Pathologies Doctor
Long covid
Description of the different symptoms linked to long Covid by the high French health authority. An incidence of Covid and anti-covid vaccination observed regularly in consultation is the activation of scarring neuropathic pain with all
Neuropostural syndrome of iliac fossa scars
Description As we defined in neuropostural syndrome, the pain felt by the patient can be neurological and/or postural: Neuropathic pain is linked to scar neuropathy from an iliac fossa scar. Muscle pain is linked to
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
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.
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
Hereditary neuropathies due to hypersensitivity to pressure.
Epidemiology The true prevalence of hereditary pressure hypersensitivity neuropathy (HNPP) is unknown, as the disease is underdiagnosed, but is estimated to be between 1/50,000 and 1/20,000. Clinical description The disease usually occurs between the second
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,
Tomacular neuropathy
Or hereditary neuropathy with hypersensitivity to pressure (HNPP) Etiology The disease is caused by a mutation in the PMP22 (17p12) gene and other genes. PMP22 encodes peripheral myelin protein 22 (PMP22) which is expressed predominantly
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
Complex regional pain syndrome (algodystrophy) MEDECIN
Complex Regional Pain Syndromes type 1 or 2 (former algoneurodystrophy and causalgia) Description.. CRPS can evolve in 3 phases: The evolution between these 3 phases is variable in duration and can be very long or
Cannabinoid hyperemesis syndrome
Douleurs abdominales et vomissements chez le fumeur régulier de cannabis : syndrome d’hyperémèse cannabinoïde
The antero-lateral (AL) muscle chain
Composition of the anterolateral (AL) muscle chain Muscles of the main structure of the AL chain: Muscles of the lower limbs: Anterior part of the gluteus medius. Fascia lata tensor. Tibialis anterior and posterior tibialis.
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
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
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
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.
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.
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: anteriorly by posterior approach Wound, hematoma, burn in the lumbar region Obstetric or
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.).
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
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
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
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
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
Wound, hematoma, burning of the buttocks
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
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
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
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
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
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
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
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
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
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
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
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
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.
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
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
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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Dorsal spine surgery
Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies Description Dorsal spine surgery is done by two isolated or associated approaches: A posterior approach: The pains described
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Chronic pain after open brain surgery (trephination) ABONNE LIBRE
Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description Some chronic post trepanation pain is linked to the healing of the operated area. The pain has
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,
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
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
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
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
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
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
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
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
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
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,
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,
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,
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
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
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
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
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
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
Explain chronic pain ABONNE LIBRE
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
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,
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
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
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
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.
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
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
Serratus Major (Serratus) Nerve Syndrome
Anatomical reminder The serratus anterior muscle is innervated by the long thoracic nerve. This nerve arises from the 5th, 6th, and 7th spinal nerves at their junction forming the superior primary trunk of the brachial
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
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,
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
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
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
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
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
Myofascial syndrome of thoracolumbar paravertebral muscles
Anatomical reminder This muscle group is made up of: superficial fibers: longissimus and iliocostals deep fibres: multifidus, long and short rotators Description Surface fibers: 1 -Longissimus of the head 2 – Iliocostal thoracic 3 –
Serratus Posterior and Inferior Myofascial Syndrome
Anatomical reminder Diagnostic The muscle inserts medially on the aponeurosis which joins the spinous D11-D12-L1-L2 and laterally on the last 4 ribs. Functions Participa en la rotación de la columna ver su extensión los músculos
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
Serratus Posterior Superior Myofascial Syndrome
