Reflex sympathetic dystrophy and posttraumatic stress disorder. Multidisciplinary evaluation and treatment.
Reflex sympathetic dystrophy (RSD) may co-occur with posttraumatic stress disorder (PTSD). A case study is reported of a challenging adolescent patient who presented to a chronic pain service with RSD and PTSD. A multidisciplinary approach utilizing nerve-block therapy with adjunctive pharmacologic treatment, physical rehabilitation, and behavioral/cognitive psychological therapy was employed to produce a significant reduction in pain as well as a more physically and psychologically functional adolescent. The diagnosis and treatment of each disease is essential for the successful resolution of symptoms.
Lebovits
A H
AH
Department of Anesthesiology, State University of New York Health Science Center, Brooklyn 11203.
Yarmush
J
J
Lefkowitz
M
M
D000293:Adolescent; D005260:Female; D006801:Humans; D009407:Nerve Block; D010146:Pain / Q000150:complications / Q000523:psychology; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D012019:Reflex Sympathetic Dystrophy / Q000150:complications* / Q000523:psychology; D013233:Stellate Ganglion; D013313:Stress Disorders, Post-Traumatic / Q000150:complications* / Q000523:psychology