International Research Foundation for RSD / CRPS

~{1>ND?/TXSZ~}
~{!6BiWmQ'PBV*!7~} (ANESTHESIOLOGY NEWS)
2003 ~{Dj~} 5 ~{TB:E#,OjGiGkAw@@#:~}
http://www.anesthesiologynews.com/


~{PB;%A*MxWJT49)~} RSD-CRPS ~{R=Iz<02!HKJ9SC~}

~{R;C{J.KjDP:"4r0tGrJ1E$IKWcuW!#K{HLM4Mj3IAKGrH|:s8fK_D8GWWcuWJ.7VL[M4!#SISZA=C{4s6yWSR2Tx6`4NE$IK#,K}1cVv8@P!6yTZIK4&7sIO1y?i#,2"6`
~{R;PGFZ:s#,P!:"5DWcuWHTH;L[M4#,6xGRW*3I@6I+!#K{5DD8GW;3RI?ID\JG9GU[#,0Q6yWS4x5=<1V"JR=SJ\~} x ~{9b2"C;SP9GU[!#SZJG#,DP:"V;:C;X
~{J}PGFZ:s#,K{U{LuWsMHW*3I@6I+<01d5C1y63#,IuVA2;D\3PJ\HN:NVXA?!#R=IzR2N^7(=bJMUbVVAnK{<+FdM43~5DFf9VOVOs#;2?7]IuVA=(RiPhR*=XV+!#PR:C#,51Ub6TD8WS5ZKD6HQ0GsW(?FUoVNJ1#,K{CGVUSZ7"OV:"WS;-74IdUO0-V"!1~} (Reflex Sympathetic Dystrophy ~{#,

RSD / CRPS ~{9z?WiV/5DMxR3~} ( www.rsdfoundation.org ) ~{N*Ub8v?I5

~{MxU>8E@@~}

RSD / CRPS ~{JGR;VV3vOVL[M45DIq>-<22!#,V"W40|@(>gAR5DWFM4!"9G8l<0F$7t3vOV2!@m1d;/!"4sA?EE:9!"1cN*Ub<22!La9)?I??5D=iI\WJAO!#~}
~{KdH;~} RSD ~{5D3IRrN4Cw#,5+8y>]~} RSD / CRPS ~{9z?WiV/5D?FQ'9KNJN/T1;aVwO/~} Anthony F. Kirkpatick ~{2)J?1mJ>#,~} RSD ~{JGImLeJ\IK:sU}3#Ft6/=;8PIq>-O5M3J14%7"!#~}
~{-O5M3S&TZImLeJ\IK:sJ}7VVSVAJ}P!J1DZ9X1U!#5+3vOV~} RSD ~{J1#,=;8PIq>-O5M32;6.5CWT6/9X1U#,746x?*J<2;U}3#5XTKWw!#~}
Kirkpatrick ~{R=Iz1mJ>#,Ub<22!R}VB5DL[M4:uJGSI=;8PIq>-V1=S4L<$M48POKN,IO5DJ\LeKyVB!#NRCGO`PEUb8v9}3L;a2zIz8|4s5DM43~#,-O5M3Tl3I8|4s5D4L<$#,4%7"AmR;BV5D74S&#,AnM43~;XH&2;O"!#~}

~{Rr2;U}3#5D=;8PIq>-O5M39&D\6xTl3I5D2!@m1d;/;aJ1SPJ1N^#,UbP)ImLe1d;/0|@(F$7tNB6H<0#/;rQUI+W*1d!"EE:9D#J=8D1d!":9C+JzA"~} (piloerection) ~{<0VWUM!#~}
~{MxU>R`SP=iI\OVSP5D~} RSD ~{VNAF7=7(#,5+2;B[=iI\DDR;VVVNAF#,>yS&SI=LS}2!HK?*JR`=(RiAY42R=Iz>!?ID\!A?M89}No@mVNAFU}3#5XTKSCK{CG5DKDV+!#HgTK6/5D3IP'N4Hg@mOk#,OBR;2=VNAF1c?ID\PhR*2ISC=;8PIq>-Wh6O~} (sympathetic blocks) ~{VNAF!#~}
~{=;8PIq>-Wh6OVNAFJGV8TZ=;8PIq>-8==|W"Id>V2?BiWmR)#,Hg@{6`?(Rr~} (lidocaine) ~{!"2<1H?(Rr~} (bupivacaine) ~{5H#,RTT]J1DfW*=;8PIq>-5D2;U}3#9&D\#,2"Jf;:;]~} Kirkpatrick ~{R=Iz1mJ>#,W"Id=;8PIq>-Wh6O`~} 1 ~{VA~} 2 ~{PGFZ~} ) ~{!#Hg>-9}~} 6 ~{4N=;8PIq>-Wh6O-GP3}JVJu~} (Sympathectomy) ~{!#Gk2N?4VNAFAw3LM

~{MxU>Ih

~{MxU>5DJ9SC7=7(D#J=Aw@@WJAO!#A=VVD#J=>y7VN*~} 4 ~{2?7]#:WiV/VwO/5DWJQ6~} ~{!"~} ~{SP9X~} RSD ~{6T6yM/;5DHKJ?Hg:N?IP-VzWiV/5D9$Ww!#~}

[caption: ~{TZMxU>5DB-Wh6O

~{W"JM~}

Treatment Protocol (~{VNAFAw3L~})

