old member back again...
esther_llist at yahoo.com
Tue Jun 4 10:10:15 PDT 2002
interesting. thanks for writing that.
I read somewhere that people who have been tortured
are a patient population that can develop RSD. I
believe that groups like Amnesty International keep a
list of doctors who treat RSD caused by torture.
--- Thom <tcbloom2 at earthlink.net> wrote:
> RSD, like most forms of Neuropathic pain are better
> prevented than treated.
> It's a complex problem, poorly defined problem. We
> know it's associated
> with high impact injuries and patients who can't (or
> won't) move the
> affected part after injury/surgery. There are
> associated psychological
> traits but I am NOT saying or inferring that this
> problem is "all in the
> head". Six billion sets of chemistries are walking
> on this planet, many are
> prone to one condition or another. Some people more
> prone to broken bones,
> some to infections - same for RSD.
> We do know early use and PT, of the affected part,
> are associated with
> earlier and more complete recovery from RSD. Agents
> used for neuropathic
> pain are more successful with RSD because it's part
> of the nervous system.
> Opiates (narcotics) are not first round choices
> because there are no opiates
> receptors on this part of the nervous system (that's
> why chronic narcotic
> use for this condition raises some eyebrows).
> However, if nothing else
> works, it's appropriate to treat the symptoms (pain)
> with a narcotics but
> again only if the more effective treatments have
> been tried and failed or
> not completely effective.
> Do spinal cord stimulators work? Yes, for some
> people. I'm not being
> obtuse - just factual. Nothing works for everybody.
> Spinal cord
> stimulators should be trialed before insertion.
> That is, a catheter is
> inserted through the skin and placed for maximum
> effectiveness. If that
> helps, it makes sense to place a permanent system
> under the skin. If it
> were not effective, permanent insertion would make
> little sense, right?
> Whichever course - wish you best of luck
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