• American family physician · Dec 1997

    Review Case Reports

    Complex regional pain syndrome.

    • D M Pittman and M J Belgrade.
    • Sister Kenny Institute, Minneapolis, Minnesota, USA.
    • Am Fam Physician. 1997 Dec 1; 56 (9): 2265-70, 2275-6.

    AbstractThe term "complex regional pain syndrome" encompasses causalgia and reflex sympathetic dystrophy. Symptoms of burning pain with autonomic and tissue changes begin shortly after an injury, usually to a distal extremity. The diagnosis is based on the history and the clinical findings. No confirmatory tests are available, although plain radiographs or a three-phase bone scan may be helpful in diagnosing some cases. Aggressive treatment, which may include sympathetic blockade, medications, physical therapy and psychotherapy, is essential for a favorable outcome. Despite treatment, many patients are left with varying degrees of chronic pain and disability.

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