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Reflex Sympathetic Dystrophy (RSD)/CRPS/SUDECK does not exist

15 Август, 2019

Sudeck IFSSH zine_01_20190815

Francisco del Piñal, M.D., Dr. Med.

IFSSH Ezine Vol. 9 Issue 3 No. 35  pp. 22-32. Edited by International Federation of Societies for Surgery of the Hand ((IFSSH) (August 2019)

INTRODUCTORY PARAGRAPHS (full text pdf. below)

Reflex Sympathetic Dystrophy (RSD)/CRPS/SUDECK does not exist

This essay was prompted by a letter from Professor Mennen, Editor of Ezine, asking me to update the Editorial I wrote in the Journal of Hand Surgery European Volume.

This paper is about my extreme scepticism in the existence of the Sudeck atrophy, also known as reflex sympathetic dystrophy (RSD) or complex regional pain syndrome (CRPS). The name for this diagnosis varies depending on the age of the surgeon, their background, and their country, but they all describe the same: an abnormal painful response after trauma or surgery, accompanied by vasomotor changes, at least in the early stages, and the lack of a plausible cause for its development.

Reflex Sympathetic Dystrophy (RSD)/CRPS/SUDECK does not exist