Fortnightly Review: Reflex sympathetic dystrophy

Paice, Elisabeth W.

doi:10.1136/bmj.310.6995.1645

Cited by 45 publications

(18 citation statements)

References 25 publications

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“…Soucacos and Johnson 42 described three stages of CRPS I/RSD with the late stage possibly lasting as long as several years. Paice 68 stated that if left untreated, this condition could lead to ". .…”

Section: Prognosismentioning

confidence: 99%

Physical Therapy Management of Complex Regional Pain Syndrome I in a 14-Year-Old Patient Using Strain Counterstrain: A Case Report

Collins¹

2007

Journal of Manual & Manipulative Therapy

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This report describes the examination, intervention, and outcomes for a patient with Complex Regional Pain Syndrome I (CRPS I) treated with Strain Counterstrain (SCS). The patient was diagnosed with CRPS I following a Grade II ankle sprain. Treatment consisted of SCS once per week for six months with one additional session each week in Months 4 through 6 for strengthening, endurance, and gait training. A re-examination was performed monthly. A clinically signifi cant decrease of 2 points in overall pain as measured with a numeric pain rating scale (NPRS) occurred as of Month 2; a 2-point decrease in tenderness on 10 of 13 SCS tender points also measured with an NPRS was documented as early as Month 1. Throughout the treatment period, an increase in function was noted by way of patient report and objective tests and measures. Gait improved with regard to cadence, use of an assistive device, and weight-bearing status. Single limb stance on the involved leg increased from 0 (s) to 40 (s) over the course of treatment and ankle active range of motion as measured with a goniometer and muscle strength as measured with manual muscle tests both returned to normal values. CRPS I remains a poorly understood and diffi cult-to-treat chronic syndrome. By way of its proposed effects on the neuromuscular system and facilitated segments, SCS may be an additional effective treatment tool in the management of some patients diagnosed with CRPS I.

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Section: Prognosismentioning

confidence: 99%

Physical Therapy Management of Complex Regional Pain Syndrome I in a 14-Year-Old Patient Using Strain Counterstrain: A Case Report

Collins¹

2007

Journal of Manual & Manipulative Therapy

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“…Patients typically develop chronic burning pain, together with various combinations of sensory disturbances, swelling, and vasomotor, sudomotor, and trophic changes 1-3. Traditionally, the pain is treated by interrupting the sympathetic supply to the painful area.…”

mentioning

confidence: 99%

Interrupting the sympathetic outflow in causalgia and reflex sympathetic dystrophy

Schott

1998

BMJ

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“…Complex regional pain syndrome (CRPS), or reflex sympathetic dystrophy, develops after trauma or surgery and is characterized by pain that is disproportionate to the initial injury and is not confined to the nerve or nerve root distribution (1)(2)(3)(4)(5). Symptoms involve the autonomic, somatosensory, and sympathetic nervous systems.…”

Section: To the Editormentioning

confidence: 99%