Anatomical reminder Description The muscle is inserted, medial, on the dorsal fascia from C7 to T2 or T3 and, laterally, on the upper edge of the 2nd to the 5th ribs. The muscle is located
Myofascial syndrome of the flexor muscles of the hand and fingers
Anatomical reminder In this category, several muscles stand out: Flexor carpi radialis and ulnaris Superficial and deep finger flexors flexor pollicis longus round pronator Description 1 – Biceps brachii muscle 2 – Pronator teres
Myofascial syndrome of the pectoral muscle ABONNE LIBRE
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
Myofascial syndrome of the pectoralis minor muscle
Anatomical reminder Description The pectoralis minor muscle attaches above to the middle part of the coracoid process and below to the anterior part of the 3rd, 4th and 5th ribs. Function The muscle pulls the
Palmaris longus muscle myofascial syndrome
Anatomical reminder Description 1 – Pronator teres muscle 2 – Palmaris longus muscle 3 – Flexor carpi ulnaris muscle 4 – Tendon of palmaris longus 5 – Palmar aponeurosis 6- Antebrachial fascia 7 – Brachioradialis
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
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
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
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
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,
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
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
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
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
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
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
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,
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
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
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)
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
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
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
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)
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
Myofascial syndrome of the supinator muscle (tennis elbow)
Anatomical reminder Description On this diagram, at the top, view of the anterior part of the forearm, at the bottom, of the posterior part. The proximal part of the muscle inserts on the dorsal surface
Myofascial syndrome of the extensor muscles of the fingers of the hand
Anatomical reminder Description 1 – Tendon of the extensor of the fingers 2 – Extensor muscle of the fingers The muscle attaches, in its proximal part, to the lateral epicondyle of the humerus, to the
Myofascial syndrome of the extensor muscles of the hand ABONNE LIBRE
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
Myofascial syndrome of the triceps brachii muscle ABONNE
Anatomical reminder This muscle is made up of three heads: The lateral head which attaches to the humerus above and the olecranon process below The medial head which also attaches to the humerus above and
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
Myofascial syndrome of the biceps brachii muscle
Anatomical reminder Proximal anatomical insertions are made by: the long head (lateral head) attaches by a tendon on the upper part of the glenoid cavity on the scapula to descend on the humeral head in
Myofascial syndrome of the coracobrachialis muscle ABONNE LIBRE
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
Latissimus dorsi muscle myofascial syndrome
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
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
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
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
Deltoid muscle myofascial syndrome
Anatomical reminder The cranial insertions are made, from front to back, on the clavicle, the acromion and the spine of the scapula. The distal insertions on the deltoid tuberosity. The function of the deltoid is
Myofascial syndrome of the rhomboids lesser and greater muscles
Anatomical reminder The small rhomboid is inserted medially on the nuchal ligament and on the spinous spinae of the C7 and T1 vertebrae and laterally on the medial border of the scapula. Below, the rhomboid
Teres minor myofascial syndrome
Anatomical reminder 1 Supraspinalis muscle 2 Infraspinatus muscle 3 Teres minor muscle 4 Triceps brachii muscle 5 Teres Major 6 Latissimus dorsi muscle The teres minor insertions are close to the infraspinatus muscle, slightly inferior.
Myofascial syndrome of the infraspinatus muscle
Anatomical reminder The infraspinatus muscle inserts, in its medial part, into the infraspinatus fossa of the scapula and, in its lateral part, into the greater tubercle of the humeral head. The function of the muscle
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
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 Iliocostal thoracic and lumbar muscles Multifidus muscle
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Myofascial syndrome of the levator scapula ABONNE LIBRE
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
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
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 muscle of the eye
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
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
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
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 Semispinatus muscle Zygomaticus major muscle
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 Splenius muscle Sternocleidomastoid muscle Temporal muscle Suboccipital muscles Semispinatus muscle
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
Vertex pain of muscular origin
Two muscles can cause vertex pain: Sternocleidomastoid muscle Splenius capitis muscle
Muscle pain in the hip, thigh and knee
Select the painful area on the following diagrams:
Muscle pain in the lower trunk, buttocks and pelvis
Choose the painful area that interests you by selecting it with a click:
Trunk muscle pain
Choose the painful area from the diagrams below.
Muscle pain in the elbow, arm and hand
Select the painful area that interests you from the following diagrams:
Muscle pain in the upper back, shoulder and arm
Choose a clickable area on the following diagrams corresponding to the painful area:
Muscle pain in the head and neck
Choose a clickable area on the following diagrams corresponding to the painful area:
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
Myofascial syndrome of the iliopsoas muscle
Anatomical reminder Description 1 – Psoas minor tendon 2 – Inguinal ligament 3 – Pubis 4 – Lesser trochanter 5 – Iliac muscle 6 – Psoas major muscle 7 – Psoas minor muscle 8 –
Myofascial syndrome of the square muscle of the loins ABONNE LIBRE
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
Myofascial syndrome of the piriformis muscle and short lateral rotator muscles ABONNE LIBRE
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-
Opioid receptors ABONNE LIBRE
