Antena 3 news, case of healing of complex regional pain syndrome in the lower limb by Dr Piñal

20 十二月, 2021

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The patient had disabling symptoms for three years after an injury to her right foot.

Before putting herself in the hands of Dr Piñal and his team, 16-year-old Paula suffered from intense pain and severe functional limitations. After several previous failed procedures, she was diagnosed with reflex sympathetic dystrophy or complex regional pain syndrome, which would lead her to a future of curtailed mobility as a chronic patient, dependent on a continuous supply of drugs. Now, after the intervention of the Spanish surgeon and once cured, the newscast of Antena 3 have broadcasted the details of the case (+ clinical info).

Dr Piñal doesn’t consider this condition -identified more than a century ago- a pathology per se, but rather a diagnostic formula that masks an unidentified origin of totally treatable problems, which may appear after an intervention, a fracture or an infectious process.

During his long history of clinical management of complex regional pain syndrome, Dr Piñal has treated and cured several hundred patients with this diagnosis, with a 98% success rate.

Microsurgical procedure designed by Dr Piñal
The illustration summarizes the microsurgical procedure designed by Dr Piñal to face the strangulation of the tibial nerve: the wrapping of the said nerve with a vascularized fat flap taken from the inner thigh of the patient.


Part of the conclusions of the Spanish surgeon and microsurgeon regarding complex regional pain syndrome will be incorporated into the medical literature in the coming months, thanks to its publication in the prestigious journal of the American Society of Plastic Surgeons (ASPS), ‘Plastic and Reconstructive Surgery ‘, after an exhaustive peer review process, with up to 10 reviewers of the final text.

Among the milestones of Dr Piñal in his work on complex regional pain syndrome (known as reflex sympathetic dystrophy too) is also the presentation of his thesis before the plenary session of the American Society for Surgery of the Hand (ASSH), in September 2019 in Las Vegas.

The Spanish surgeon considers the elimination of pain in patients diagnosed with complex regional pain syndrome as his greatest current challenge. “Although there are many patients with pain -he affirms- there are very few who cannot be cured.

Born in Santander, northern Spain, in 1960, Dr Francisco del Piñal is considered one of the world’s best hand surgeons. His contributions in fields like microsurgical toe to hand transfer or arthroscopic surgery techniques on wrist fractures are endorsed and used internationally.

As other milestones in his career, it is worth mentioning the setting of the principles of surgery in the acute catastrophic hand, as well as his leading role in the development of wrist arthroscopy, through procedures such as dry arthroscopy.

Currently, Francisco del Piñal leads Piñal y Asociados clinics in Madrid and Santander and the unit of hand and microsurgery at Hospital La Milagrosa in Madrid.

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