Reflex sympathetic dystrophy.

摘要: In summary, RSD is pain of neuropathic origin. The diagnosis often obscure and requires a complete history, physical, psychological evaluations. depends on symptoms (burning pain, allodynia hyperpathia); signs (edema, sudomotor changes, temperature changes); objective measurements, such as skin temperature, QSART, radiographs, triple-phase bone scans; well the clinical response to sympathetic block. Management should be designed promote restoration function utilizing physical therapy made possible by sympathetic, central, or peripheral nerve blockade. Medications may include nonsteroidal anti-inflammatory drugs, tricyclic antidepressants, vasoactive drugs. Psychologic support an important part patient's rehabilitation. Dorsal column stimulators, sympathectomies, narcotics considered only when other more conservative measures have failed.