Definition Opioid receptors are receptors located in the cell membrane coupled with G proteins having as ligand an opioid (derived from the word opium) endogenous or exogenous. Description There are 4 subtypes of opioid receptors:
Endorphins ABONNE LIBRE
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,
Myofascial syndrome of the deep intrinsic muscles of the foot ABONNE LIBRE
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
Plantar fasciitis
Description The patient complains of pain in the heel area and in the center of the arch. The pain occurred insidiously without a clearly identifiable initial event. The pain is more pronounced in the morning
Myofascial syndrome of the superficial intrinsic muscles of the foot
Anatomical reminder These muscles are: The extensor digitorum brevis extensor hallucis brevis The flexor digitorum brevis hallux abductor The abductor of the little toe. 1-abductor muscle of the little toe 2-flexor digitorum brevis 3-abductor
Myofascial syndrome of the extensor digitorum longus muscles ABONNE LIBRE
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
Fibular muscle myofascial syndrome
Anatomical reminder Composed by 3 muscles: peroneus longus Peroneus brevis Peroneus third 1-long toe extensor 2-tibia 3-fibular third 4-inferior extensor retinaculum 5- tendon of extensor digitorum longus 6- tendon of the third peroneus 7-inferior retinaculum
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
Tibialis anterior muscle myofascial syndrome
Anatomical reminder The proximal insertion of the muscle is on the lateral condyle of the tibia, the upper half of the lateral aspect of the tibia. The tendon of the muscle, distally, attaches to the
Standing or trampling
Prolonged standing and trampling overwork the gluteal muscles. Firstly the gluteus minimus muscle and to a lesser extent the gluteus medius. this can lead to myofascial syndrome with associated referred pain. Myofascial syndrome of the
Myofascial syndrome of the popliteal muscle ABONNE LIBRE
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
Myofascial syndrome of the muscles of the posterior compartment of the thigh
Anatomical reminder This posterior compartment contains the following muscles: Biceps femoris with 2 heads: long and short Semi-tendinosus Semi-membranous The semitendinosus and the semimembranosus form the medial muscles of the posterior compartment of the thigh,
Myofascial syndrome of the quadriceps femoris muscles ABONNE LIBRE
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
Pubic stress fracture
Results in pain in the inguinal region that is worse when walking or running Is linked to overuse of the hip adductors (running for example). Found in 1 to 2% of athletic runners. Diagnosis carried
Adductor insertion tear syndrome
Spontaneous pain aggravated by physical activity of the adductor insertion on the femur. Caused by too much adductor activity, particularly walking with large steps repeatedly. Diagnosis by scintigraphy revealing linear lesions of the femur in
Fatigue pubic symphysitis
It usually has an insidious onset. with exacerbation of symptoms during intense physical exercise. It must be distinguished: tendon tearing of the adductors at the level of the symphysis, stress fractures of the pubic ramus
Myofascial hip adductor syndrome
Anatomical reminder The hip adductor muscles are located in the medial and inner part of the thigh between the quadriceps group, in front, and the muscles of the posterior compartment of the thigh behind. From
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
Low back pain of lumbosacral origin ABONNE LIBRE
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
Myofascial syndrome of the gluteus medius muscle: lumbago muscle ABONNE LIBRE
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
Pelviperineal pain on cicatricial neuropathy
Description de la neuropathie cicatricielle. Vous trouverez dans l’article en lien la description globale des neuropathies cicatricielles. Description of cicatricial neuropathy. You will find in the linked article the overall description of cicatricial neuropathies. Cicatricial
Pudendal nerve neuralgia ABONNE LIBRE
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
Myofascial syndromes of the pelvic floor muscles ABONNE
Anatomical reminder 1- Antero-superior iliac spine. 2-Acetabulum. 3-Tuberosity of the ischium. 4-Sacrotuberous ligament. 5-Ischio-cavernous muscle. 6-Vagina. 7-Urethra. 8-Lower layer of the uro-genital diaphragm (sectioned). 9-Deep transverse muscle of the perineum. 10-Pubis. 11-superficial transverse muscle of
Pelviperineal innervation ABONNE LIBRE
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
Myofascial syndrome of the gluteus maximus muscle
Anatomical reminder The gluteus maximus muscle attaches proximally to the iliac crest, the lateral part of the sacrum and to the coccyx. The distal part attaches to the femur and the iliotibial band of the
Morton’s Foot
Two variants of this pathology responsible for metatarsalgia: – hypermobility of the first metatarsal with laxity of the longitudinal plantar ligaments. – Relative shortness of the first metatarsal compared to the second. The examination of
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
Algodystrophy and scarring neuropathy: are they the same thing?
Discussion based on an example Clinical case : Mrs X, 65 years old, is referred to a pain consultation for the management of algodystrophy diagnosed 4 months ago which appeared 3 months after the insertion
Fibromyalgia: memory in the skin
Ascertainment: According to the latest study carried out by the Fibromyalgia SOS association, the results of which were recently released, we note that more than 70% of fibromyalgia patients have had surgery. From our findings, some
Myofascial syndrome of the interosseous muscles of the hand
Anatomical reminder The interosseous muscles are located between two metacarpals. It exists : A dorsal formation (D1, D2, D3, D4) whose proximal part inserts on the 2 metacarpals forming two fusiform muscles inserting distally on
Myofascial syndrome of the lateral pterygoid muscle
Anatomical reminder The lateral pterygoid muscle is made up of 2 heads. The upper head inserts, posteriorly, on the capsule of the temporomandibular joint and on the articular disc, anteriorly on the sphenoid bone. The
Myofascial syndrome of the medial pterygoid muscle
Anatomical reminder The muscle is inserted at the bottom on the internal face of the mandible, moves forward inwards and attaches at the top to the lateral plate of the pterygoid process (on the diagram
Headache attributed to myofascial syndrome
Description of referred pain of the head and associated muscles. Myofascial syndrome of the lateral pterygoid muscle. Myofascial syndrome of the medial pterygoid muscle. Myofascial syndrome of the masseter muscle. Myofascial syndrome of the digastric
Myofascial syndrome of the sterno-cleido-mastoid muscle
Anatomical reminder The sterno-cleido-mastoid muscle attaches on its cranial part to the mastoid. Towards its caudal part it splits into 2 heads: the sternal head in front and the clavicular head below. The distance between
Myofascial syndrome of the suboccipital muscles.
