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Diana Feijoo, 40, was operated on the wrist last September. Since then she has developed a picture of severe pain, diagnosed as reflex sympathetic dystrophy or Sudeck’s atrophy. The patient, in turn, is polymedicated to try to mitigate symptoms that also include serious mobility difficulties in her left hand, disabling in the personal and work spheres

The problem

Diana goes to Dr Piñal with the sort of symptoms associated with reflex sympathetic dystrophy: pain, cutaneous hypersensitivity and stiffness in the affected joint, with problems of function, among others such as redness and abnormal sweating.

The goals

For Dr. Piñal, “inadequately intervened fractures in the wrist area are at the origin of many of these diagnoses, not forgetting the percentage that can be addressed as neurostenosis (continuous pain in the nerve), and non identified pictures of dynamic compression of the median nerve”.

From this basis, Dr. Piñal performs a diagnostic re-evaluation of the patient’s case and, taking into account its results, designs a surgical procedure adapted to the newly identified clinical situation.

The plan

The new diagnosis leads to a minimally invasive surgery aimed at restoring function in the affected hand and, at the end of the postoperative process, at eliminating a pain that is already lowing in intensity in the very short term.

The results

To identify the secondary pathology suffered by Diana, not resolved in his previous wrist intervention, allows Dr Piñal to discard the diagnosis of Sudeck’s atrophy and the realization of a procedure with immediate effects on the affected extremity.

Thanks to the aforementioned procedure, the patient recovers mobility and function in her left hand, in addition to mitigating her pain sensation and reducing the intake of drugs just after the intervention.

Related content:

• Patient diagnostiqué d’une dystrophie sympathique réflexe ou une atrophie de Sudeck: guérison par correction diagnostique et chirurgie mini invasive
• Dr Piñal: “De nombreux patients étiquetés comme souffrant de dystrophie sympathique réflexe ou de dystrophie de Sudeck souffrent d’une pathologie que nous n’avons pas pu identifier”
• Media, TVE: le Dr Piñal découvre une procédure de cure de cas de dystrophie réflexe sympathique
• Dr. Piñal: “La dystrophie sympathique réflexe n’existe pas, c’est une “arnaque “, une fourre-tout pour cacher ce qui dépasse nos connaissances”
• Dr Piñal: “Les personnes atteintes de dystrophie sympathique réflexe doivent se rebeller contre ce diagnostic et demander un deuxième avis”
• Editorial: I have a dream… reflex sympathetic dystrophy (RSD or Complex Regional Pain Syndrome – CRPS1) does not exist