Related Experiment Videos
Reflex sympathetic dystrophy: treatment with long-acting intramuscular corticosteroids
1Division of Hand Surgery, Des Moines Orthopaedic Surgeons, West Des Moines, IA, USA.
The Journal of Hand Surgery
|July 1, 1996
Summary
Active exercises and methylprednisolone injections effectively treated reflex sympathetic dystrophy in 47 patients, significantly improving pain, motion, and grip strength. This treatment offers substantial relief for many suffering from this chronic pain condition.
Area of Science:
- Pain Management
- Neurology
- Physical Therapy
Background:
- Reflex sympathetic dystrophy (RSD) is a chronic pain condition.
- Effective treatment options for RSD are crucial for improving patient outcomes.
Purpose of the Study:
- To evaluate the efficacy of active exercises combined with long-acting methylprednisolone injections for treating reflex sympathetic dystrophy.
- To assess improvements in pain, joint mobility, and grip strength in patients with RSD.
Main Methods:
- A cohort of 69 patients diagnosed with reflex sympathetic dystrophy were treated over an 8-year period.
- Treatment involved a combination of active exercises and injections of long-acting methylprednisolone.
- Patients were followed for at least one year to assess treatment response.
Main Results:
- 47 out of 69 patients (approximately 68%) showed significant improvement.
- Patients experienced relief from night and rest pain.
- Average proximal interphalangeal motion improved from 39 to 75 degrees.
- Average grip strength increased from 7 lb to 29 lb.
Conclusions:
- The combination of active exercises and methylprednisolone injections is an effective treatment for reflex sympathetic dystrophy.
- This therapeutic approach leads to significant reductions in pain and substantial gains in physical function.
- The treatment offers a viable option for managing RSD symptoms and improving quality of life.