Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients

Veldman, P.H.J.M.; Reynen, Han; Arntz, I.E.; Goris, R.J.A.

doi:10.1016/0140-6736(93)92877-v

Cited by 1,056 publications

(790 citation statements)

References 22 publications

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“…Perhaps these inaccuracies are a consequence of CRPS spreading into the unaffected limb such that early sub-clinical symptoms within this arm were responsible [37,47]. Although a reasonable explanation, in other studies only 4% [37] to 10% [47] of cases were found where spreading of symptomology into another limb occurred.…”

Section: Bilateral Impairment In a Unilateral Conditionmentioning

confidence: 76%

“…Although a reasonable explanation, in other studies only 4% [37] to 10% [47] of cases were found where spreading of symptomology into another limb occurred. Therefore, such an uncommon incidence is unlikely to account for the significant unaffected limb inaccuracy within this CRPS study sample.…”

Section: Bilateral Impairment In a Unilateral Conditionmentioning

confidence: 85%

“…Moreover, limb position sense is integral to motor performance yet motor dysfunction is well recognised in CRPS [4,13,14,22,24,38,45,46,47,48]. Brainimaging evidence of altered neural activity in motor cortices has also been found [29].…”

Section: Introduction "If the Pain Is Very Intense Even If I Am Toucmentioning

confidence: 93%

See 2 more Smart Citations

Wherever is my arm? Impaired upper limb position accuracy in Complex Regional Pain Syndrome

Lewis

Kersten

McPherson

et al. 2010

Pain

122

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Section: Bilateral Impairment In a Unilateral Conditionmentioning

confidence: 76%

Section: Bilateral Impairment In a Unilateral Conditionmentioning

confidence: 85%

See 1 more Smart Citation

Wherever is my arm? Impaired upper limb position accuracy in Complex Regional Pain Syndrome

Lewis

Kersten

McPherson

et al. 2010

Pain

122

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“…Veldman et al reported a series of 829 patients with reflex sympathetic dystrophy (RSD) and among them, 7% of the patients did not have pain as a symptom [5]. Although is not clear from the article if any of the Complex Regional Pain Syndrome-like symptoms developed following hip surgery, this does substantiate the possibility of Complex Regional Pain Syndrome-like symptoms in the total absence of pain.…”

Section: Discussionmentioning

confidence: 99%

Rare case of autonomic instability of the lower limb presenting as painless Complex Regional Pain Syndrome type I following hip surgery: two case reports

Kumar¹,

Wong

Andrew

2009

J Med Case Reports

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IntroductionAccording to the International Association for the Study of Pain criteria of 1994, pain is a diagnostic requirement for Complex Regional Pain Syndrome type I. However, other authors have suggested that patients can rarely present with the sensory and vascular symptoms of Complex Regional Pain Syndrome without pain. This entity has not been reported following hip surgery in the English medical literature.Case presentationWe present two cases of Complex Regional Pain Syndrome-like symptoms following hip surgery and with the total absence of pain. The first case was a 29-year-old Caucasian woman who had a reattachment of the greater trochanter following non-union of an intertrochanteric osteotomy of the hip. Five weeks later, the patient presented with features of Complex Regional Pain Syndrome but with the absence of pain. The second patient was a 20-year-old Caucasian woman who had undergone an open debridement and repair of a torn acetabular labrum. Ten days later, the patient presented with features suggestive of Complex Regional Pain Syndrome which was again painless. Both patients were non-weight bearing at presentation and the symptoms resolved following recommencement of weight bearing.ConclusionsThe authors believe these symptoms are manifestations of vascular changes to the lower limb as a result of non-weight bearing status. Painless Complex Regional Pain Syndrome-like symptoms may occur in patients who are kept non-weight bearing following hip surgery. However, vascular insufficiency and deep venous thrombosis must be excluded before this diagnosis is made. If the clinical situation permits, early weight bearing may relieve symptoms. Orthopaedic and vascular surgeons should be aware of this entity when a postoperative patient presents to them with the above clinical picture. This is also relevant to general practitioners who are likely to see the patients in the postoperative period.

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“…The frequency of these disorders increases with the duration of the condition (Veldman et al 1993) and research suggests that central neural networks involved with the inhibition of movement may be dysfunctional at the spinal and cortical levels (Van Hilten et al 2005). Cooper (2011) has suggested that a retrograde spread of neuroinflammation from the spinal level to the motor cortex via corticospinal neurons may cause functional changes in the motor cortex thus giving rise to CRPS dystonia.…”

Section: Motor Problemsmentioning

confidence: 99%

Imaging and Clinical Evidence of Sensorimotor Problems in CRPS: Utilizing Novel Treatment Approaches

Bailey

Nelson

Lewis

et al. 2012

J Neuroimmune Pharmacol

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Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients

Cited by 1,056 publications

References 22 publications

Wherever is my arm? Impaired upper limb position accuracy in Complex Regional Pain Syndrome

Wherever is my arm? Impaired upper limb position accuracy in Complex Regional Pain Syndrome

Rare case of autonomic instability of the lower limb presenting as painless Complex Regional Pain Syndrome type I following hip surgery: two case reports

Imaging and Clinical Evidence of Sensorimotor Problems in CRPS: Utilizing Novel Treatment Approaches

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