Pain Syndromes throughout the body

Regional pain syndromes (1,2), which occur one time or another in most people past the age of 40 years, are central to primary care medicine. They are also fairly frequent in younger people; however, their true frequency and characteristics in the pediatric group have yet to be defined. Because ...

Included in Shoulder Pain syndromes: Rotator Cuff tendonitis Subacromial impingement Frozen shoulder Acromicolavicular (AC) joint disease Clinical appearance The prevalence of shoulder ailments is extremely high (16). Patients report pain, limited motion, or both. The onset of ...

Clinical appearance A trigger finger is the locking of one or several fingers in flexion so that the patient may have to pull the finger to straighten it (5-7). Any digit may be affected, however the thumb and the middle finger are most commonly involved. The cause is cartilaginous metaplasia ...

Clinical appearance This condition is characterized by disabling pain in the radial aspect of the wrist at the base of the thumb. Its pathogenesis is similar to the trigger finger. There is swelling and tenderness of the common sheath of the abductor pollicis longus and extensor pollicis...

Clinical appearance Ganglia are ubiquitous uni- or multilocular cystic lesions that arise in paratendinous, pararticular, or intraosseous locations (9). Pararticular lesions communicate with the joint unidirectionally via a narrow and tortuous stalk, resulting in enlargement following...

Clinical appearance Olecranon bursitis causes an easily detectable saccular swelling at the tip of the elbow. The sac may or may not be tender, warm, or red. Surrounding edema may be present, and pitting edema may extend down the back of the forearm distally to the dorsum of the hand. In acute ...

Clinical appearance Pain in the hip region may originate in tendinous, bursal, articular, or osseus structures or other soft tissues. It may also be due to radiculopathy or peripheral nerve injury, or be referred from elsewhere. The initial assessment should be based on the actual location of ...

Clinical appearance Knee pain may be intrinsic or it may radiate from a proximal structure such as the hip or the lumbar plexus. If knee motion is free and painless while the patient is lying on the contralateral side, knee disease can be safely ruled out. While in the same position, if hip...

Clinical appearance Several structures in the posterior heel may cause distressing pain ( Table 14 ) (34,35). One is a subcutaneous bursa between the skin and deep fascia. This adventitious bursa develops under a hard heel counter particularly in women who wear high heels. The Achilles...

Clinical appearance Plantar heel pain is frequently encountered in general medical practice (36,37). The pain is maximal when the patient first stands in the morning and tends to decrease with walking. There are 4 clinical contexts in which the symptom develops ( Table 15 ). Fat pad failure ...

Clinical appearance Anterior (front) foot pain may have articular, neural, and bone causes ( Table 16 ) (40,41). In hallux valgus, fibular deviation of the big toe often results in overlapping toes and severe metatarsalgia. Because it is caused by pointy-toed shoes and elevated heels,...