Sympathetically maintained pain

Reflex sympathetic dystrophy (RSD) is a controversial condition, redefined in 1996 by an ad hoc International Association for the Study of Pain (IASP) task force. One of the strongest critiques against the entire concept of sympathetic-dependent pain is that patients labeled as having RSD harbor in...

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Bibliographic Details
Published in:Current pain and headache reports 2000, Vol.4 (2), p.99-104
Main Authors: Marchettini, P, Lacerenza, M, Formaglio, F
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Female
Guanethidine - administration & dosage
Guanethidine - therapeutic use
Humans
Male
Pain
Pain - diagnosis
Pain - etiology
Pain Management
Reflex Sympathetic Dystrophy - psychology
Sympathectomy
Sympatholytics - administration & dosage
Sympatholytics - therapeutic use
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Summary:Reflex sympathetic dystrophy (RSD) is a controversial condition, redefined in 1996 by an ad hoc International Association for the Study of Pain (IASP) task force. One of the strongest critiques against the entire concept of sympathetic-dependent pain is that patients labeled as having RSD harbor in reality a somatoform disorder. Here clinical cases are described to prove that other organic medical conditions may exist other than RSD and still present the clinical picture of pain, sensory, and vasomotor disorders and trophic changes. The analysis of each patient illustrates how the inappropriate diagnosis of RSD may lead to increased worsening of pain intensity, or delay the proper diagnosis, and consequently the appropriate treatment.
ISSN:1069-5850
1531-3433
1534-3081
DOI:10.1007/s11916-000-0042-2