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Use these free images for your websites, art projects, reports, and Powerpoint presentations! The sympathetic nervous system consists of ganglia, nerves and plexuses (a braid of nerves) that supply the involuntary muscles.
Sympathetic nerves are responsible for conducting sensation signals to the spinal cord from the body. As the symptoms go untreated, the affected area can become cool, have hair loss, and have brittle or cracked nails. Complex regional pain syndrome more commonly affects the hand or foot, but may spread further up the affected limb and even into the opposite limb.
The second stage is characterized by burning pain, allodynia, hyperalgesia, coolness of the skin, hair loss, changes in skin such as paleness, and brittle or cracked nails. The third stage is permanent and is characterized by dystrophy or defective growth of bones or tissue. Your doctor will ask questions about possible trauma or a period of immobilization that may have caused your symptoms. Your physical examination may include a skin examination to evaluate for swelling or a change in skin blood flow. A local anesthetic is injected into the stellate ganglia in the neck when treating the upper extremity. A bone scan is a special test where radioactive tracers are injected into your blood stream. Your doctor may request that you have a magnetic resonance imaging (MRI) of your spine or other part of your body.


Your doctor may request that you undergo an electromyogram (EMG) to help determine the source of your pain. An EMG is a special test using needles and electricity that is used to determine if there are problems with any of the nerves going to the limb. Sympathetic ganglion blocks used to diagnose the condition are also used to help treat CRPS. The lumbar ganglia are injected to diagnose and treat symptoms of CRPS in the leg or foot. In cases of chronic CRPS that has failed all other therapies, spinal cord stimulation is used with some success. If sympathetic blocks were temporarily beneficial but painful symptoms have become chronic and can’t be changed or reduced, then a more permanent solution may be needed. You will likely be asked to resume or continue physical therapy following surgical interventions.
CRPS I (caused by an injury to tissues) was previously called Reflex Sympathetic Dystrophy (RSD), Sudeck’s atrophy, and shoulder-hand syndrome. Other times, it may be the result of a more significant injury such as surgery, a fracture, immobilization with casting or splinting, or the result of a stroke. The common symptoms of CRPS are unrelenting burning or aching pain, skin sensitivity, swelling, discoloration, sweating, and temperature changes. Also, sweating, discoloration (usually red), and an increase in hair and nail growth is evident.
Allodynia is when pain is felt from stimulation which is not usually painful, such as light touch or a breeze.


It consists of muscle atrophy or shrinkage, bone density (calcium) loss, contracture, edema, and limited range of motion of the affected joints. This test can show nerve compression either at the spine or of one of the larger nerves in your body that could be causing the pain. Nerve blocks, drug therapy, physical therapy, behavioral therapy, and psychologic support may be included.
Since pain from CRPS is made worse with movement, there is a tendency to protect the limb by holding it stiff. If the condition becomes chronic, dystrophy or deterioration of the bones and muscles in the affected body part may occur.
Antidepressants can be beneficial as they help block the nerve pain whether you are depressed or not.
Destruction of the sympathetic ganglion either surgically (radiofrequency ablation), or chemically may be considered.  In the extreme and rare case, amputation of the affected limb may be a surgical option. These exercises are crucial to preventing permanent disability due to joint deformity, contracture, and bone density loss. Topical creams can be used that contain an anesthetic such as lidocaine or other medications. Additionally, medications to prevent or halt the loss of calcium from the bones in the affected area may be considered.



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08.01.2014 admin



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