Optimize oral/transclemal medications, TENS, and mobilizing the extremity (~{JJ518xSh?Z7~~} / ~{F$OBW"IdR)No!"F$2cIq>-5g4L<$VNAF~} (TENS) ~{<0V+6KTK6/~})

Improved pain & function with mobilization (~{M89}TK6/M43~<09&D\5C5=8DIF~})

Conservative care (~{4+M3;$@m~})

Series of 3 to 6 Sympathetic Nerve Blocks (~{W"Id~} 3 ~{VA~} 6 ~{4N=;8PIq>-Wh6O

Physical Therapy Evaluation (~{=xPPNo@mVNAFF@9@~})

Psychosocial Evaluation (~{=xPPIgGxPD@mF@9@~})

Sympathectomy (~{=xPP=;8PIq>-GP3}JVJu~})

Trial of Spinal Cord Stimulation (~{<9Kh4L<$VNAFJTQi~})

Oral Narcotic Protocol Trial (~{Q;F,R)NoVNAFJTQi~} )


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~{FdK{MxR32?7]SkR=Q'W(?!"AY42V8R}5D5ZH}0f<0WnPB5DQP>?WJAO!#DcR`?ITZ4KUR5=@mJB;a<0?FQ'9KNJN/T1;a5D3IT1C{5%#,RT<0WiV/5DJ9C|P{QT<0A*BgWJAO!#~}

~{MxU>VX5c~}

~{KdH;MxU>LVB[5=R=IzVNAF~} RSD ~{6yM/;5DVX5cH42;V9SZ4K!#8y>]N;SZE&T#:!0MxU>5DDZH]4s2?7]JGN*2!HK<0SPPKH$HOJ6Ub8v2!V"5DFUM(JPCq6xIh#,HCK{CGHOJ6Hg:NCf6TUb8v<22!!"<22!5 ~{BiJ!FZFUAV7F6{5B5DMeV]R=Q'VPPD~} (Baystate Medical Centre, Springfield, Mass.) ~{5DM43~4&@m7~NqVw9\~} Robert B. Steinberg ~{2)J?T^M,~} Thomas ~{2)J?5DK57(#,5+K{O`PEMxU>:-8G5DWJAO3}AK9)R;0c9+VZHKJ?2N? Kirkpatrick ~{R=Iz1mJ>#,8y>]PB=|5DQP>?#,R=IzSk2!HK>y@m=bUb<22!5DAY42WJAOFdJ5J.7VVXR*!#!0R=Iz2;WqUUAY42V8R}WwUo6O5DFdVPR;4sT-Rr#,JG4s2?7]V8R}WJAO>y2;9;>+!TgWw3vJJ515DW*=i!#UbP)MxR3WJQ6HCLa9);y1>;$@m5DR=Iz@m=b5=<0TgW*=i5DVXR*#,4S6x1\Cb2!HK5D2!Gi5=4oD)FZ6xN^7(Ml>H!#!1MxU>Wn4%6/HKPD5D2?7]JGSP9X~} 4 ~{C{6yM/5DUfGi7VOm#,K{CG6

~{FdVPR;C{E.:"Tx=SJ\~} 3 ~{4N=;8PIq>-Wh6O-?584!#AmR;C{E.:"=SJ\AKO`M,5DVNAF#,5+Ph-GP3}JVJu#,M43~2E5C5=Jf;:!#~}

[photo caption: ~{TZMxU>5DB=;8PIq>-GP3}JVJu8yVNAKK}SRIO1[Rr~} RSD ~{R}Fp5DM43~!#~} ]

~{GWImD?6C<0L}5=UbP)DjG`HK5D>-@z#,HCR=IzCw0W5=K{CGSkUb<22!2+675D>-@z!#~} Thomas ~{R=Iz1mJ>#,!0UbP)WJAOHCNRCG5CRT4S2!HK5D=G6HH%AK=bUb8v<22!#,K{CGPNH]NRCG~} ( ~{R=Iz~} ) ~{KyWv5D9$Ww#,RT<0K{CG5DGiPwW4?v!#SP9X6yM/; ~{R=IzS&>!TgWw3vUo6O#,R;0cO`PETZ7"2!3uFZ=xPPVNAFJGWnSPP'5D!#8y>]~} Kirkpatrick ~{R=Iz1mJ>#,R=Q'=gIPN4D\H7J5V83vTgVAJ2C4J1|HK#,5+R`SPN4D\VNSzV;;-Qi!#~}
Steinberg ~{R=Iz6TUb8vMxU>5DF@SoN*!0NR;a8xUb8vMxU>~} A- ~{5DF@7V#,>MMxU>5DVJKX<0WJAOH+Cf3L6H6xQT#,VA=qIPN4SPFdK{MxU>?IRTO`1H!#!1~}

~{!*~} ~{W+ND#:~} Blaine Dionne


~{1>ND<-BAnthony F. Kirkpatrick ~{2)J?~} ~{!"~} P. Sebastian Thomas ~{2)J?~} ~{<0~} Robert B. Steinberg ~{2)J?~} ~{5D7CNJDZH]!#~}

RSD / CRPS ~{9z?WiV/N*C@9z~} 501(c)(3)( ~{7GD2@{~} ) ~{;z99~}


~{VwR3~}   |  ~{D?B<~}  |   ~{>h?n~}  |   ~{A*BgNRCG~}


RSD / CRPS ~{9z?WiV/~} ~{0fH(KySP~} 2003
~{HgS{W*TX1>MxR3HN:NWJAO#,1XPk;q5CPm?I#,OjGiGkSk1>WiV/A*Bg!#~}