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
Myofascial syndrome of the semispinatus of the head, neck and multifidus of the neck
Anatomical reminder 1- Trapezius (sectioned) 2- Splenius of the head (sectioned) 3- Semi-spinous of the head 4- Longissimus of the head 5-rotators 6- Thoracic multifidus The semi-spinatus of the neck is not represented. For the
Myofascial syndrome of the head and neck splenius
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 the head.
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
The posterior muscles of the neck
The muscles of the posterior part of the neck are divided into 4 layers from the surface to the depth by: – The trapeze – The splenius of the head and neck – The semispinatus
Myofascial syndrome of opposing and adductor pollicis muscles ABONNE
Anatomy: The thumb adductor (1) is made up of a transverse head on the upper part and an oblique head on the lower part. The opposing thumb (2) inserts on the trapezoid bone and on
Myofascial scalene muscle syndrome
Anatomy The scalene muscles are 4 in number. From front to back the anterior scalene muscle, the middle scalene muscle, the posterior scalene muscle and the lesser scalene muscle. They are partially covered in front
Chronic post-operative pain information sheet
Your patient will benefit from surgery. Whatever this surgery, skin incisions will be made. These incisions, and above all, their healing can be responsible for pain which appears several weeks or even months after the
Sternal muscle myofascial syndrome ABONNE LIBRE
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
Hyperesthetic depigmented spot
In certain painful pathologies, the origin of the pain can be identified on depigmented areas of the skin, round or lenticular in shape, sometimes grouped together. These depigmented areas have the particularity of being hyperesthetic
Peripheral neuropathies ABONNE LIBRE
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
Chronic tension headache
Diagnostic criteria for chronic tension headache defined by the International Headache Society. (Headache Classification Comittee. The International Classification of Headache Disorders : 3rd edition beta versin. Cephalalgia 2013; 33:629-808). A. Headache present on at least 15
Chronic migraine
Diagnostic criteria for chronic migraine defined by the International Headache Society. (Headache Classification Comittee. The International Classification of Headache Disorders : 3rd edition beta versin. Cephalalgia 2013; 33:629-808). A. Headache present at least 15 days per
Chronic daily headaches (CDH)
The prevalence of CCQ is between 2.5 and 4% of the population. List of main CCQs: Chronic de novo headache and hemicrania continua are very rare. Learn more about chronic migraine Learn more about chronic
Functional neuropathy
Seen when there is an area with damage to small localized fibers, particularly in scars or after-effects of hematoma. These neuropathies can be extensive even though the responsible lesion is small. The different types of
Dysautonomic neuropathy ABONNE
It corresponds to damage to the autonomic nervous system (sympathetic and parasympathetic). This attack is responsible for different manifestations: Sudomotor manifestations: Anhidrosis (absence of sweat secretion). Abnormal vasomotor response to temperature changes. Lacrimal dryness (dry
Thoracic junction syndrome ABONNE LIBRE
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
Segmental cellulo-teno-myalgia syndrome ABONNE
Reference: Robert Maigne. Pain of vertebral origin. Understand diagnose and treat. Edition Elsevier Masson. Definition : Under this name are grouped the changes in sensitivity and consistency of the tissues that can be demonstrated in
Fibromyalgia ABONNE LIBRE
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
Diffuse Scarring Hyperesthesia Syndrome (DCHS)
This new clinical entity is found in some patients with chronic pain. Its current incidence is not known. It consists of a scarring neuropathy affecting all of the scars found in a patient. This entity
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
migraine MEDECIN LIBRE
Diagnostic Migraine management: aims to accurately diagnose migraine according to ICHD-3 criteria, check chronic migraine risk factors and comorbidities, to assess migraine-related problems disability and its severity, to evaluate the effectiveness and tolerability of current
Paroxysmal vertigo in children MEDECIN
Paroxysmal vertigo in children generally affects children between 2 and 4 years old, exceptionally over 10 years old. It lasts from a few seconds to a minute. Its frequency varies, from weekly to monthly access,
Myofascial syndrome ABONNE 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
Myofascial syndrome of the abdominal muscles ABONNE LIBRE
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
Myofascial syndrome of the teres major muscle
Anatomical reminder Muscle behind the scapula. (anatomy Wikipédia) Myofascial syndrome of the teres major muscle Patients mainly complain of pain when moving the shoulder, especially when driving a vehicle with a somewhat hard steering wheel.
