Algoneurodystrophie

The algoneurodystrophie or algodystrophie is a painful syndrome characterized by a whole of symptoms touching of the articulations, after an even tiny traumatism or an surgical operation. This syndrome could be due to neurological or vascular causes and would occur rather among anxious patients.

It is also called " Syndrome of Sudeck" or " Disease of Sudeck" name of the German doctor Paul Hermann Martin Sudeck (1866-1945) which it first described it.

Synonym

It is a disease which one finds under several names:

  • Syndrome of Sudeck - Leriche
  • regional Complexe painful
  • Syndrome post-traumatic shoulder-hand
  • Ostéoporose painful
  • Dystrophie sympathetic nerve reflex
  • Regional Painful Syndrome Complexes (SDRC) of type I or II (II if there is an important damage of a nerve)
  • Causalgie (for type I or 2)

Definition

The syndrome algodystrophic is a diagnosis of elimination. The clinical signs and the results of the complementary examinations are not specific. Only a beam of arguments and the elimination of the differential diagnoses makes it possible to lead to the diagnosis.

The syndrome algodystrophic is characterized by:

  1. pain involving an impotence;
  2. turbid trophic with vasomotor disorders (edema, modification of temperature and aspect of the skin);
  3. demineralization épiphysaire delayed with the radiological examinations;
  4. a migration attends towards other localizations;
  5. an evolution slowly regressive, and generally without after-effect.

Treatment

There does not exist curative treatment of this affection; only the Calcitonine (which is a hormone) is not constantly effective on the intensity of the pain. However, since April 2005, this one does not have any more the AMM in this indication and there does not exist any more the therapeutic specific one to this affection.

The treatment recommended is primarily antalgic because any excess of pain (nociception) increase the intensity and the duration of the disease. The first measure to be taken is the rest of the member reached.

There exist treatments which make it possible to mitigate the pain of the patient temporarily:

  • the anti-pains (medical regulation, monocrixo, rivotril, etc…)
  • the antidepressants (medical regulation. .laroxyl. .etc)
  • the lyrica (the neurontin replaces because less side effects)
  • blocks with the Réserpine
  • the Kinésithérapie always without pains
  • the medullary stimulation which, in certain cases, can relieve the pain.
  • the electrotherapy.
  • Cryothérapie

Each patient answers the treatments suggested differently… Do not hesitate to consult a center anti-pain.

Problem running but ignored

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