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Related Experiment Videos

The painful hand

L A Koman1, T L Smith, B P Smith

  • 1Department of Orthopaedic Surgery, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina, USA.

Hand Clinics
|November 1, 1996
PubMed
Summary
This summary is machine-generated.

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Managing Reflex Sympathetic Dystrophy (RSD) requires objective criteria due to incomplete understanding of its pathophysiology and varied patient presentations. Early recognition and prompt intervention are crucial for improving clinical outcomes in this complex condition.

Area of Science:

  • Pain Medicine
  • Neurology
  • Physical Therapy

Background:

  • Reflex Sympathetic Dystrophy (RSD) presents diagnostic and therapeutic challenges.
  • Incomplete understanding of RSD pathophysiology contributes to treatment frustration.
  • Varied patient presentations complicate management due to individual anatomy and physiology.

Purpose of the Study:

  • To outline an objective and systematic approach to managing Reflex Sympathetic Dystrophy (RSD).
  • To highlight the common causes of treatment frustration in RSD.
  • To emphasize the importance of early recognition and intervention for optimal outcomes.

Main Methods:

  • Systematic review of current literature on RSD management.
  • Analysis of factors contributing to treatment variability and failure.

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  • Discussion of objective criteria for diagnosis and treatment planning.

    • Main Results:

    • RSD management can be approached systematically despite incomplete pathophysiological understanding.
    • Treatment frustration arises from complex pathophysiology, patient variability, and incomplete treatment.
    • A trial-and-error approach is often necessary, with potential for persistent pain and disability.

    Conclusions:

    • Early recognition and prompt intervention offer the best chance for clinical improvement in RSD.
    • Despite vigorous treatment, some patients may experience progressive pain, disability, stiffness, and arthrofibrosis.
    • A systematic approach, while challenging, is essential for optimizing care in Reflex Sympathetic Dystrophy.