Abstract
A review study was done by searching literature through PubMed. Reflex sympathetic dystrophy is a life altering disease pathogenesis of which are not yet clearly known likewise its management protocol has not been established. Treatment of longstanding Reflex sympathetic dystrophy is empirical and of limited efficacy. This disease may lead to dreadful squeal which may need amputation for their management and few of these patients may even develop suicidal tendency. Patient with Reflex sympathetic dystrophy usually present late. It was found that the clinical presentation of RSD are too much variable, although different modalities of treatment are used either alone or in combination, the outcomes are often unpredictable and of variable efficacy. Understanding of the treatment modalities and proper selection of treatment option are essential for best outcome. Preventive measure does play a role in management of these patients. Option of treatment includes pharmacological method, sympathetic nervous system interruption, use of calcitonin and bisphosphonate. More study is required to find out the mechanism that triggers the pain and other clinical manifestation so that a standardized protocol for its management can be developed DOI: http://dx.doi.org/10.3329/bjms.v11i3.11714 Bangladesh Journal of Medical Science Vol. 11 No. 03 July12
Highlights
Reflex sympathetic dystrophy first described by Mitchell has been known by various names including algodystrophy, causalgia, sudeck’s atrophy and sympathetically maintained pain
The clinical manifestation of RSD is too much variable and the role of sympathetic nervous system in many aspect of the illness is not clear, so a new name of the disorder complex regional pain syndrome has been chosen in an effort to describe its clinical feature more accurately
Current Review There is no curative treatment for complex regional pain syndrome
Summary
Reflex sympathetic dystrophy first described by Mitchell has been known by various names including algodystrophy, causalgia, sudeck’s atrophy and sympathetically maintained pain. It is a chronic painful condition characterized by excruciating burning pain, pathological changes in bone and skin, excessive sweating, tissue swelling and extreme sensitivity to touch.[2] Reflex sympathetic dystrophy causes great suffering and distress in most patients. Current Review There is no curative treatment for complex regional pain syndrome. 1. Dr Jagodish Chandra Ghosh, MS (Ortho), Senior Consultant, Infectious Diseases Hospital, Mohakhali, Dhaka, 2. Dr Samaresh Chandra Hazra, Medical officer, nfectious Diseases Hospital, Mohakhali, Dhaka, 3. Methodology By literature search through PubMedp, the available articles on complex regional pain syndrome studied, results were reviewed. New approach of treatment of complex regional pain syndrome type-2 were evaluated and included in this review
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