Sudeck syndrome (reflective symptoma)

Sudeck syndrome (reflective symptoma)'s disease overview

What is

Sudeck syndrome?

Sudeck syndrome (Sudeck Syndrome) is also known by many other names such as " reflex sympathetic syndrome ", "neurological dysplasia syndrome Reflective sympathetic "," Shoulder syndrome "or" Sudeck atrophy syndrome ".

This is a rare disease, most commonly occurring between the ages of 40 to 60, which occurs in women more than men. The disease consists of a typical group of symptoms including burn pain, swelling, skin care disorders such as skin atrophy, increased sweating with signs of vascular disorders. Sudeck syndrome can occur in all limbs, but the hands and shoulder joints are the most common area.

Causes of Sudeck syndrome (reflective symptoma)'s disease

Sudeck syndrome mechanism : When there are frequent, chronic stimuli from the peripheral area, the sympathetic nerve reflexes in the spinal cord area may be disturbed. Due to this sympathetic nerve area, it will cause sympathetic disorders in the peripheral area.

Sudeck syndrome often occurs after an activation, these causes are usually:

Traumatic shoulder, hands, neck injury; shoulder joint diseases; Cervical spinal degeneration

Knee joint trauma or after endoscopic knee joint surgery

After performing surgery

Calmonery syndrome, myocardial infarction, brain stroke, breast cancer

Use tuberculosis drugs, barbiturat groups

For example, when the patient has a wrist and nerve syndrome in the wrist tube, when this compression has not been thoroughly treated, the jacks Painful liking is still transmitted to the spinal cord. The horny area on the spinal cord is a sympathetic nerve center that can cause sympathetic neural reflex disorders under the spinal cord reflex. As a result, the spend with a wrist syndrome will have Sudeck syndrome (shoulder-tay syndrome).

If the patient has a broken head under the rotating bone or the forearm fracture, the lower part of the lower part of the lower part without treatment, good correction, causing a shaft. The instant posture will cause pinched nerve bundle of the wrist area, stimulating chronic pain, which is the activation factor Sudeck syndrome.

Studies show that, two -thirds of patients with Sudeck syndrome have active causes, only one -third of the patients do not detect the cause of activation.

Symptoms of Sudeck syndrome (reflective symptoma)'s disease

Sudeck syndrome often happens through the following stages:

After a cause of activation, there will be pain and swelling, pain in pain, a lot of pain, continuous pain, night increase and when exercising, decreasing when resting. A short time later, in the disease, there was signs of swelling, swelling, red and hot, smooth skin, touching the feeling of fast pulse.

after 1-2 weeks from the appearance of symptoms, the pain continues, at the time of increasing decreases, edema gradually decreases. The skin in the disease part becomes thick, purple, sticky, tendon, tendon covers, pulling back to limit movement. Gradually, the muscles of the limbs are atrophy, reducing the movement of the disease compared to the healing limb.

X-ray images showing the condition of calcium loss, Doppler ultrasound sees the phenomenon of increasing circulating speed on the spot.

If the sudeck syndrome occurs in the upper limb is called the "upper dysfunction syndrome" or "shoulder-tay syndrome". The pain, swelling can last from a few weeks to several months. The hands and parts of the forearm have many symptoms of pain, difficulty movement, spreading edema, stretched skin, touching hot and feeling of pulse. Joints and muscles gradually harden, difficult to exercise. After a while, it will turn to atrophy, then the hand shrinks, the skin is thin, smooth, the fingers are hard to stretch, the wrist is folded, the shoulders are almost motionless. If not treated promptly, these lesions may not recover.

If Sudeck syndrome occurs in the lower limb called "lower limb pain syndrome":

There are two forms in the feet, which is: the feet are painful and the feet are painful and edema. In the feet pain, the feet are painful, failure to go, the image of X-ray is scattered osteoporosis. In the legs of the feet and edema, in addition to the symptoms of the feet failure to go, the feet are also edema, the skin is tight, hot red, X-rays see the whole image of osteoporosis.

In the knee joint, the common lesions are: swelling, knee joints, leg atrophy, knee stiffness, thigh muscle atrophy.

In the hip joints, the lesions are pain, limiting movement, osteoporosis.

People at risk for Sudeck syndrome (reflective symptoma)'s disease

Some subjects are at high risk, including:

Patients with wrist tunnel syndrome

People with injury or cervical spine disease, shoulder injury

People who used to injury the wrist area, the forearm bone injury section 1/3 below

The person who has brain stroke, especially in 1-6 months

Patients with hormonal diseases, diabetes, cardiovascular diseases

Prevention of Sudeck syndrome (reflective symptoma)'s disease

To prevent Sudeck syndrome (reflexes) should be noted:

Early detection and timely treatment of a number of diseases such as diabetes, gout, high blood pressure, myocardial infarction, angina, pericarditis, tuberculosis, inflammation Bronchial, bronchial cancer, hyperthyroidism, Parkinson, brain tumor, ...

Enhance movement to avoid osteoporosis, muscle atrophy

Diagnostic measures for Sudeck syndrome (reflective symptoma)'s disease

Diagnosis is based on clinical symptoms, information from medical records, without specific tests for diagnosis, instead the doctor may appoint:

Bone shooting helps detect the erosion of bones or blood flow abnormalities

MRI scan helps to observe and detect abnormalities inside the body, especially the change of tissues

X-rays to determine the loss of minerals in the bone, usually indicated in the later stage of the disease.

Check sweat helps check for more sweat on one side of the body than the other side.

Check the temperature to check the temperature or blood flow in the injured position compared to other positions of the body.

Sudeck syndrome should be distinguished from other diseases such as: Another arm syndrome, rheumatoid arthritis, muscle dermatitis, gout.

Sudeck syndrome (reflective symptoma)'s disease treatments

To treat sudeck syndrome should detect disease early, active treatment, combine treatment with drugs and physical therapy to reduce symptoms, help patients recover early .

Drug treatment:

Use anti -inflammatory drugs Nonsteroid (NSAIDS) Oral or injection.

can use high doses for a short time then reduce the dose and stop the drug. Do not be used for a long time because of the risk of increased nutrition and osteoporosis.

Use the original oligar maple medications to reduce the symptoms of hand vascular disorders, help relieve pain, reduce edema, red purple hands. Star lymph nodes and arm nerve puppets help relieve pain and reduce hand vascular disorders on hand/ Physiotherapy:

Can use the following methods:

Soak your hands in cold water 1-2 minutes, 1-2 times/ day to help relieve pain, edema, redness, hand balm.

When sleeping and resting, the hand is higher than the heart to reduce edema. Use a string around your neck to hang your hand to relieve pain and hands.

Methods of heat treatment such as short waves, extremely short waves, microwaves, paraffin, infrared radiation, ... can be applied to the shoulder and neck spine area. P>

Measures to relieve pain by electric current such as electrical pulse, tens pulse, 2%electrical di Novocaine, ...

When symptoms of the disease are reduced in the hands, should actively restore the shoulder joint function. Can use rehabilitation exercises to cause joint relaxation, anti -stick.

Treatment of intervention:

In case of severe illness, medical treatment fails, the following measures may be used:

Occellation and antique lymph nodes

Surgery to remove neck sympathetic lymphadenopathy by endoscopy or open surgery

See also:

Early and accurate way of detecting arthritis

Foods that help reduce arthritis pain

Li> Screening for musculoskeletal disease for office workers

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