Reflex Sympathetic Dystrophy.

Abstract

In brief Reflex sympathetic dystrophy (RSD) is an unusual pain syndrome that can arise after athletic injuries such as sprains, strains, or fractures. Classic signs-burning pain, edema, and vasomotor instability-are present in varying degrees, making the diagnosis of RSD difficult. Three case studies demonstrate typical findings. Treatment consists of early, aggressive physical therapy, adequate pain relief, and corticosteroids when appropriate. Sympathetic blockade is useful for diagnosis and therapy. Early protected range of motion for treating injuries often helps prevent RSD.