A large percentage of patients with CRPS will have or have had a fracture and sprain, which were the leading triggers, followed by other injuries, including crush, stroke, and contusion. And a large percentage of people seeking chiropractic care will have these injuries, most notably sprains. You would be doing yourself and your patients a disservice if a nutritional recommendation of 500mg of Vitamin C wasn't done. With no side effects found in the study, very low cost, low level of skill required, it only makes sense to recommend it to all patients as a preventative measure to reduce the risk of them having to suffer through the symptoms of CRPS. Vitamin C at a dose of at least 500 mg/day for 50 days reduced the rate of CRPS from 10% to 2% (number needed to treat [NNT]=13) correlating to a relative risk of 0.17 with a confidence interval of 0.04–0.77. This is the second study undertaken by the same investigators to demonstrate risk reduction. The previous study enrolled only 129 patients, but found an absolute risk reduction of 15% (NNT=7; P
"To find a support group for those with reflex sympathetic dystrophy, you can try the Reflex Sympathetic Dystrophy Syndrome Association, where they can help you fully."
"Reflex Sympathetic Dystrophy usually affects the skin and blood vessles. However, it can easily affect any part of the body."
Reflex Sympathetic Dystrophy Syndrome
reflex sympathetic dystrophy (RSD) was noticed during the civil war in patients who suffered pain following gunshot wounds that affected the median nerve (a major nerve in the arm).
http://www.rsdrx.com/rsdpuz4.0/puz_34.htm
P. Doury has written: 'Algodystrophy' -- subject(s): Reflex sympathetic dystrophy
Sudeck's atrophy is a radiographic term for spotty rarefaction seen in patients with reflex sympathetic dystrophy.
RSD stands for Reflex Sympathetic Dystrophy and is a nerve disorder that causes extreme pain and immobilization.(See Related links below)
RSD is a chronic neurological syndrome characterized by: severe burning pain. pathological changes in bone and skin. excessive sweating. Reflex sympathetic dystrophy syndrome (RSDS), also known as complex regional pain syndrome, is a rare disorder of the sympathetic nervous system that is characterized by chronic, severe pain. Excessive or abnormal responses of portions of the sympathetic nervous system are thought to be responsible for the pain associated with reflex sympathetic dystrophy syndrome.
337.20 is the code for complex regional pain syndrome. It used to be called reflex sympathetic dystrophy.
The condition currently known as Complex regional pain syndrome (CRPS) was originally described during the American Civil War by Silas Weir Mitchell. It was formerly known as algoneurodystrophy, Begum Syndrome, Sudeck's atrophy, reflex neurovascular dystrophy (RND) and reflex sympathetic dystrophy (RSD).
The prognosis for treatment during phase one is favorable. As the disease progresses undetected into phase two or three the prognosis for recovery is poor.