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Reflex sympathetic dystrophy

J N Rogers1, M A Valley

  • 1Department of Anesthesiology, University of Texas Health Science Center at San Antonio.

Clinics in Podiatric Medicine and Surgery
|January 1, 1994
PubMed
Summary
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Reflex sympathetic dystrophy (RSD) is neuropathic pain requiring comprehensive evaluation. Treatment focuses on physical therapy via nerve blocks, medications, and psychological support for functional restoration.

Area of Science:

  • Neurology
  • Pain Medicine
  • Rehabilitation Medicine

Background:

  • Reflex sympathetic dystrophy (RSD) presents as neuropathic pain.
  • Diagnosis can be challenging, necessitating thorough patient evaluation.

Purpose of the Study:

  • To summarize the diagnostic criteria for RSD.
  • To outline current management strategies for RSD.

Main Methods:

  • Diagnosis relies on patient history, physical examination, and psychological assessment.
  • Objective measurements include skin temperature, QSART, radiographs, and bone scans.
  • Clinical response to sympathetic blockade is a key diagnostic indicator.

Main Results:

  • RSD is characterized by burning pain, allodynia, hyperpathia, edema, and altered skin temperature.

Related Experiment Videos

  • Objective tests and response to sympathetic blocks aid in diagnosis.

    • Conclusions:

    • Management aims to restore function through physical therapy, often facilitated by nerve blocks.
    • Pharmacological options include NSAIDs, antidepressants, and vasoactive drugs.
    • Psychological support is crucial; invasive procedures are reserved for refractory cases.