Reflex sympathetic dystrophy is one of the older terminologies for what is currently known as Complex Regional Pain Syndrome (CRPS). Other terms used include:
- Causalgia syndrome
- Sudeck’s atrophy
- Algodystrophy
- Algoneurodystrophy
- Reflex neurovascular dystrophy
History of RSD and CRPS
At this time the preferred medical term is CRPS. In 1993 the terminology changed from RSD to CRPS to better define underlying problems associated with the syndrome. Two types of CRPS were further defined:
- CRPS Type 1 has the characteristic painful limb, but has no definite nerve injury as the cause
- CRPS Type 2 has obvious previous nerve damage
Quality of Treatment
Quality of treatment for RSD/CRPS depends on the knowledge and experience of the practitioner coordinating care. CRPS is a complex problem, many physicians work with the syndrome on an occasional basis. A pain physician who treats this condition almost daily is likely the best source to turn to for management and treatment options. Experience in recognizing the problem and offering a comprehensive multi-disciplinary approach is essential.
It truly requires a “hands on” physician who coordinates all aspects of care. The mark of a good physician is one who not only recognizes what is wrong, but one who can determine all the contributing factors to the syndrome and what is maintaining the problem. Few pain specialists truly understand the condition, finding a good physician may seem like finding a needle in the haystack.
Diagnosis and treatment of CRPS and RSD depends on finding the right physician. It is not guess work at management. It often takes time and patience by both the physician and patient. Experienced physicians will be much more successful in management, do not settle for just anyone who just claims to have treated the condition.