Distrofia simpático reflexa no pé e tornozelo

Abstract

The etiology of the reflex sympathetic distrophy (RSD) is unknown but the most acceptable theory is that it is a sympathetic nervous system dysfunction. The clinicai findings are characterized by neuropathic pain, vasomotor and sudomotor disturbances and trophic skin changes that are increased in the latter stages. Diagnoses is made by clinicai history, physical examination, x-ray, bone scan, thermography. The treatment is based on physical agents, such as hidrotheraphy and therapeutic exercises. When necessary medications which interferes in the pain modulating system, as tricyclic antidepressant and neuroleptics are used. The aim of this study.i~ to show the results of the treatment of 13 pqtie[1ts with RSD that underwent to physical agents and drug therapy when necessary.