Conditions

REFLEX SYMPATHETIC DYSTROPHY

Complex regional pain syndrome (CRPS) also known as reflex sympathetic dystrophy (RSD) is a long term condition characterised by severe pain, swelling and changes in the skin.It is also known as Sudecks atropy,Shoulder hand syndrome. There are two types of CRPS: Type 1 : occurs after an illness or injury that did not directly damage a nerve in the affected area Type 2: follows a distinct nerve injury. Signs and Symptoms: Both the type of CRPS have the same symptoms and go through the same three stages of disease. Stage 1 :Acute This may last up to three months. There is burning pain and increased sensitivity to touch. Swelling and joint stiffness along with increased warmth and redness in the affected limb.there is excessive sweating Stage 2 : Dystrophic This can last 3 to 12 months.Swelling is more constant.Sking wrinkles disappear. Skin temperature becomes cooler. Pain is more wide spread.Stiffness increases and the affected area becomes more sensitive to touch. Stege 3: Atrophic It occurs after 1 year.the skin of the affected area becomes pale, dry,thightly stretched and shiny.The area is stiff.pain may decrease and the condition may spread to other areas of the body. Causes: • Exact causes are unknown • One theory is that a “short circuit” in the nervous system is responsible. This causes over activity of the sympathetic (Unconscious) nervous system which affects the blood flow and sweat glands in the affected area. Diagnosis: Imaging studies like X-rays, Bone scans and MRI Treatment: 1)Non – surgical: • Medications • Injection Therapy • Bio-Feedback 2)Surgical: • Spinal cord stimulator • Pain pump implantation

REFLEX SYMPATHETIC DYSTROPHY