Our Case Studies

Patient A was born via forceps delivery after shoulder dystocia. Shortly after birth she was noted to have abnormal function in her left arm, which was subsequently diagnosed as an obstetric Obstetric Brachial Plexus Injury (OBPI). Initially managed conservatively with physiotherapy, she showed some improvement — but later required two surgical procedures to improve shoulder movement. Despite surgery, she was left with restricted shoulder function, permanent scarring, and a reduced strength and range of motion in the affected arm.

This case study describes a male patient with cauda equina syndrome (CES) initially misdiagnosed as sciatica. Delayed MRI and surgery led to prolonged nerve compression, resulting in permanent neurological complications despite eventual pain relief. The case raises concerns about delayed diagnosis and potential clinical negligence.

Dr Ramos-Galvez discusses a case study involving opioid addiction resulting from minor surgery

Dr Ramos-Galvez considers unexpected complications that can occur following spinal surgery

Dr Ramos-Galvez explains how complications can develop into chronic pain after spinal surgery