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[Reflex sympathetic algodystrophy--the therapeutic options].

C Bulâu1, R Chiriac, N Popovici

  • 1Spitalul clinic de recuperare.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|October 1, 1990
PubMed
Summary
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Prednisone and indomethacin showed the best results for treating pain and movement issues. Combining these drugs with physical therapy improved patient outcomes significantly.

Area of Science:

  • Pharmacology
  • Physical Medicine and Rehabilitation

Background:

  • Patient symptoms like pain, swelling, and limited movement impact quality of life.
  • Effective treatment strategies are crucial for managing these debilitating conditions.

Purpose of the Study:

  • To evaluate the efficacy of various drug treatments and physical therapies.
  • To identify the most effective therapeutic approaches for symptom management.

Main Methods:

  • Patients were categorized into three groups based on drug treatments.
  • All patients were monitored for at least 28 days.
  • Key symptoms assessed included pain, swelling, vasomotor disturbances, and limited mobility.

Main Results:

  • The most favorable outcomes were observed in patients treated with prednisone and indomethacin.

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  • Additional benefits were noted when these medications were combined with massage and kinesitherapy.
  • Other treatments like propranolol, sympatholytics, vasodilators, calcium anabolisants, and tranquilizers were also administered.

    • Conclusions:

    • Prednisone and indomethacin, particularly when combined with physical therapy, represent effective treatments.
    • A multimodal approach integrating pharmacotherapy and rehabilitation yields superior results for patients.