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Reflex sympathetic dystrophy involving multiple extremities

J Schiffenbauer1, M Fagien

  • 1Department of Medicine, University of Florida College of Medicine, Gainesville 32610.

The Journal of Rheumatology
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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This case study details a patient experiencing four episodes of reflex sympathetic dystrophy across three limbs over four years. Treatment with steroids was ineffective, but sympathetic blocks and sympathectomy provided significant relief.

Area of Science:

  • Neurology
  • Pain Management
  • Surgical Interventions

Background:

  • Reflex sympathetic dystrophy (RSD), also known as complex regional pain syndrome (CRPS), is a chronic pain condition.
  • RSD typically affects one limb but can involve multiple extremities.
  • Treatment options for RSD are varied and may include pharmacological agents, physical therapy, and interventional procedures.

Observation:

  • A patient presented with recurrent episodes of reflex sympathetic dystrophy.
  • The condition involved three limbs and occurred four times over a four-year period.
  • The patient's symptoms were refractory to corticosteroid therapy.

Findings:

  • The patient demonstrated a positive response to sympathetic blocks, a procedure involving the injection of local anesthetics near sympathetic nerves.

Related Experiment Videos

  • Surgical sympathectomy, the interruption of sympathetic nerve pathways, also proved effective in managing the patient's RSD symptoms.
  • These findings suggest that interventions targeting the sympathetic nervous system are crucial for managing refractory RSD.

    • Implications:

    • This case highlights the potential efficacy of sympathetic blocks and sympathectomy in managing complex and recurrent cases of reflex sympathetic dystrophy.
    • Further research into the long-term outcomes and mechanisms of action for these interventions in RSD is warranted.
    • Clinicians should consider sympathetic interventions for patients with refractory or recurrent RSD, especially when other treatments have failed.