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Elimination by microsurgery of pain in case of reflex sympathetic dystrophy in the lower limb

16-year-old girl with intense pain in her right foot. After two previous unsuccessful interventions, she was diagnosed with complex regional pain syndrome (CRPS) or reflex sympathetic dystrophy.

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Dr. Del Piñal: “If no hope is given to someone with a radius fracture, we are before lack of knowledge or just malpractice”

Las fracturas de radio o fracturas de Colles se producen de forma muy común, y –por desgracia- en demasiadas ocasiones son abordadas incorrectamente. De forma tradicional se han considerado lesiones de muñeca de buen pronóstico, lo que genera excesos de confianza que desembocan en diagnosis y tratamientos inadecuados.

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Dr. Piñal: “Reflex sympathetic dystrophy does not exist, it is a ‘scam’, a catch-all in which to hide what goes beyond our knowledge”

Under the name of syndrome of reflex sympathetic dystrophy (for its acronym in English, RSD and CRPS * 1) a whole series of symptoms are grouped –