Reflex sympathetic dystrophy is a syndrome characterized by persistent, burining pain, hyperpathia, allodynia & hyperaesthesia in an extremity, with concurrent evidence of autonomic nervous system dysfunction. It generally develops after nerve
injury,
trauma, surgery, et al. The most successful therapies are directed towards blocking gthe sympathetic intervention to the affected extremity by regional sympathetic ganglion block or Bier block with sympathetic blocker; other traditional
treatments
include transcutaneous electrical stimulation, immobilization with cast & splint, physical therapy, psychotherapy, administration of sympathetic blocker, calcitonin, corticosteroid and analgesic agents.
The purpose of this report is to evaluate and describe the effects of magnetic resonance following unsatisfactory results with traditional treatments of RSD.
A 17 year old female patient, 1 year earlier, had received excision and drainage of pus at the right femoral triangle due to an injury caused by a stone. Afterwards, she experienced burning pain, knee joint stiffness, and muscle dystrophy of the
right
thigh, especially when standing and walking. Despite a year of number of traditional treatments such as: lumbar sympathetic block, continuous epidural analgesia, transcutaneous electrical stimulation, & administration of predisolone, her pain did
not
improve.
Surprisingly, the patients was able to walk free from pain and difficulty after just one application of magnetic resonance. The patient has been succesxsfully treated with further treatment of two to three times a week for approximately ten
weeks.
More recently, magnetic resonance has been demonstrated to produce effective results for the relief of pain in a variety of diseases. from our experiences we recognize magnetic resonance as a therapeutic modality which can provide excellent
results
for
the treatment of RSD. It has been suggested that plysynaptic reflex which are disturbed in RSD may be modulated normally on the spinal cord level through the application of magnetic resonance.
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