Myofascial syndrome of the subscapularis muscle. Frozen shoulder syndrome.
Anatomical reminder The subscapularis muscle is innervated by a branch of the axillary nerve (C5C6) which also takes care of the motricity of the teres minor and the deltoid and the sensitivity of the shoulder
Myofascial supraspinatus muscle syndrome ABONNE LIBRE
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
Myofascial syndrome of the gluteus minimus: pseudo sciatica ABONNE LIBRE
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).
Temporal muscle myofascial syndrome MEDECIN 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
Myofascial syndrome of the masseter muscle ABONNE 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
Myofascial syndrome of the digastric muscle ABONNE
The digastric muscle is located under the jaw. (anatomy see wikipedia) A myo-fascial syndrome of its posterior part can be responsible for pain at the tip of the jaw and under the ear. It can
Occipito-frontal myofascial syndrome ABONNE LIBRE
Composition du muscle occipito-frontal. 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
Myofascial syndrome of the muscles of the face ABONNE
The muscles of the face are: Orbicularis muscle of the eye, The zygomatic muscle, The platysma muscle. Myofascial syndromes of the muscles of the face give pain referred to the latter. Orbicularis oculi muscle (in
Ocular signs associated with peripheral neuropathy ABONNE
Corneal opacities: Found in Fabry disease, amyloid neuropathy and Tangier disease. Cataract: In Fabry disease and Refsum disease. Optic atrophy: Found in Refsum disease and Charcot-Marie-Tooth disease. Retinitis pigmentosa: Found in Refsum disease and Charcot-Marie-Tooth
Mucocutaneous signs associated with certain neuropathies ABONNE
Ulcers and poor perforation: Found in diabetic neuropathy, hereditary sensory and dysautonomic neuropathies, and in neuropathy linked to leprosy. Purpura: Found in cryoglobulinemia and vasculitis. Mees lines: (definition) Seen in arsenic and thallium poisoning. Bullous
Toxic neuropathies ABONNE
Below is a list of toxic agents used in industry and potentially toxic to peripheral nerves. This list is not exhaustive. – Acrylamide (flocculating agent) causes sensory damage to large nerves with sensory ataxia. –
Dejerine-Sottas syndrome
Hereditary sensorimotor disease type III or Dejerine-Sottas disease Onset in childhood, most often before the age of three. Causes muscular atrophy of the extremities which can spread towards the roots with sometimes children having to
Familial amyloid polyneuropathy
Etiology Linked to a genetic defect on chromosome 18, with alteration of transthyretin (protein). The disease is caused by a methionine for valine substitution at residue 30 of the mature TTR protein, which is encoded
Hereditary sensory neuropathies (HSN I and II)
Pathophysiology and clinical These two forms cause damage to spinal ganglion neurons. They cause sensitivity disorders without motor impairment. The pathology begins in childhood or before the age of 30. Form 1 is autosomal dominant
Dysautonomic hereditary sensory neuropathy
Dysautonomic hereditary sensory neuropathy, Type 1. HSAN1 Autosomal dominant disease whose genetic anomaly is known to differentiate 4 subtypes of this disease. Symptoms peak between 10 and 40 years of age. Patients have a loss
Tangier disease
Definition Very rare genetic neurometabolic disease characterized, biochemically, by an almost total absence of high density lipoproteins (HDL) in the plasma and, clinically, by enlargement of the liver, spleen, lymph nodes and tonsils, as well
Fabry disease
Etiology Linked to alpha-galactosidase A enzyme deficiency. X-linked with pathogenic variants of the GLA gene (Xq21.3-q22). This enzyme deficiency leads to an accumulation of globotriaosylceramide (Gb3) and its deacylated derivative (lyso-Gb3) in the lysosomes, which
Refsum’s disease
Autosomal recessive transmission disease. Linked to a deficiency in an enzyme allowing the degradation of phytanic acid and therefore linked to an accumulation of the latter. Etiology Refsum’s disease is caused by mutations in the
Peroneal atrophy or Charcot-Marie-Tooth polyneuropathy (CMT)
This neuropathy, also called peroneal muscular atrophy, is an inherited transmission neuropathy. Mode of transmission, phenotype and severity are variable. there are 3 forms: The most frequent phenotype is a demyelinating neuropathy of autosomal dominant
Genetically determined neuropathies
Etiologies They are many : – Peroneal atrophy or Charcot-Marie-Tooth polyneuropathy (CMT). – Hereditary amyloid neuropathy. – Dejerine-Sottas disease. – Refsum disease. – Hereditary sensory neuropathies (HSN I and II). – Hereditary dysautonomic sensory neuropathies
Subacute neuropathies ABONNE
Etiology Installation in several months. In general : – Metabolic neuropathies, – neuropathies of deficiency origin, – toxic neuropathies, – alcoholic neuropathies, – dysproteinemia neuropathies (myeloma, plasmacytoma, cryoglobulemia, monoclonal gammopathy), – lymphoma neuropathies, – acquired
Chronic forms of neuropathies ABONNE
Etiologies: Established over years, sometimes since childhood. Hereditary polyneuropathies. Chronic polyradiculoneuritis. Polyradiculopathies associated with monoclonal IgM gammopathy.
