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A 46-year-old member asked:

if some one has reflex neurovascular dystrophy would nartoics help?

1 doctor answer2 doctors weighed in
Dr. Romanth Waghmarae
Pain Management 39 years experience
Opioids rsd: You will be having neuropathic pain. I would not suggest narcotics as this term denote illegal or illicit use. Neuropathic pain is known to be opioid resistant- you need higher doses for an effect. If all other modalities fail or the pain is really severe then opioids may have a role.

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A 25-year-old member asked:

Can you clarify what reflex sympathetic dystrophy really is?

3 doctor answers8 doctors weighed in
Dr. Romanth Waghmarae
Pain Management 39 years experience
RSD: This is in simple terms an overactivity of the sympathetic system that results in color changes, swelling, temperature differences, severe pain, sensitivity to touch and wind. This usually results from an injury no matter how trivial. It can also arise on its own. The important thing is an early diagnosis and aggressive treatment - very often the former is a big problem!
A 54-year-old member asked:

What is rsd and how do you develope it?

2 doctor answers4 doctors weighed in
Dr. David Hicks
Family Medicine 43 years experience
Pain: Typically rsd or as it is known, chronic regional pain syndrome. Will start in an extremity following painful trauma or other stimulus. If the pain initaially is not treated properly and sometimes even if treated appropriately it is nerves in that extremity changing and developing local nerve pain that can be hard to control but is better if treated aggressively and early to prevent progression.
A 36-year-old member asked:

Does anyone here know anything about reflex sympathetic dystrophy?

1 doctor answer1 doctor weighed in
Dr. Jay Rosenfeld
A Verified Doctoranswered
A US doctor answeredLearn more
Yes: Rsd (complex regional pain syndrome) is a poorly understood pain condition. It can occur after minor or major trauma or after nerve injury. It consists of severe pain, usually in the end of a limb, swelling and increased warmth in the early phases and muscle atrophy and contracture in the later phases. There may be excessive sweating. The causes are poorly understood. Mainstay is aggressive pt.
A 40-year-old member asked:

What are usual tests for reflex sympathetic dystrophy?

1 doctor answer5 doctors weighed in
Dr. Jay Rosenfeld
A Verified Doctoranswered
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See below: There are no specific tests for causalgia which is an old term for what is not referred to as complex regional pain syndrome. In causalgia, called crps type one there is usually some associated nerve injury so we may do a test called an emg/ncs. Often we do a test called a 3 phase bone scan but this test is not definitivein all cases.Mostly we rely on our physical examination to make the diagnosis.
A 38-year-old member asked:

Will reflex sympathetic dystrophy cause fatigue?

1 doctor answer2 doctors weighed in
Dr. William Newton
Pain Management 19 years experience
Possibly: This may not be a direct result of the complex regional pain syndrome but a result of the pain and reduction in overall function and quality of life caused by the condition.

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Last updated Jul 13, 2012

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