Diagnosis reassessment and surgery: healing of a patient with Sudeck’s atrophy

Diana Feijoo, 40, was operated on the wrist last September. Since then she has developed a picture of severe pain, diagnosed as reflex sympathetic dystrophy or Sudeck’s atrophy. The patient, in turn, is polymedicated to try to mitigate symptoms that also include serious mobility difficulties in her left hand, disabling in the personal and work […]

Dr Piñal: «There are many patients labeled as sick of reflex sympathetic dystrophy or Sudeck’s dystrophy who actually suffer from a pathology that we haven’t been able to identify»

As a result of his research work, Dr. Piñal believes that after diagnoses of reflex sympathetic dystrophy, we find diagnostic mistakes and lack of knowledge of a hidden pathology. In turn, he has identified that around 20% of these cases can be addressed as neurostenalgies and forms of dynamic compression of the median nerve.

Five worrying signs after treatment or operation on a wrist fracture

In several of our previous conversations, Dr Piñal has insisted that a normal wrist is the one we’re not even aware it’s there, so therefore new or persistent sensations can point to the false resolution of a previous pathology or trauma. This is the case of wrist fractures, whose preceding treatment or subsequent surgery can […]

Tendon transfer in case of nerve injury by hand crushing with muscle extrusion

Young male with a picture of nerve injuries from accidental hand crush, caught in a press and in a catastrophic situation. The limb has complete cuts at two levels in the wrist, which slice the nervous, musculotendinous and vascular systems. In turn, loss of muscle by extrusion is present. Tendon transfer The problem A context […]