Description of the different symptoms linked to long Covid by the high French health authority.
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
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
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.
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
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 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,
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 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
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
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.
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
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
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.
Composition of the antero-lateral (AL) muscle chain Muscles of the main structure of the AL chain: Muscles of the lower limbs: Front part of the gluteus medius. Fascia lata tensor. Anterior tibial and posterior
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
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
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
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
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
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
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
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
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
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.).
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
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
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
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,
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
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
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
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,
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,
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
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,
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
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
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
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
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
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
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
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
We will first recall the notion of cicatricial neuropathy. The causes of anterior headaches of cicatricial origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor) Intraoperative head fixation system (doctor) Scalp and forehead
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
We will first recall the notion of cicatricial neuropathy. The causes of anterior headaches of cicatricial origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor) Intraoperative head fixation system (doctor) Scalp and forehead
We will first recall the notion of cicatricial neuropathy. The causes of posterior pain of the head of scarring origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor subscription) Intraoperative head fixation system
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
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
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
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
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
We will first recall the notion of cicatricial neuropathy. The causes of lumbar pain of scar origin are (non-exhaustive): Lumbar spine surgery: anteriorly by posterior approach Wound, hematoma, burn in the lumbar region Obstetric or
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
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
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,
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.
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
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
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
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
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
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
This guide lists pain related to myofascial syndrome in each part of the body. This first page allows you to choose a part of the body corresponding to your search. Your search results will not
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Choose the painful area from the diagrams below.
Select the painful area that interests you from the following diagrams:
Choose a clickable area on the following diagrams corresponding to the painful area:
Choose a clickable area on the following diagrams corresponding to the painful area:
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Two muscles can cause vertex pain: Sternocleidomastoid muscle Muscle splénius de la tête
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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,
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
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
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
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
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
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
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,
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
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
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)
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
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
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
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)
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
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
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
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
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
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.
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 –
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
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
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 –
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
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-
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,
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:
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
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
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
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
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
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
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
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.
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
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
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
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
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
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
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
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
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,
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
It generally has an insidious onset with an 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
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
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
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
Mrs. X, 55 years old, was operated on for a C5-C6 cervical hernia 3 years ago via a right anterior approach. After a transient improvement, there is a reappearance of pain at the cervical level,
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
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
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
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
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
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
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
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):
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
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
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
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)
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
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
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.
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
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
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
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
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. –
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
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
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
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
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
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
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
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
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
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
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
This headache, once considered essentially psychogenic, is very common since it affects between 30% and 78% of the general population. Diagnostic : The diagnosis is made after at least ten episodes of headache. These episodes
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
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
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
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
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
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
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
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
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
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
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 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).
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
Anatomy of the occipitofrontalis muscle. This muscle is composed of an anterior frontal part and an occipital part (in red). They are attached to an aponeurosis which covers the skull (in yellow) and which slides
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
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
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
Benign paroxysmal vertigo: 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, sometimes
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