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When the mechanisms of automation in the human body are in trouble the result is morbid manifestations, often appearing as clinical entities of obscure aetiology.  These can in a surprising number of cases be enlisted as facet syndromes since they respond to treatment when treated as such. They involve a wide range of medical specialties in addition to orthopaedics.

The diagnosis of these syndromes is difficult since the channels used belong to the autonomous nervous system. The latter, guarding its secrecy, is unwilling to provide information to the examiner. What it allows to be revealed is hardly an invitation to solve a puzzle.

Once the association between the symptoms and the facets is suspected, then the local injections are those who can verify this. The author hereby presents a plethora of such cases involving 12 medical specialties. They all have been treated successfully and repeatedly, the same way, over his 45 year career.

About the Author

Nikolaos (Nikos) Giantsios was born in Thessaloniki in 1932 and was brought up in Kozani, the home town of his parents.

He received his degree from the Medical School of Thessaloniki University. His postgraduate training as an Orthopaedic surgeon lasted a total of six and a half years; eighteen months in Athens (Children Orthopaedic Hospital of Penteli)and five years through six hospitals in the United Kingdom including Royal National Orthopedic Hospital, Chesterfield Royal Hospital, War Memorial Hospital (Rhyl, North Whales), Oswestry Hospital, South Mead & Cossham Memorial Hospitals (Bristol) and Burnsley Hospital.

He has been practicing Orthopaedics in Thessaloniki since 1967. During this period he held appointments as a Consulting Orthopaedic Surgeon at the 1st Surgical University Clinic in AHEPA hospital from 1967 to 1976 and later at the Theagenio Cancer Hospital from 1979 to 1986. From that time onwards, he was confined strictly to private practice.

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