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Reflex sympathetic dystrophy syndrome in children
S Ashwal1, L Tomasi, M Neumann
1Department of Pediatrics, Loma Linda University School of Medicine, CA 92350.
Pediatric Neurology
|January 1, 1988
Summary
Reflex sympathetic dystrophy syndrome in children often follows minor injuries, causing pain and swelling. Early physical therapy and nerve stimulation lead to a favorable prognosis with complete recovery in most cases.
Area of Science:
- Pediatric medicine
- Neurology
- Pain management
Background:
- Reflex sympathetic dystrophy syndrome (RSDS) is a debilitating condition.
- It frequently develops after minor trauma in children.
- Characterized by pain, swelling, and skin changes.
Observation:
- Reported on 3 pediatric cases of RSDS.
- Reviewed existing literature on the condition.
- Discussed diagnostic and management strategies.
Findings:
- Clinical diagnosis supported by radiography (osteopenia) and bone scans (radionuclide uptake).
- Treatment involving physical therapy and transcutaneous electrical nerve stimulation (TENS) is highly effective.
- Childhood RSDS has a favorable prognosis, unlike in adults, with most children achieving full recovery.
Implications:
- Highlights the importance of early diagnosis and intervention in pediatric RSDS.
- Emphasizes the effectiveness of conservative management strategies.
- Suggests a better long-term outlook for children compared to adult patients with RSDS.