Clinical cases doctor
Ehler Danlos Syndrome, Pain and Vaccination
Mrs. X, 40 years old, has a familial hypermobile Ehler Danlos syndrome (maternal grandfather and mother affected). She has suffered from chronic diffuse pain since the age of 12. Her medical history includes: a vaccination
Post traumatic syndrome and “phantom” pain
M X, 22 years old, was the victim, 2 years ago, of a section of part of his right hand by a machine tool with almost complete section of the first three fingers of the
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
Abdominal pain and constipation after bariatric surgery with a Bypass
Mrs. X, 52 years old, underwent bariatric surgery by Bypass 5 years ago. She developed progressively increasing abdominal discomfort associated with severe constipation since on the day of the consultation she described a frequency of
Differential diagnosis of angina pectoris: chronic post-burn pain in the left anterior chest
Mr R, 55, former winemaker, has had chest pain for several years. He benefited from the placement of 3 coronary stents 4 years ago following a myocardial infarction. In this history, there is a severe
Diagnosis and treatment of pain on cicatricial neuropathy and myofascial syndrome: a concrete case
Ms. X, 45 years old, underwent surgery on the left breast with reconstruction by placing a prosthesis on the left breast and then breast reduction surgery on the right. In the month following this last
Chronic pain after ankle sprain.
Mm X., 29, presented two years ago with a trivial ankle sprain without major damage to the external ligaments of the ankle. She developed a chronic pain syndrome in the foot, ankle and right leg
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,
Pain after anterior cervical spine surgery for herniated disc ABONNE LIBRE
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,
Chronic pain after bimalleolar ankle fracture MEDECIN ABONNE
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 liberal physiotherapist). Following his operation,
Pain after inguinal hernia repair by laparoscopy
Mrs. X, 47 years old, had a right inguinal hernia repaired by laparoscopy a year ago. In the month following the operation, she began to feel significant pain in the right inguinal fold with burning
Post laser pain of perianal warts
Miss X, 27, received treatment for perianal warts 5 years ago. Unfortunately this treatment is complicated by a staphylococcal superinfection with perianal abscess to the left of the anus which required antibiotic therapy and prolonged
Scar pain activation
Mrs. X, 57 years old, presents with arteritis of the lower limbs. She will benefit from femoral artery surgery at the level of the root of the left thigh. In the following weeks, Mrs. X
Laryngectomy and swallowing disorders
M X., 70 years old, underwent a laryngectomy with tracheostomy for neoplasia of the ENT sphere 10 years ago. In the aftermath of this surgery, he presented with moderate swallowing disorders, which were embarrassing at
Pain after thoracic surgery ABONNE LIBRE
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
Algodystrophy of a hand following an operated wrist fracture
Ms. X, 50 years old, presented a wrist fracture a few months ago (colles’ fracture). After the operation (installation of 3 fixation pins), the patient is cast. The plaster is removed after 3 weeks before
Chronic sciatica after laser treatment of varicose veins ABONNE LIBRE
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
Pain after parotid surgery ABONNE LIBRE
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
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
Post episiotomy pain ABONNE LIBRE
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
Respiratory failure and chest drainage
M X, 85 years old, is hospitalized in intensive care for acute respiratory distress due to pneumopathy. Faced with the seriousness of the respiratory attack, he was put on respiratory assistance with intubation and sedation.
Pain after breast reconstruction by dorsal flap
Mm X, 65, has had pain for 9 years in her left breast, which has been reconstructed, in her back, and on the inside of her left arm. She also describes a heaviness in her
Breast prosthesis pain ABONNE
Ms. X, 58, received a breast implant placement for aesthetic purposes a year ago. A few months later, she presents with breast pain, radiating to the back (red zone). Wearing a bra is difficult, contact
Pain after lung surgery
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
Pain after thumb prosthesis ABONNE LIBRE
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
Collarbone post fixation pain
M X, 28, presented 2 years ago with shoulder trauma with severe acromioclavicular dislocation requiring fixation between clavicle and coracoid. Since then, he has had very significant pain in his left shoulder with major
Pain after shoulder arthroscopy
A certain number of patients develop pain in the upper limb following shoulder arthroscopy. This pain appears in the month following the intervention. In general, the surgery is performed through 3 entry points, anterior, lateral
Chronic sciatica after herniated disc surgery ABONNE
M X, 47, was operated on, apparently a little late, for a herniated L4-L5 lumbar disc responsible for hyperalgesic acute sciatica with motor and sensory deficit (decreased sensitivity and strength on the territory of the
Pain after anterior hip prosthesis
Mm X, 65 years old, was operated on for a hip prosthesis via an anterior approach 9 months ago (an intervention where the incision is made on the anterior aspect of the thigh (green zone),
Post-hip prosthesis pain ABONNE
Mrs. X, 75 years old, complains of thigh pain and feeling of leg slippage. Ms. X was operated on a few years ago for a hip prosthesis on the same leg. She is convinced that
Pain after knee prosthesis 2
Mrs. X, 70 years old, comes for the consequences of algodystrophy of the knee lasting for 15 months. This algodystrophy or CRPS type 1 appeared following a knee prosthesis. Mrs. X complains of overall knee
Pain after knee prosthesis 1 ABONNE LIBRE
Mrs. X, 75 years old, has pain in her right knee following a knee prosthesis 18 months ago. She has pain in support. Limitation of knee flexion, gait instability. She describes an impression of too
Pain after ilio-femoral artery bypass surgery
M X, 65 years old, was operated on for a bypass of the main artery of the left leg. She was replaced by a prosthesis from the inguinal fold to the back of the knee.
Post meniscectomy pain ABONNE
Mr. X, 40, underwent arthroscopic internal meniscectomy surgery knee two years ago. Some time after the operation, M X describes nocturnal impatience of this leg followed by the appearance of burns on the anterior face
Lower limb pain and balance disorder ABONNE LIBRE
Mrs. X, 60 years old, comes to the consultation with balance disorders. All the additional examinations carried out are normal. His symptoms appeared following the removal of a patella strapping, placed for a patella fracture
Pain after lumbar arthrodesis 1 ABONNE LIBRE
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
CRPS type 1 of the head ABONNE
Mrs. X, 65 years old, comes for consultation because for several years she has had burns on the scalp and face (red zone) associated with excessive sweating of the whole head. This sweating is so
Pain after face surgery (facelift) 2 ABONNE
Ms. X, 56 years old, had plastic surgery of the face (facelift). In the aftermath of the operation, she presents pain radiating under the left ear and this for 2 years (red zone). Examination of
Pain after face surgery (facelift) 1 ABONNE LIBRE
Mrs. X, 56 years old, underwent plastic surgery of the face (facelift) in order to remove the wrinkles from his face. In the aftermath of the operation, she has had real facial neuralgia for 2
Severe dyspepsia and gastric banding
Miss X, 28, had gastric banding several years ago for the treatment of moderate obesity. Given the good results of this therapy, the gastric band was removed three years ago. Subsequently, she presented with digestive
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
Pain after umbilical hernia surgery ABONNE 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
Post appendectomy pain ABONNE 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).
Pain after brain surgery MEDECIN ABONNE
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