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您可以阅读下面手动翻译成英文的翻译。 您还可以通过单击右上角的徽标访问原始西班牙语。 通过此链接，您可以使用简体中文访问自动翻译的Google版本: http://bit.ly/2SNfg3G
The patient, Camelia, 46, who works as a cook, suffers from very intense pain, lack of function and numbness in her dominant hand, the left; all diagnosed as reflex sympathetic dystrophy or Sudeck’s atrophy. After several months, she attends the clinic of Dr. Piñal who cures her, after accurately identifying the pathology of origin and performing a minimally invasive procedure.
The problem
The symptomatology that leads Camelia to look for Dr. Piñal appears acutely after an operation to free the carpal tunnel. Subsequently, her situation becomes a diagnosis of reflex sympathetic dystrophy or Sudeck’s atrophy, addressed by his previous medical team with the prescription of analgesic and neuromodulatory drugs to reduce pain; among the latter some used in psychiatric, epileptic pictures, etc., as anticonvulsants
In his initial contacts with Dr. Piñal, the patient describes her pain as sensations of skin which tears apart, burning feeling, literally “it’s burning me”, she affirms. All of this adding to the already mentioned great limitations of function in the left upper limb.
The goals
Dr Piñal considers that “there is overwhelming practical evidence that posttraumatic sympathetic reflex dystrophy and the neurostenalgies and compressions of the median nerve constitute the same type of pathology, but with different triggers”
Therefore, this leads him to consider Sudeck’s atrophy as a non-existent pathology that actually masks the true origin of the problem. Thus his approach to Camelia’s case goes through a correct filiation or diagnosis and the design of a surgical procedure suitable to it.
The plan
On this occasion, the correct diagnosis already indicated has to lead to an intervention that restores the functionality of the patient’s hand and eliminates the pain, with a minimal aesthetic impact on the affected area, in addition.
The results
Dr. Piñal identifies the origin of Camelia’s clinical picture as a pathology of secondary compression of the median nerve, not detected in the release of the carpal tunnel that was performed more than 8 months ago. Therefore he discards reflex sympathetic dystrophy as a trigger.
From this point, the Spanish surgeon performs a minimally invasive intervention with immediate results, which already allow to observe improvements in mobility on the operating table itself. Thanks to the procedure performed, the patient regains mobility in her left hand and suspends the intake of drugs against pain, which disappears.
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