Tag: Neuropathic pain
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
Post traumatic syndrome and “phantom” pain
M X, 22 years old, was the victim, 2 years ago, of a section of part of his right hand by a machine tool with almost complete section of the first three fingers of the
Post traumatic syndrome and “phantom” pain
M X, 22 years old, was the victim, 2 years ago, of a section of part of his right hand by a machine tool with almost complete section of the first three fingers of the
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,
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,
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
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
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
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
Diabetic neuropathies. MEDECIN
Diabetic neuropathies. The frequency of diabetic neuropathy is more than 50% in patients with diabetes for more than 25 years. There are an estimated 100,000,000 patients with diabetic neuropathy worldwide. At the time of diagnosis
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
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
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
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
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
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 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
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
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
Thigh, knee and leg pain caused by scarring
We will first recall the notion of cicatricial neuropathy. The causes of scarred thigh pain are (non-exhaustive): Hip surgery (prosthesis, abutment, etc.) Femur surgery (particularly fracture) Open femoral artery surgery or femoral angioplasty Wound, hematoma,
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
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
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.).
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.).
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
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
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
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
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
Pain in the buttocks and the root of the thigh caused by scarring
We will first recall the notion of cicatricial neuropathy. The causes of lumbar pain of scarring origin are (non-exhaustive): Lumbar spine surgery: by anterior approach by posterior approach Wound, hematoma, burn in the lumbar region
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
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,
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,
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
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
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 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 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
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
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,
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,
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,
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
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,
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
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 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
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 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
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
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
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
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
Posterior neck pain of scarring origin
We will first recall the notion of cicatricial neuropathy. These pains are neuropathic pains. The causes of posterior neck pain of scarring origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor’s version) Intraoperative
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
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
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 (doctor) Intraoperative head fixation system (doctor) Scalp and forehead
Facial pain caused by scarring
We will first recall the notion of cicatricial neuropathy. The causes of anterior headaches of cicatricial origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor) Intraoperative head fixation system (doctor) Scalp and forehead
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
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
Anterior head pain of scar origin
We will first recall the notion of cicatricial neuropathy. The causes of anterior headaches of cicatricial origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor) Intraoperative head fixation system (doctor) Scalp and forehead
Anterior head pain of scar origin
We will first recall the notion of cicatricial neuropathy. The causes of anterior headaches of cicatricial origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor) Intraoperative head fixation system (doctor) Scalp and forehead
Posterior pain of the head of scar origin
We will first recall the notion of cicatricial neuropathy. The causes of posterior pain of the head of scarring origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor subscription) Intraoperative head fixation system
Posterior pain of the head of scar origin
We will first recall the notion of cicatricial neuropathy. The causes of posterior pain of the head of scarring origin are (non-exhaustive): Brain surgery: Open surgery (trephination) Stereotaxic surgery (doctor subscription) Intraoperative head fixation system
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 open brain surgery (trephination) ABONNE
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
Chronic pain after open brain surgery (trephination)
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
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 MEDECIN
Reminder Explain chronic pain Cicatricial neuropathies Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies. Description A few cases of lumbar pain, radiating into the lower limb, with a neuropathic appearance appear after
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
Diffuse Cicatricial Hyperesthesia Syndrome (CDHS) MEDECIN
This new clinical entity is found in a few patients with chronic pain. Définition Cicatricial neuropathy affecting all of the scars found in a patient. Its current incidence is not known. There is probably
Diffuse Scarring Hyperesthesia Syndrome (DCHS) MEDECIN
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
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
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 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
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 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 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
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 scar origin are (non-exhaustive): Lumbar spine surgery: anteriorly by posterior approach Wound, hematoma, burn in the lumbar region Obstetric or
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
Mirtazapine
Indications Mirtazapine is indicated in adults for the treatment of major depressive episodes. Mirtazapine is a centrally acting presynaptic α2 antagonist that increases central noradrenergic and serotonergic neurotransmission Dosage Adults: The effective daily dose is
Treatment of neuropathic pain MEDECIN ABONNE
The treatment of neuropathic pain is sometimes difficult and is generally based on the combination of several medicinal and/or non-medicinal methods. Seeking the best relief with the fewest possible side effects is the rule. Of
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
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
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,
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,
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
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.
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
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
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
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
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
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.
