Abstract:
:Pain dysfunction syndrome is a descriptive term recommended by Amadio to describe patients whose pain is excessive, nonanatomic, and out of proportion to their injury. This retrospective review reports the effectiveness of a differential epidural block in the evaluation of these patients. Four patterns of response were identified with the block: 1) reflex sympathetic dystrophy (RSD) (14%), 2) somatic (9%), 3) mixed sympathetic and somatic (27%), and 4) central (50%). The inciting injury in 70% of the patients was a minor strain, sprain, or contusion. Despite accurate diagnosis, the results in compensation cases with pain dysfunction syndrome are exceedingly poor.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Neuschwander D,Drez D Jr,Heck Ssubject
Has Abstractpub_date
1996-01-01 00:00:00pages
27-32issue
1eissn
0147-7447issn
1938-2367journal_volume
19pub_type
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