinical cases

Pain after brain surgery MEDECIN LIBRE

Mrs. X, 60 years old, comes to the doctor for extremely disabling scalp pain. These pains appeared following surgery for a brain tumour. She describes burns, associated with electric shocks of an entire hemi-cranium (red

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Type of treatment

Scottish baths

Scottish baths are an alternation of cold and hot baths generally used on the extremities of the limbs (ease of realization): – Hot water at 40°C (+/- 2°) depending on tolerance – Cold water at

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Headache Treatment

Migraine treatment MEDECIN ABONNE

Treatment of migraine attacks. The crisis is only for 2 hours for a minimum duration of 24 hours. Treatment for analgesics The initial treatment of the crisis uses the analgesics of shield 1 in first

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Type de traitement

Il existe un certains nombres de prises en charges un peu spécifiques dans la douleur chronique. Vous trouverez ci dessous un certains nombres ce ces thérapeutiques. Traitement des céphalées. Kétamine. Neurostimulation cutanée électrique (TENS). Le

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Headache

Headache MEDECIN ABONNE

There are 3 main causes of headaches; Primary headaches (without underlying cause) Headache. Tension headache. Vascular cluster headaches. Other rarer pathologies. Secondary headaches. (with underlying causes) Linked to associated illnesses or trauma. Cranial neuralgia and

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Myofascial syndrome

Myofascial syndrome. MEDECIN LIBRE

The myofascial syndrome: introduction These pains of muscular origin are encountered daily by doctors but are unfortunately poorly understood or ignored. However, they are responsible in some patients for major and disabling functional impairment. The

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Guide to pain of myofascial origin

Myofascial syndrome of the abdominal muscles MEDECIN ABONNE

Pain related to the abdominal musculature often poses diagnostic problems. Indeed, the relationships with the underlying viscera are close. Thus, myofascial syndromes of the abdominal muscles can be responsible for digestive or genitourinary disorders such

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Guide to pain of myofascial origin

Myofascial supraspinatus muscle syndrome MEDECIN ABONNE

Rappel anatomique The supraspinatus or supraspinatus muscle attaches medially to the inside of the top of the scapula and laterally to the greater tuberosity of the humeral head (shoulder). (anatomyWikipédia) Myofascial supraspinatus muscle syndrome The

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Guide to pain of myofascial origin

Myofascial syndrome of the gluteus minimus: pseudo sciatica. MEDECIN ABONNE

Myofascial syndrome of the gluteus minimus muscle is responsible for pseudo-sciatica. The contracture of this muscle is responsible for pain projecting on the lateral part of the thigh sometimes up to the ankle (red zone).

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Head and neck muscles

Myofascial syndrome of the masseter muscle. MEDECIN LIBRE

The masseter muscle (muscle of the jaw, of mastication), (orange area) is located in front of the ear, from the lower jaw to the outer side of the eye. (Masseter muscle – Wikipedia) Referred pain

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Head and neck muscles

Temporal muscle myofascial syndrome ABONNE LIBRE

Headache related to contracture of an area of the temporalis muscle (orange area) is common. It is generally located at the level of the temple, above the orbit, and sometimes manifests itself by dental pain

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Clinical cases

Chronic pain after parotid surgery MEDECIN ABONNE

Mrs. X, 50 years old, was operated on for a parotid gland 6 months ago. She currently presents with pain in the ear with a cardboard sensation on the side of the neck and pain

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Clinical cases

Pain after plastic surgery of the face (facelift) 1 MEDECIN LIBRE

Mrs. X, 56 years old, underwent plastic surgery of the face (facelift) in order to make remove the wrinkles from his face. In the aftermath of the operation, she has had real facial neuralgia for

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Abdominal pain

Pain after umbilical hernia surgery MEDECIN LIBRE

Mrs. X, 30 years old, was operated by laparoscopy (camera) of a hernia umbilical (navel) a year ago. Some time after the operation, she complained of significant periumbilical pain without respite (red zone). Examination of

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Abdominal pain

Post appendectomy pain MEDECIN LIBRE

Following an appendectomy, M X, 30, describes Burning pain in lower abdomen, testicle, penis and root of thigh. Clinical examination found hypoesthesia of the described area (red area). The appendectomy scar is painful (green area).

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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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Non classé

Muscles du tronc ABONNE LIBRE

Liste des muscles référencés dans le site : Grand pectoral Petit pectoral Scalènes Sterno-cléido-mastoïdien Sternal Subclavier Syndromes myofasciaux des muscles abdominaux Dentelé antérieur Grand dorsal Dentelé postérieur et inférieur Multifide Ilio-costal thoracique Ilio-costal lombaire Longissimus

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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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Headache

Migraine MEDECIN ABONNE

Description : Migraine is a pain in the head that is often one-sided, throbbing (painful beating of the “heart” in the head). This pain is often strong, even very strong. It is often accompanied by

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Headache

Tension headache MEDECIN ABONNE

This headache (headache), once considered essentially psychogenic, is very common since it affects between 30% and 78% of the general population. The diagnosis is made after at least ten episodes of headache. These episodes last

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Abdominal pain

Abdominal pain after liposuction LIBRE

Mrs. X, 55, had abdominal liposuction 1 year ago. A few weeks later Mrs. X begins to be embarrassed by wearing trousers. Wearing the belt (pants) becomes uncomfortable and then intolerable. Mrs. X has since

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Clinical cases

Post episiotomy pain MEDECIN ABONNE

Mrs. X 40 years old comes in consultation for pain in the buttocks and the posterior part of the thigh (red area), the external genitalia and the vagina (in its 1st third). Ms. X has

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Chest pain

Pain after thoracic surgery MEDECIN ABONNE

M X, 60, was operated on for a lung tumor a year ago. Some time after returning home, Mr X presented with burning chest pains. The contact of the clothes is very unpleasant. Breathing is

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Clinical cases

Pain after thumb prosthesis MEDECIN ABONNE

Mrs. X, 55, had a Maya prosthesis fitted a year ago for right thumb rhizarthrosis (arthrosis of the thumb base joint). The trapezio-metacarpal prosthesis (Maya). This prosthesis resembles a mini-hip prosthesis, with a metallic spherical

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Clinical cases

Pain after knee prosthesis MEDECIN ABONNE

Mrs. X, 75, presents with pain in her right knee following a knee prosthesis fitted 18 months ago. She has pain in support. Limitation of knee flexion, gait instability. She describes an impression of too

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Clinical cases

Lower limb pain and balance disorders MEDECIN ABONNE

La señora X, de 60 años, acude a consulta con trastornos del equilibrio. Todos los exámenes adicionales realizados son normales. Sus síntomas aparecieron después de la extracción de un fleje de rótula, colocado por una

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Clinical cases

Chronic sciatica after laser treatment of varicose veins MEDECIN ABONNE

Mr X, 69 years old, has been suffering from hyperalgesic sciatica for 6 months. The various examinations carried out are not conclusive: the MRI does not find any clear signs of compression at the level

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Back pain

Pain after lumbar arthrodesis MEDECIN ABONNE

M X, 55 years old, underwent lumbar arthrodesis 5 years ago. For 5 years the patient has continuously suffered from chronic low back pain radiating forward from the root of the right thigh, the right

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Abdominal pain

Abdominal pain after liposuction MEDECIN

  Mrs. X, 55, had abdominal liposuction 1 year ago. A few weeks later Mrs. X begins to be embarrassed by wearing trousers. Wearing the belt (pants) becomes uncomfortable and then intolerable. Mrs. X has

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Post operative chronic pain