The following symptoms and complaints may occur along with arm pain: Leading symptoms Acute versus chronic arm pain Sharp versus dull pain Radiating pain Load-dependent pain Associated symptoms Movement restriction Neurological symptoms such as paresthesias (misfeeling). Warning signs (red flags) Anamnestic information: Smoker → think of: Pancoast tumor (synonym: apical sulcus tumor) – rapidly progressive … Arm Pain: Symptoms, Complaints, Signs
The ultima ratio therapy (last resort or last resort) for chronic testicular pain (CTP) is microsurgical denervation (elimination of the connection between the nerve and the associated organ) of the spermatic cord or microsurgical spermatic cord neurolysis (surgery that eliminates the constriction of a nerve and thus the pressure exerted). In case of post-vasectomy pain, … Testicular Pain: Surgical Therapy
Complementary treatment methods Acupuncture Transcutaneous electrical nerve stimulation (TENS) – electromedical stimulation current therapy used primarily for the treatment of pain and muscle stimulation.
Hip pain or hip joint pain (synonyms: coxalgia, coxalgia; ICD-10-GM M25.55: Joint pain: pelvic region and thigh) is referred to as coxalgia. The region includes the entire lateral part of the body (from the iliac crest to the thigh and anterior to the inguinal region (groin) to the gluteal fold (gluteal furrow)). The spectrum of … Hip Pain (Coxalgia)
Medical history (history of the patient) is an important component in the diagnosis of coxalgia (hip pain). Family history Are there any bone/joint conditions in your family that are common? Social history What is your profession? Do you work physically hard in your profession? Current medical history/systemic history (somatic and psychological complaints). Where is the … Hip Pain (Coxalgia): Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Hip dysplasia – congenital malformation of acetabulum leading to congenital hip dislocation (hip joint dislocation). Cardiovascular system (I00-I99) Peripheral arterial occlusive disease (pAVD) – progressive narrowing or occlusion of the arteries supplying the arms/ (more commonly) legs, usually due to atherosclerosis (arteriosclerosis, hardening of the arteries). Infectious and … Hip Pain (Coxalgia): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by coxalgia (hip pain): Musculoskeletal system and connective tissue (M00-M99). Movement restriction/restraint
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing) of the lumbar-pelvic-hip region in its entirety while standing, supine, lateral and prone. Skin (normal: intact; (abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or … Hip Pain (Coxalgia): Examination
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count [septic arthritis (inflammatory joint disease)/osteomyelitis (bone marrow inflammation): leukocytes ↑] Inflammatory parameters – CRP (C-reactive protein) [septic arthritides/osteomyelitis: CRP ↑]Note: Inflammatory parameters may not be elevated or only slightly … Hip Pain (Coxalgia): Test and Diagnosis
To the extent that foot pain or a heel pain can be attributed to a specific disease, see drug therapy, surgery, and “other therapy” under that disease. General measures Cool and spare Avoid predominant activities while standing! Nicotine restriction (refrain from tobacco use). Aim for normal weight! Determination of BMI (Body Mass Index, body mass … Heel Pain: Therapy
The anamnesis (medical history) represents an important component in the diagnosis of foot pain. Family history What is the general health of your family members? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Where exactly is the pain localized? What is the character of the pain? Sharp? Dull? How … Heel Pain: Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Foot deformities, e.g., flat foot (pes planus), high arch (pes cavus, pes excavatus). Endocrine, nutritional and metabolic diseases (E00-E90). Burning-feet syndrome (synonyms: burning-feet syndrome, Gopalan syndrome, Grierson-Gopalan syndrome); symptomatology: Painful burning sensation in the feet (in nocturnal attacks), often associated with paresthesias (numbness); etiology (cause) is unknown, hypovitaminosis … Heel Pain: Or something else? Differential Diagnosis
