Alvizo-Pérez ME, Gallardo-Martínez ER, Rodríguez-Aceves G

Language: Spanish
References: 7
Page: 101-103
PDF size: 528.62 Kb.

ABSTRACT

Reflex Sympathetic Dystrophy is a chronic pain condition that is disproportionate in magnitude or duration to the typical course of pain after similar tissue trauma, surgery or other injuries; usually beginning in a distal extremity. The IAPS (International Association for the Study of Pain) subdivides it into: type I (Sudeck), in which no nerve injury is identify and type II (Causalgia) in which we do detect nerve damage, the diagnostic is fundamentally clinical.
Is characterized by peripheral and central sensitization, autonomic changes, inflammatory and immune alterations. Excessive function of the sympathetic nervous system and possible sympatho-afferent coupling plays a key role and this was the rationale for using sympathetic ganglion blocks to reduce the symptoms. Reviews of available randomized trials suggest that physical and occupational therapy (including graded motor imagery and mirror therapy), bisphosphonates, calcitonin, subanesthetic intravenous ketamine, free radical scavengers, oral corticosteroids, and spinal cord stimulation may be effective treatments. Many cases resolve within the first year, with a smaller subset progressing to the chronic form.We present the case report of a female patient with chronic pain who was diagnosed with RSD after a trauma and surgery.

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