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
Carpal tunnel syndrome MEDECIN
Anatomical reminder Carpal tunnel syndrome is linked to compression of the median nerve in the wrist. The carpal tunnel is a narrow tunnel formed posteriorly by the carpal bones and anteriorly by the anterior annular
Carpal tunnel syndrome MEDECIN
Anatomical reminder Carpal tunnel syndrome is linked to compression of the median nerve in the wrist. The carpal tunnel is a narrow tunnel formed posteriorly by the carpal bones and anteriorly by the anterior annular
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
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
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
Post meniscectomy pain MEDECIN ABONNE
M X, 40, underwent internal meniscectomy surgery by knee arthroscopy two years ago. Some time after the operation, M X describes nocturnal impatience of this leg followed by the appearance of burns on the anterior
Chronic pain after bimalleolar ankle fracture MEDECIN ABONNE
M X, 45 years old, victim of a bi-malleolar ankle fracture operated on 14 months ago, has significant residual pain limiting walking and returning to work (the patient is a liberal physiotherapist). Following his operation,
Pudendal nerve neuralgia MEDECIN ABONNE
Pathophysiology of neuralgia of the pudendal nerve Classic pudendal nerve neuralgia is a tunnel syndrome (like carpal tunnel syndrome). There are two areas of possible conflict in the pelvic area: at the level of the
Pudendal nerve neuralgia MEDECIN 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
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
Scar pain activation
Mrs. X, 57 years old, presents with arteritis of the lower limbs. She will benefit from femoral artery surgery at the level of the root of the left thigh. In the following weeks, Mrs. X
Amitriptyline ABONNE
Indications : – Major depressive episodes. – Peripheral neuropathic pain in adults. – Nocturnal enuresis in children in cases where any organic pathology has been excluded. Dosage in neuropathic pain: Treatment should start at low
Evolution of polyradiculoneuritis sensory impairment MEDECIN
Polyradiculoneuritis. Possible development The topographic evolution of this pathology is dependent on the length of the nerves. Its evolution can be schematized as follows (in red):
Hypoglycemic neuropathy MEDECIN
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
Neuropathy and kidney failure MEDECIN
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
Alcoholic and nutritional neuropathies MEDECIN
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
Alcoholic polyneuropathy MEDECIN
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)
Neuropathies that are painful from the outset MEDECIN
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
Neuropathies and Acromegaly MEDECIN
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 and hyperthyroidism MEDECIN
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 hypothyroidism MEDECIN
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
Relapsed forms of neuropathies MEDECIN
Etiology Hereditary neuropathies due to hypersensitivity to pressure. Chronic relapsing polyradiculoneuritis.
Acute forms of neuropathies MEDECIN
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
Chronic forms of neuropathies MEDECIN
Etiologies: Established over years, sometimes since childhood. Hereditary polyneuropathies. Chronic polyradiculoneuritis. Polyradiculopathies associated with monoclonal IgM gammopathy.
Subacute neuropathies MEDECIN
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
Toxic neuropathies MEDECIN
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. –
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
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
Complex regional pain syndrome (algodystrophy)
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
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
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
Pain after thumb prosthesis MEDECIN LIBRE
Mrs. X, 55, had a Maya prosthesis fitted a year ago for right thumb rhizarthrosis (arthrosis of the thumb base joint). The trapezio-metacarpal prosthesis (Maya). This prosthesis resembles a mini-hip prosthesis, with a metallic spherical
Pain after knee prosthesis 1 MEDECIN LIBRE
Mrs. X, 75, presents with pain in her right knee following a knee prosthesis fitted 18 months ago. She has pain in support. Limitation of knee flexion, gait instability. She describes an impression of too
Pain after lumbar arthrodesis 1 MEDECIN LIBRE
M X, 55 years old, underwent lumbar arthrodesis 5 years ago (operating site in yellow). For 5 years the patient has continuously suffered from chronic low back pain radiating forward from the root of the
Post episiotomy pain MEDECIN LIBRE
Mrs. X 40 years old comes in consultation for pain in the buttocks and the posterior part of the thigh (red area), the external genitalia and the vagina (in its 1st third). Ms. X has
Antidepressants
Two large families of antidepressants have their own analgesic effect: Tricyclic antidepressants: Amitriptyline and Clomipramine. Amitriptyline is more sedating than Clomipramine. Tetracyclic antidepressants Mianserin and especially mirtazapine are used Serotonin reuptake inhibitors that also inhibit
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
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
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
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 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
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
Riboflavin deficiency (Vitamin B2).
Linked to other vitamin deficiencies, its isolated deficiency is poorly described. It would seem that hyperesthesia in the form of burning of the soles of the feet is possible. Associated glossitis and facial dermatitis are
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
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):
Post episiotomy pain ABONNE LIBRE
Mrs. X 40 years old comes in consultation for pain in the buttocks and the posterior part of the thigh (red area), the external genitalia and the vagina (in its 1st third). Ms. X has
Respiratory failure and chest drainage
M X, 85 years old, is hospitalized in intensive care for acute respiratory distress due to pneumopathy. Faced with the seriousness of the respiratory attack, he was put on respiratory assistance with intubation and sedation.
