Author/Editor | Margić, Krunoslav; Pirc, Jelka | |
Title | Kontinuirana senzorna analgezija olakšava rano in bezbolno razgibavanje bolesnika sa izraženim CRPS 1 (Sudeckov sindrom) | |
Translated title | Continuous sensory analgesia allows early and painless physiotherapy in CRPS 1 | |
Type | članek | |
Source | Fiz Med Rehabil | |
Vol. and No. | Letnik 18, št. 3-4 | |
Publication year | 2001 | |
Volume | str. 58-63 | |
Language | cro | |
Abstract | Twenty patients with CRPS 1 were treated from 1988 to 1998. Until 1996 active " stress loading" program was used. In 1996 continuous sensory analgesia was introduced in treatment. Today, the patient with working diagnosis CRPS 1 is hospitalized. We start immediately with cryotherapy, elevation and active movements. Prompt and positive reaction in two cases was interpreted as sign of unclear posttraumatic condition with spontaneous recovery. If there were no signs of recovery the axillary catheter was inserted and continuous sensory anaigesia applied. Painless unaffected motor function has permitted vigorous physiotherapy without pain. Improvement was noted in nine of eleven patients. In two refractory cases one was assumed as "manus psychoflexa", and the other as chronic systemic disease with pronounced psychical disturbances. One patient has had few episodes of CRPS 1 on both hands, final result is poor. Six of nine patients use their hands in everyday duties and at work. | |
Descriptors | REFLEX SYMPATHETIC DYSTROPHY ANALGESIA EXERCISE THERAPY HAND STRENGTH |