What would I do if I was diagnosed with Reflex Sympathetic Dystrophy?
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The first pain syndrome I encountered that really got me interested in a career in pain medicine was reflex sympathetic dystrophy, also known as RSD.
I amassed quite a bit of medical literature on the topic of RSD when I was first studying pain. What I felt from the getgo was that modern medicine was not getting at the root as to what was perpetuating the disease.
It was clear to me even as a Physical Medicine and Rehabilitation resident that immobility was one of the reasons RSD occurred. Almost every case I saw in residency presented with the patient experiencing quite a bit of time after the initial injury with the limb, foot, or elbow immobilized.
In my opinion, it is a bad idea to immobilize part of the body, except after a fracture.
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