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Related Experiment Videos

Reflex sympathetic dystrophy. The controversy continues

R K Nath1, S E Mackinnon, E Stelnicki

  • 1Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas, USA.

Clinics in Plastic Surgery
|July 1, 1996
PubMed
Summary
This summary is machine-generated.

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Refined criteria for reflex sympathetic dystrophy (RSD) improve diagnosis of sympathetically maintained pain, which accounts for about 10% of regional pain cases. Three-phase bone scans aid clinical judgment in diagnosing RSD.

Area of Science:

  • Pain Medicine
  • Neurology
  • Radiology

Background:

  • Reflex sympathetic dystrophy (RSD) is a poorly understood chronic pain syndrome.
  • Misdiagnosis and inappropriate use of sympatholytic procedures contribute to confusion surrounding RSD.
  • Recent redefinition of regional pain syndromes with sympathetic factors offers clearer diagnostic criteria.

Purpose of the Study:

  • To clarify diagnostic criteria for sympathetically maintained pain syndromes.
  • To evaluate the role of three-phase bone scanning in diagnosing RSD.
  • To discuss appropriate treatment strategies for sympathetically maintained pain.

Main Methods:

  • Review of current diagnostic criteria for regional pain syndromes.
  • Emphasis on placebo testing and anatomical principles in diagnosis and treatment.

Related Experiment Videos

  • Utilizing three-phase bone scanning as an adjunct to clinical judgment.

    • Main Results:

    • Sympathetically maintained pain is estimated to comprise approximately 10% of regional pain cases.
    • Three-phase bone scanning is considered a valuable tool for diagnosis.
    • Classically described sympatholytic procedures are effective when appropriate diagnosis is made.

    Conclusions:

    • Accurate diagnosis is crucial for effective treatment of RSD.
    • Three-phase bone scanning aids in the proper diagnosis of RSD.
    • Spinal cord stimulation may be beneficial for refractory cases of sympathetically maintained pain.