Surgical elimination of neuropathic pain in the sciatic and pudendal nerves

The patient has suffered for several years a strong neuropathic pain in the hip and gluteal area due to a neurostenalgia of the sciatic and pudendal nerves. This nervous condition causes inability to sit or adopt any posture that involves hip flexion without pain, but can be eliminated by surgery.

Dr. Piñal participates as guest speaker at the Big Hand Event 2019 in Utrecht

The Spanish surgeon took part in the sessions devoted to reflex sympathetic dystrophy and toe to hand transplantation Dr. Piñal was part of the list of foreign speakers of the Big Hand Event 2019 (BHE 2019), an annual meeting that addresses hand pathologies in a multidisciplinary way and which was hosted at the Jaarbeurs Convention Center, in the Dutch […]

Toes to hand transplant in a case of accidental amputation with a mechanical saw

The patient, a 42-year-old male, suffers the amputation of three fingers of the left hand at different levels, in an accident with a mechanical saw that severely damages the index and middle fingers and, to a lesser extent, the ring finger. Dr. Piñal addresses the picture described by transplanting the two second toes to the […]

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.