Acute forms of neuropathies. ABONNE
Installation in a few hours: Mainly vasculitis (polyarteritis nodosa) The picture is more of a multineuritis with multiple radicular or truncal involvement. Installation in a few days: – Guillain-Barrè syndrome and its variants. – Neuropathy
Relapsed forms of neuropathies ABONNE
Etiology Hereditary neuropathies due to hypersensitivity to pressure. Chronic relapsing polyradiculoneuritis.
Neuropathies and hypothyroidism ABONNE
Two types of neurological damage: mononeuropathies and polyneuropathies. Be careful, these forms can be associated with hypothyroidism myositis responsible for muscle pain and cramps. Mononeuropathy: The most common is damage to the median nerve at
Neuropathies and hyperthyroidism ABONNE
Description This complication is rare and presents in the form of sensory-motor impairment with predominance of sensitivity disorders. This damage is reversible with treatment of hyperthyroidism (minimum 6 months). Not to be confused with the
Neuropathies and hyperlipidemia ABONNE
Rare, it causes sensory impairment distally with a sensation of paresthesias at the tips of the feet. Treatment of hyperlipidemia results in recovery from neuropathy within a few months.
Neuropathies and Acromegaly ABONNE
Linked to excessive secretion of growth hormone. Symmetrical nerve damage, predominantly in the lower limbs with paresthesias of the feet or even legs. We can find an enlargement of the nerves in onion bulbs. If
Neuropathies that are painful from the outset ABONNE
Different origins are possible: Idiopathic: Distal symmetrical small fiber polyneuropathy. Inflammatory: Vasculitis and Perineuritis. Hereditary: Fabry disease, Hereditary dysautonomic sensory neuropathy type V, Tangier disease, Hereditary amyloidosis. Metabolic: Damage linked to diabetes. Toxic: Thallium, Arsenic.
Diabetic neuropathies
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
Lyme disease
Causal agent: Due to a spirochete bacteria of the genus Borrelia. Three species of Borrelia are known to cause Lyme disease: Borrelia Burgdorferi, Borrelia Garinii, Borrelia Afzelii. Epidemiology : Lyme disease is transmitted by tick
Chagas disease or American trypanosomiasis
Described in 1909 by Carlos Chagas. Endemic tropical parasitic anthropozoonosis in 21 countries in Central and South America. 18 million people are estimated to be infected in Latin America. Between 2 to 3 million individuals
Leptospiroses
Causal agent: Leptospiroses are zoonoses (diseases transmitted by animals) caused by bacteria of the leptospira genus. There are more than 130 serotypes grouped into 23 serogroups The most common in France is Leptospira ictero-haemorragiae. Epidemiology
Brucellosis
Brucellosis or Malta fever, melitococcal disease. Causal agent: Three germs from the same family: Brucella melitensis, Brucella abortus bovis, Brucella abortus suis. Asporulate aerobic gram-negative coccobacillus. In France the number of human cases is decreasing,
Neuropathies of infectious origin
Neuropathies of infectious origin Three types of infectious agent can be directly or indirectly responsible for neuropathy: viruses, bacteria and parasites. Neuropathies of viral origin: Herpes virus infection Varicella zoster virus infection Cytomegalovirus (CMV) infection
Multiple deficiency syndrome.
