Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)


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Old 06-15-2009, 05:27 PM #1
jstanleylaw jstanleylaw is offline
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Default 2nd surgery at site of RSD

I am new to this and would appreciate feedback from folks with knowledge of any medical journal articles and the like that recommend that the anesthesiologist perform a continuous block (before and after the surgery) which is the site of diagnosed RSD. In this case it is a shoulder. The ortho wants to anesesthesize the "frozen" shoulder so that it can be manipulated ("thawed?"). The RSD resulted after the first surgery (rotator cuff repair) -- and due to the RSD the shoulder has not had PT and has become "frozen". I am an attorney (workers compensation) and my client has the RSD.

I thank you. jstanleylaw
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Dew58 (06-15-2009)

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Old 06-15-2009, 05:48 PM #2
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Default

You can check the sticky threads above every forum for saved information.

Or do a full forum search using various keywords for what you are looking for.
Those are good starting points.

I hope our members will be able to be of help with specific articles for you.

I applaud you for doing this to really help your client.
Have you searched on pubmed also?
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Old 06-15-2009, 07:42 PM #3
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Go to RSDSA Library and if you scroll down the page you will see CRPS and Surgery, it's the 8th headline down. Articles number 2 and 4 are the ones you want to read about precautions with rsd and surgery. They are pdf's which is why I just put the library page link.

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Karen
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Old 06-15-2009, 08:28 PM #4
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Hi -

In addition to precautions taken during the surgery (i.e. - anesthesia), you will want to ensure that your client's PT is knowledgeable regarding RSD as well. My situation was similar to your client's, but subsequent to my 2nd surgery (which was successful in my ortho surgeon's opinion - I regained full ROM), the PT which was performed by the ortho surgeon's PT Dept was horribly painful and aggressive, and I have RSD as a result.

My current PT is awesome because he has past experience with RSD, researches new treatments, believes me when I say I'm in pain and is trying his best to help me get better. You will want to ensure that your client finds someone similar for the many weeks post op it could take for him to fully recover.

Sandy
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