Reflex sympathetic dystrophy syndrome in children

Ashwal, Stephen; Tomasi, Lawrence G.; Schneider, Sanford

doi:10.1016/0887-8994(88)90023-9

Cited by 34 publications

(29 citation statements)

References 12 publications

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“…It has been described in several case reports and series. 1,[26][27][28][29][30][31][32] None of these series describe TENS as universally effective, and there are no prospective, blinded trials of efficacy. In view of the modest cost, generally high acceptance by children, and remarkable safety of this device, it is almost always worthwhile giving a trial of TENS as part of a multidisciplinary approach to CRPS.…”

Section: Tensmentioning

confidence: 99%

Management of Pediatric Patients With Complex Regional Pain Syndrome

Wilder

2006

The Clinical Journal of Pain

115

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This review summarizes current information about diagnosis and treatment of complex regional pain syndrome (CRPS) in children. Although it has been widely held that CRPS in children is intrinsically different from adults, there appear to be relatively few differences. However, there is a marked preponderance of lower extremity cases in children. Historically, psychological factors have been invoked to explain the genesis and persistence of CRPS in children, but the evidence is not compelling. Treatment outcome studies are limited but indicate that children generally respond to a primary focus on physical therapy. Multidisciplinary treatment reports are particularly encouraging. The general perception that children have a milder course may relate to the potentially greater willingness of children to actively participate in appropriately targeted treatment rather than to innate differences in the disease process itself. Recurrence rates appear higher than in adults, but response to reinitiation of treatment seems to proceed efficiently. Clinical judgment dictates the extent of medication or interventional therapy added to the treatment to facilitate rehabilitation. In many ways, the approach to the treatment of children mirrors that of adults, with perhaps greater restraint in the use of medications and invasive procedures. The rehabilitation of children with CRPS, like that of adults with CRPS, needs further rigorous investigation.

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Section: Tensmentioning

confidence: 99%

Management of Pediatric Patients With Complex Regional Pain Syndrome

Wilder

2006

The Clinical Journal of Pain

115

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“…Although previously published cases stated that minor injury or trauma may have been responsible for the onset of symptoms, some patients didn't have a history of trauma. [1,3,5]. Some authors also said that psychological problems frequently play a role in this disorder.…”

Section: Discussionmentioning

confidence: 99%

“…Alongside a graduated program of physical therapy, transcutaneous electrical nerve stimulation and efferent sympathetic nerve activity, which can be interrupted surgically or chemically (intravenous regional guanethidin blockage, central sympathetic blockage, satellite ganglion blockage), have been fundamental principles in treatment [1-3, 5, 8]. The study of Ashwal et al [3] reported that in contrast to adults, treatment with a graduated program of physical therapy and transcutaneous electrical nerve stimulation is beneficial in almost all patients and the prognosis of childhood reflex sympathetic dystrophy syndrome is favorable. In another case study four girl patients between the ages 9-14 with reflex sympathetic dystrophy were treated with intravenous regional guanethidin blockage and physiotherapy and all of them almost completely recovered [1].…”

Section: Discussionmentioning

confidence: 99%

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Reflex Sympathetic Dystrophy in Children

Ayvaz¹

2014

Ann Clin Anal Med

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ÖzetRefleks sempatetik distrofi (kronik bölgesel ağrı sendromu) çocukluk çağında ve pediatri pratiğinde sık karşılaşılan bir durum değildir (1). Refleks sempatetik distrofi (RSD) lokalize yaygın ağrı, sıklıkla şişlik, renk değişikliği, trofik değişiklikler ve vasomotor bozukluklar gibi otonomik anormalliklerle karakterize bir hastalık-tır. Etiyolojisi tam olarak aydınlatılamamıştır. Hastalık kısmi olarak hasara uğra-yan sinir tarafından innerve edilen bir alanda gelişir. Bu yazıda, çocukluk çağında nadir görülen refleks sempatetik distrofili iki kız hasta klinik ve laboratuar bulgularıyla literatür eşliğinde tartışılmıştır. Anahtar KelimelerRefleks Sempetatik Distrofi; Bölgesel Ağrı Sendromu Abstract Reflex sympathetic dystrophy (chronic regional pain syndrome) isn't frequently encountered in practical pediatrics and childhood. Reflex sympathetic dystrophy syndrome (RSD) is a disorder characterized by widespread localized pain, often along with swelling, discoloration, trophic changes and autonomic abnormalities such as vasomotor disorders. Its etio-pathogenesis hasn't been completely determined. The disease can form in an area innerved by a partially damaged nerve and usually follows minor injury or trauma. In this paper, two girl patients with reflex sympathetic dystrophy are discussed along with the laboratory and clinic finding by accompaniment the literature as it is rarely seen in childhood. Keywords

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“…Most children with CRPS are diagnosed clinically and overwhelmingly have type 1 disease. [7][8][9][10][11][12][13][14] Epidemiology The incidence of CRPS1 in children is unknown. In numerous pediatric series, CRPS1 was more commonly seen in girls (70%), and the mean age of diagnosis was 13 years (range, 5-17 years).…”

Section: Definitionmentioning

confidence: 99%

Complex Regional Pain Type 1

Barrett

Barnett

2016

Pediatric Emergency Care

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Complex regional pain syndrome is increasingly recognized in the pediatric population. Owing to the nature of presentation with pain, many of these children present to the emergency setting at different stages of the syndrome with or without numerous prior interactions with health professionals. Complex regional pain syndrome type 1 (CRPS1) is a clinical syndrome characterized by amplified musculoskeletal limb pain that is out of proportion to the history and physical findings, or pain due to non-noxious stimuli (allodynia/hyperalgesia), and accompanied by one or more signs of autonomic dysfunction. Differential diagnosis may include significant trauma (eg, fractures), inflammatory conditions, malignancies, and systemic illness. The diagnosis is clinical. The treatment goals for CRPS1 are restoration of function and relief of pain. Education, physical, and occupational therapy with psychotherapy and defined goals of achievement with reward are the mainstay of treatment for this population. Most children with CRPS1 will have a favorable outcome.

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Reflex sympathetic dystrophy syndrome in children

Cited by 34 publications

References 12 publications

Management of Pediatric Patients With Complex Regional Pain Syndrome

Management of Pediatric Patients With Complex Regional Pain Syndrome

Reflex Sympathetic Dystrophy in Children

Complex Regional Pain Type 1

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