title: [ Sudeck's bone atrophy (reflex sympathetic dystrophy)].
abstract: Reflex sympathetic dystrophy is a disease clinically characterized severe pain, allodynia (severe pain caused by a touch) and over-reaction of pain sensation after a minor injury. In 1994, reflex sympathetic dystrophy was given a name of complex regional pain syndrome type 1 by a international congress, because local blockade of the sympathetic nerve has not been found to be invariably effective. Treatment system for reflex sympathetic dystrophy is composed of medicament therapy including oral administration and/or injection of drug, physical therapy such as thermotherapy and gently passive movement, surgical treatment and psychotherapy. Treatment with injection of pamidronate for 23 patients with reflex sympathetic dystrophy revealed to reduced the grade of pain to two third compared to pre-treatment period, and local intravenous block with local anesthetic drug and steroid hormone disappeared the almost symptoms in cases of early phase.
authors.affiliation: Tokyo Metropolitan Rehabilitation Hospital, Department of Orthopaedics.
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Hayashi
mesh_terms: D001623:Betamethasone / Q000008:administration & dosage; D004164:Diphosphonates / Q000008:administration & dosage; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D009407:Nerve Block; D000077268:Pamidronate; D026741:Physical Therapy Modalities; D011613:Psychotherapy; D012019:Reflex Sympathetic Dystrophy / Q000628:therapy
chemical_list: D004164:Diphosphonates; D001623:Betamethasone; D008012:Lidocaine; D000077268:Pamidronate