Parietal abdominal pain with lower leg discrepancy: a case report
Agnès Gritli1, David Cadavid Ramirez2, Pierre Decavel2
1Department of Readaptation, HFR Fribourg Hôpital cantonal, chemin des pensionnats 2-6, 1708, Fribourg, Switzerland. gritliagnes@hotmail.fr.
Journal of Medical Case Reports
|April 11, 2024
Summary
Lower limb length discrepancy can cause chronic abdominal pain due to muscular imbalances. Early diagnosis through thorough examination is key for effective treatment and pain relief.
Area of Science:
- Rehabilitation Medicine
- Pain Management
- Musculoskeletal Disorders
Background:
- Parietal abdominal pain is rarely associated with lower limb length discrepancy.
- This case highlights an unusual cause of chronic abdominal pain.
Observation:
- A male patient in his 50s presented with lifelong chronic abdominal pain.
- Investigations revealed a 3.8 cm left lower limb length discrepancy and external oblique muscle issues.
- The patient experienced significant functional limitations due to pain.
Findings:
- A 3.8 cm lower limb length discrepancy was identified as the cause of the patient's abdominal pain.
- Treatment included a heel raise, physiotherapy, botulinum toxin, and lidocaine injections.
- The patient achieved significant functional recovery and reduced pain.
Implications:
- Structural imbalances, like limb length discrepancy, can lead to muscular compensations and pain.
- Comprehensive patient history and clinical examination are crucial for diagnosing complex pain conditions.
- This case underscores the importance of considering biomechanical factors in chronic pain management.
Related Concept Videos
01:22Appendicitis-I: Introduction
126
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
126
01:19Abdominal Regions and Quadrants
8.1K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
8.1K
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
116
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
116
01:18Assessment of the Abdomen II: Percussion
305
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Percussion
Percussion is an essential...
305
01:23Assessment of the Abdomen III: Palpation
580
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
580
01:25Assessment of the Abdomen I: Inspection and Auscultation
381
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
381