Painful polyneuropathy with ocular involvement and deafness. Seen in disadvantaged populations, especially in times of war. Linked to multiple deficiencies. Are associated with it: A painful distal polyneuropathy, Fatigue, irritability, sleep disturbances in the context
Alcoholic polyneuropathy. ABONNE
It is linked to direct toxicity of alcohol and its metabolites on the neurological tissue linked to vitamin malabsorption (competition between vit B1 and alcohol in the digestive tract, gastropancreatic disorders causing malabsorption of vitamins)
Vitamin E deficiency
Linked to pathologies of biliary excretion (biliary cirrhosis, fibrosis of the bile duct, Crohn’s disease, blind loop syndrome) or to a familial deficiency of the alpha-tocopherol receptor. He gives : Peripheral motor and sensory neuropathy
Thiamine deficiency (Vitamin B1) or Beriberi
The manifestations of thiamine deficiency are: Polyneuropathy (affecting several nerves) distal and symmetrical with cramps, burns, dysesthesia, balance disorders (ataxia). Global cardiac involvement with high output heart failure, pulmonary and peripheral edema. Encephalopathy (Gayet-Wernicke). These
Pyridoxine deficiency (Vitamin B6).
This deficiency is rare, vitamin B6 being very widespread in the diet. Note that 3 drugs antagonize it: isoniazid, penicillamine and hydralazine. Clinical signs : Seborrheic skin lesions Glossostomatitis Distal sensitive polyneuropathy with burning of
Cobalamin deficiency (Vitamin B12).
Etiology. The main cause of this deficiency is the intrinsic factor deficiency of Biermer’s anemia. Digestive pathologies with malabsorptions are also responsible: Crohn’s disease with involvement of the terminal ileum, Wipple’s disease, a blind loop
Pantothenic acid deficiency
Extremely widespread in food. Pantothenic acid deficiency is very rare. It causes : Headaches, Sleep disorders, Distal sensory polyneuropathy.
Folic acid deficiency
There is an interdependence of folic acid and vitamin B12. Gives the same table as Vitamin B12 deficiency: Peripheral nerve damage Combined spinal sclerosis, Encephalopathy or psychiatric disorders, Ataxia, Optic nerve atrophy.
Neurological impairment of celiac disease
This disease causes chronic malabsorption linked to gluten intolerance. She can give: Peripheral sensory neuropathy Cerebellar or spinal ataxia (combined spinal sclerosis) Myositis.
Alcoholic and nutritional neuropathies ABONNE
Linked to a deficiency in essential nutrients. These neuropathies are frequent in developing countries, deficiencies being endemic. They mainly affect vitamin B deficiencies: B1 (beriberi), B6, B9 In developed countries, they are rather linked to
Peripheral neuropathy: drug cause
The main drugs that can cause peripheral neuropathy are: – Periwinkle alkaloids: Vinblastine, Vincristine, Vindesine, Vinorelbine. -Almitrine – Amiodarone – Nucleoside analogues (didanosine, zalcitabine, stavudine, etc.) – Chloroquine – Cimetidine – Cisplatin – Dapsone –
Neuropathy and kidney failure ABONNE
Peripheral neurological involvement is related to renal failure, not dialysis. Uremic polyneuropathy: Its occurrence is linked to the severity of the kidney damage and its duration. Diabetes is a significant cofactor (see diabetic neuropathy). Polyneuropathy
Small fiber neuropathy
Due to damage to the small A delta and C fibers Definition : Small fiber neuropathies are neuropathies affecting small somatic fibers (sensation) and/or fibers of the autonomic nervous system. As a result, autonomic functions,
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
Hypoglycemic neuropathy ABONNE
Etiology Two pathologies are likely to cause neuropathy (rare forms): Insulinoma (benign or malignant tumor secreting insulin), Insulin treatment responsible for repeated hypoglycaemia. Clinical Description It is a predominantly distal motor and sensory neuropathy (feet
Evolution of polyradiculoneuritis sensory impairment ABONNE
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):
Primary erythermalgia
Description : Primary or idiopathic erythermalgia (PE) is characterized by intermittent episodes of redness, warmth, and burning of the extremities. These episodes are caused by exercise, prolonged standing or exposure to heat. Patients tend to wear
Upper limb muscles ABONNE LIBRE
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
Lower limb muscles ABONNE LIBRE
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
Dental pain of muscular origin. MEDECIN
Various referred pains of muscular origin can be responsible for dental pain. For the upper teeth: – The temporal muscle. – The masseter muscle. For the lower teeth: – The masseter muscle. – The digastric
Head and neck muscles ABONNE LIBRE
List of head muscles and their associated myofascial syndrome : 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
trigeminal neuralgia ABONNE LIBRE
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
Glossopharyngeal neuralgia ABONNE
The essential form (without local cause) is rare (75 times less frequent than neuralgia of the trigeminal nerve). It mostly affects people over the age of 60. The search for an ENT cancer pathology must
Cranial neuralgia MEDECIN
Cranial neuralgia, central and primary causes of facial pain and other headaches. Vast set of varied pathologies (diabetes, compression, autoimmune disease, etc.) responsible for neuropathic attacks on the face or head. Trigeminal neuralgia. Face pain
New persistent daily headache
Diagnostic criteria for new persistent daily headache defined by the International Headache Society. (Headache Classification Comittee. The International Classification of Headache Disorders : 3rd edition beta versin. Cephalalgia 2013; 33:629-808). Replaces the old daily chronic headache de novo.
