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Old 06-15-2009, 05:18 PM
jstanleylaw jstanleylaw is offline
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Join Date: Jun 2009
Posts: 2
10 yr Member
jstanleylaw jstanleylaw is offline
New Member
 
Join Date: Jun 2009
Posts: 2
10 yr Member
Default Requesting info re: "Continuous regional anesthesia"

Quote:
Originally Posted by mfrancis.palmer View Post
Hello,
I just found this site researching information for my father. He was diagnosed with RSD approximately 8 years ago after a knee surgery. His orthopedic surgeon did not diagnose it right away and continued to operate on my father. Being that it was undiagnosed/untreated for so long, my father has not reacted positively to most of the treatments that he has received. In addition to that, he was recently diagnosed with Charcot's Foot. It is very common in diabetic patients; however, my father is not diabetic. Has anyone had this experience with Charcot's Foot with a diagnosis of RSD?
Also, my father is having an operation to correct the Charcot's Foot and I am worried that the staff is not taking the correct precautions with the anesthesia. I have read that RSD patients need to have a continuous regional anesthesia of some sort before during and after surgery. I met with his orthopedic surgeon, who will be operating on his foot and he said that they will not be doing any type of special epidural at any time during the operation. He does not want my father to be numb until they know if the RSD has flared up. Then he said he would do something to treat it, like an epidural. This does not mesh with any of the research that I have read. Everything has stated that a continuous regional anesthesia is the best preventative measure for RSD flare-ups or spreading of the disease after an operation on someone who already has a RSD diagnosis. Any feedback would be appreciative. Once this new medical issue is under control and I am hoping that my father can resume treatment for his RSD.

Thank you! mfrancis.palmer
mfrancis --

just now ran across your post. I am an attorney and I have a client who has RSD in her shoulder. The shoulder is now "frozen" and the ortho wants to "unthaw" it via surgical intervention. I sent my client to a neurologist who is recommending a continuous block before, during and after the surgery. The ortho has never done this and says that such protocol is outdated and "not done anymore" (he has never done it). in your post you state: "Everything has stated that a continuous regional anesthesia is the best preventative measure for RSD flare-ups or spreading of the disease after an operation on someone who already has a RSD diagnosis."

Would you (or anyone out there with knowledge of journal articles and the like) please share these with me?

Thank you. jstanleylaw
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Dew58 (06-15-2009)