Specialists

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Carpal Tunnel Syndrome

SYMPTOMS

There is paraesthesia of the radial three and a half fingers and pain around the wrist. Often, sleep is disturbed.

AETIOLOGY

These symptoms are caused by chronic compression of the median nerve in the carpal tunnel by a hypertrophied flexor tendon retinaculum.

CLINICAL FINDINGS

There is tenderness on palpation over the carpal […]

Tarsal Coalition

SYMPTOMS

There is diffuse exercise-induced aching pain around the sub-talar joint, sometimes after previous sprain.

AETIOLOGY

The aetiology is unclear. Sub-talar structures fuse over time by fibrosis or callus formation.

CLINICAL FINDINGS

There is tenderness on palpation over the sub-talar joint (sinus tarsi), decreased mobility and swelling.

INVESTIGATIONS

X-ray may show talo-navicular coalition; talo-calcaneal coalition […]

Sub-Talar Instability and Pain

SYMPTOMS

There is increasing stiffness or sense of instability combined with diffuse aching pain around and below the talo-tibial ankle joint, often occurring after previous sprain.

AETIOLOGY

The aetiology is unclear but the trauma may have caused structural damage to the region that can be missed.

CLINICAL FINDINGS

There is tenderness on palpation over the […]

Morton’s Neuroma

SYMPTOMS

Sharp radiating exercise-induced pain or dysaestesia between two metatarsal bones, most often between MT III and MT IV, without obvious preceding trauma. There are often bilateral symptoms. Usually it occurs in adults and particularly in middleaged recreational athletes who wear tight shoes.

AETIOLOGY

This syndrome is caused by entrapment of an inter-digital nerve between […]

Hallux Valgus

SYMPTOMS

Increasing stiffness, aching pain and typical deformation of MTP I without preceding trauma. Often the symptoms are bilateral. This condition is commonly presented by middle-aged recreational athletes or sedentary people, predominantly female, but it can occur in younger individuals.

AETIOLOGY

The aetiology is unclear but there is possibly a genetic predisposition to this disease, […]

Trochanteric Bursitis

WHAT IS TROCHANTERIC BURSITIS?

Trochanteric bursitis is inflammation of the bursa, a fluid-filled sac near the lateral point of the hip joint known as the greater trochanter. When this bursa becomes irritated or inflamed, it causes pain in the hip. This is a common cause of hip pain.

WHAT ARE THE CAUSES?

One of the […]

A Patient’s Guide to Lumbar Facet Joint Arthritis

Introduction

Arthritis of the lumbar facet joints can be a source of significant low back pain. Aligned on the back of the spinal column, the facet joints link each vertebra together. Articular cartilage covers the surfaces where these joints meet. Like other joints in the body that are covered with articular cartilage, the lumbar facet […]