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The association of peripheral nerve compression and reflex sympathetic dystrophy
J J Monsivais1, J Baker, D Monsivais
1Hand and Microsurgery Center, El Paso, Texas.
Journal of Hand Surgery (Edinburgh, Scotland)
|June 1, 1993
Summary
Reflex sympathetic dystrophy (RSD) is often linked to peripheral nerve compression. Early detection of nerve entrapments in RSD patients is crucial for timely and effective treatment.
Area of Science:
- Neurology
- Orthopedic Surgery
- Pain Management
Background:
- Reflex sympathetic dystrophy (RSD), also known as Complex Regional Pain Syndrome (CRPS), is a chronic pain condition.
- The etiology of RSD is not fully understood, but peripheral nerve involvement is suspected.
Purpose of the Study:
- To investigate the incidence of peripheral nerve compression in patients diagnosed with reflex sympathetic dystrophy.
- To highlight the clinical significance of identifying nerve entrapments in the early management of RSD.
Main Methods:
- Retrospective analysis of 35 patients diagnosed with reflex sympathetic dystrophy.
- Clinical evaluation and diagnostic procedures to identify peripheral nerve compression.
Main Results:
- Peripheral nerve compression was identified in 86% (30 out of 35) of the patients.
- Half of the affected patients (15 out of 30) had a single nerve compression, while the other half had multiple nerve compressions.
Conclusions:
- Peripheral nerve entrapment is highly prevalent in patients with reflex sympathetic dystrophy.
- Clinicians should consider screening for nerve compression as a treatable cause in patients presenting with RSD symptoms.