Pain after breast reconstruction by dorsal flap
Mm X, 65, has had pain for 9 years in her left breast, which has been reconstructed, in her back, and on the inside of her left arm. She also describes a heaviness in her
Breast prosthesis pain ABONNE
Ms. X, 58, received a breast implant placement for aesthetic purposes a year ago. A few months later, she presents with breast pain, radiating to the back (red zone). Wearing a bra is difficult, contact
Pain after lung surgery
M X, 60, was operated on for a lung tumor a year ago. Some time after returning home, Mr X presented with burning chest pains. The contact of the clothes is very unpleasant. Breathing is
Pain after thumb prosthesis ABONNE LIBRE
Mrs. X, 55, had a Maya prosthesis fitted a year ago for right thumb rhizarthrosis (arthrosis of the thumb base joint). The trapezio-metacarpal prosthesis (Maya). This prosthesis resembles a mini-hip prosthesis, with a metallic spherical
Collarbone post fixation pain
M X, 28, presented 2 years ago with shoulder trauma with severe acromioclavicular dislocation requiring fixation between clavicle and coracoid. Since then, he has had very significant pain in his left shoulder with major
Pain after shoulder arthroscopy
A certain number of patients develop pain in the upper limb following shoulder arthroscopy. This pain appears in the month following the intervention. In general, the surgery is performed through 3 entry points, anterior, lateral
Chronic sciatica after herniated disc surgery ABONNE
M X, 47, was operated on, apparently a little late, for a herniated L4-L5 lumbar disc responsible for hyperalgesic acute sciatica with motor and sensory deficit (decreased sensitivity and strength on the territory of the
Pain after knee prosthesis 2
Mrs. X, 70 years old, comes for the consequences of algodystrophy of the knee lasting for 15 months. This algodystrophy or CRPS type 1 appeared following a knee prosthesis. Mrs. X complains of overall knee
Pain after knee prosthesis 1 ABONNE LIBRE
Mrs. X, 75 years old, has pain in her right knee following a knee prosthesis 18 months ago. She has pain in support. Limitation of knee flexion, gait instability. She describes an impression of too
Pain after ilio-femoral artery bypass surgery
M X, 65 years old, was operated on for a bypass of the main artery of the left leg. She was replaced by a prosthesis from the inguinal fold to the back of the knee.
Post meniscectomy pain ABONNE
Mr. X, 40, underwent arthroscopic internal meniscectomy surgery knee two years ago. Some time after the operation, M X describes nocturnal impatience of this leg followed by the appearance of burns on the anterior face
Pain after lumbar arthrodesis 1 ABONNE LIBRE
M X, 55 years old, underwent lumbar arthrodesis 5 years ago. For 5 years the patient has continuously suffered from chronic low back pain radiating forward from the root of the right thigh, the right
Breast prosthesis pain MEDECIN
Ms. X, 58, received a breast implant placement for aesthetic purposes a year ago. A few months later, she presents with breast pain, radiating to the back (red zone). Wearing a bra is difficult, contact
Post episiotomy pain MEDECIN ABONNE
Mrs. X 40 years old comes in consultation for pain in the buttocks and the posterior part of the thigh (red area), the external genitalia and the vagina (in its 1st third). Ms. X has
Pain after thumb prosthesis MEDECIN ABONNE
Mrs. X, 55, had a Maya prosthesis fitted a year ago for right thumb rhizarthrosis (arthrosis of the thumb base joint). The trapezio-metacarpal prosthesis (Maya). This prosthesis resembles a mini-hip prosthesis, with a metallic spherical
Chronic sciatica after herniated disc treatment MEDECIN
M X, 47, was operated on, apparently a little late, for a herniated L4-L5 lumbar disc responsible for hyperalgesic acute sciatica with motor and sensory deficit (decreased sensitivity and strength on the territory of the
Pain after knee prosthesis MEDECIN ABONNE
Mrs. X, 75, presents with pain in her right knee following a knee prosthesis fitted 18 months ago. She has pain in support. Limitation of knee flexion, gait instability. She describes an impression of too
Post meniscectomy pain MEDECIN
M X, 40, underwent internal meniscectomy surgery by knee arthroscopy two years ago. Some time after the operation, M X describes nocturnal impatience of this leg followed by the appearance of burns on the
Pain after brain surgery MEDECIN ABONNE
Mrs. X, 60 years old, comes to the doctor for extremely disabling scalp pain. These pains appeared following surgery for a brain tumour. She describes burns, associated with electric shocks of an entire hemi-cranium