Sexual headache
Pre-orgasmic or orgasmic, a subarachnoid hemorrhage or arterial dissection should be investigated during the first attacks. Pre-orgasmic: Diffuse, dull bilateral headache, associated with muscle contraction (neck, jaws). occurring during and increasing with sexual arousal. It
Hemicrania continued
Strictly unilateral pain, continuous for more than 3 months, associated with a dysautonomic sign (redness of the eye, tearing, runny nose, drooping and/or swelling of the eyelid) on the same side as the pain. The
Hypnic headache
It is very rare. It mainly affects women. The pain is moderate to severe. Bilateral, diffuse. It lasts from 30 minutes to 3 hours. Sensation of pressure, sometimes pulsating constriction. Awakening caused by headache. almost
Thunderclap headache
It is a severe headache, of sudden onset, with a maximum reached in less than 1 minute, it lasts from 1 hour to 10 days and does not recur regularly. Requires extensive investigations because it
Exertion headache
She must rule out cerebral hemorrhage or arterial dissection of the vessels of the head. The diagnostic criteria for IHS are: A-Pulsatile fulfilling criteria B and C B- Lasting from 5 min to 48 h
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
Other primary headaches
These are very specific, rare headaches, the treatment of which is poorly understood. A diagnostic assessment (brain MRI) is necessary to confirm their primary nature. these are: (alongside the duration of the crisis is noted)
SUNCT or short-term, unilateral headache attacks with conjunctival injection and tearing
Severe to intolerable pain located at the frontal and temporal level which can sometimes radiate towards the lower face. Neuropathic type crisis with electric shocks, sometimes pulsating burns. The attacks are short-lived, 5 seconds to
Paroxysmal hemicrania
Rarer than cluster headaches. Clinical resemblance but shorter, very intense attack (2 and 30 minutes) and more frequent. Periorbital and temporal pain with runny nose, temporal sweat, eye redness, eyelid drooping. Seen at any age.
Cluster headache
DIAGNOSTIC CRITERIA FOR FACIAL VASCULAR PAIN There are 5 essential criteria according to the IHS (the international headache society) to make the diagnosis of cluster headache. A: At least 5 crises meeting criteria B and
Cluster headaches (and other trigeminal autonomic headaches)
Three different forms are defined in the 2004 classification of the IHS (international headache society). 1-Cluster cluster headache (AVF) 2-Paroxysmal hemicrania. 3-The SUNCT.
Cyclic vomiting in children ABONNE
Cyclic vomiting in the child. Cyclic vomiting syndrome (VCS) is a poorly understood migraine equivalent. The diagnosis of CVS is based on the criteria of the International Headache Society, in the absence of arguments in
Paroxysmal torticollis in children ABONNE
Benign paroxysmal torticollis in children Benign paroxysmal pediatric torticollis is a rare functional disorder characterized by recurrent episodes of torticollis (head tilt to the side) in healthy children. It appears in the first year of
Abdominal migraine ABONNE
Affects children of school age (4% of children). The diagnostic criteria are: Duration from 1 to 72 hours. Pain of moderate or severe intensity. Dull or irritative in character. Median or peri-umbilical location or poorly
Temporal criteria for migraines and tension headaches ABONNE
Minimum number of crisis for diagnosis Duration of crisis Crisis Frequency Aura Onset Duration Aura Duration Migraine without aura 5 24-72 h Migraine with aura 2 >5
Migraine aura ABONNE
Migraine aura may not be followed by headache, posing difficult diagnostic problems, especially in the absence of an identical history. Visual aura It is the most common aura; it characterizes “ophthalmic migraine”. The scintillating scotoma
Headaches attributed to a substance or its withdrawal
Certain substances or medications are responsible for headaches through their direct actions (side effects), for other substances it is their absence which is responsible for the pain (state of withdrawal). In the first case, it
Headaches attributed to head and/or cervical trauma
It is extremely common to have headaches after head and/or neck trauma. They can occur even if the trauma is minor. Clinical description The syndrome associates: – Daily headaches – Dizziness – Insomnia – Memory
Daily headache due to medication overuse
Definition: It is a chronic daily headache (CDH) which affects subjects previously suffering from a primary headache initially episodic in whom the excessive use of attack treatment induces the transformation of the episodic expression towards
Tension headache ABONNE LIBRE
Tension headache This 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