Panos Symeonidis Orthopaedic Surgeon Foot & Ankle Specialist www.foot-ankle.gr Introduction Approximately one out of ten people will suffer from plantar heel pain at least once in their lives. Despite the fact that the symptom of plantar pain is so common, its exact cause cannot always be identified. In the majority of cases, plantar heel pain […]
GENERAL Peripheral neuropathy is a type of neuropathic pain attributed to dysfunction of some peripheral nerves. Peripheral neuropathy is not a disease itself but a symptom of some other disease process. It is manifested with functional nerve decline affecting various sensations, such as touch, pain, vibration, numbness and dysaesthesia (painful needle sensation). Longer nerves are […]
GENERAL Entrapment neuropathy is caused by the prolonged compression or irritation of a nerve plexus or peripheral nerve. The final result is nerve dysfunction and chronic neuropathic pain in the innervation area of the affected nerve. In certain body positions, nerves tend to be compressed by surrounding tissues -not only under pathological but also under […]
GENERAL Post-stroke pain or thalamic pain syndrome, is the type of chronic neuropathic pain emerging when part of the central nervous system (CNS) has been impaired. This usually occurs following a stroke with infarction or cerebral cell necrosis, due to reduction of blood flow and oxygen supply in cells. After a stroke, the patient may […]
GENERAL Diabetic polyneuropathy is one of the most common types of neuropathy. There are approximately 250 million people worldwide suffering from diabetes mellitus and 20-30 million of them suffer from neuropathy. Diabetic polyneuropathy is closely correlated with the diabetic chronicity and blood glucose control. Close blood glucose control determines the prevention of painful diabetic polyneuropathy […]
CARPAL TUNNEL SYNDROME ANATOMY The transverse carpal ligament is the roof of the carpal tunnel, through which pass the median nerve and finger tendon flexors. The median nerve provides sensory innervation to the thumb, forefinger, middle finger and half of the ring finger, as well as motor innervation to some hand muscles. AETIOLOGY OF CARPAL […]
GENERAL Arthritis is a general term, meaning inflammation of joints. Osteoarthritis is the most common form of arthritis and is of degenerative type. It may occur in any joint of the body but it is more frequently observed in joints receiving the highest loading. These are the knee, hip and spinal joints. Articular cartilage is […]
CAUSES Meralgia Paraesthetica is the condition where the lateral femoral cutaneous nerve is compressed by the inguinal ligament, due to obesity, pregnancy or belt worn too tight around the waist. ANATOMY The lateral femoral cutaneous nerve is part of the lumbar plexus and is formed by branches of the 2nd and 3rd lumbar spinal nerve […]
GENERAL Fibromyalgia is a chronic painful disease, from which about 5 million people suffer only in the U.S.A. Patients feel tenderness, pain and rigidity of muscles and ligaments, without any notable findings in X-rays and other laboratory examinations. Fibromyalgia does not afflict joints and internal organs, but the permanent pain and feeling of fatigue induced […]
GENERAL Tension headache is the most common type of headache. Episodes of tension headache occur frequently and are short in duration, not more than a few hours. The intensity of pain is moderate to severe. Patients describe headache episodes as “a strong pressure or tighening around their head, like a clamp”. The feeling of distress […]