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Causalgia

Medical Questions » Causalgia
Name: Causalgia
Also known as: Complex Regional Pain Syndrome Type Two
Abnormal reaction to a nerve injury resulting in excessive inappropriate stimulation of the nerve.
Causes of Causalgia
Injury to a nerve in a limb.
Symptoms of Causalgia
Three phases occur. Phase one: swelling and intermittent severe burning pain of the forearm and hand, or lower leg and foot, starting within three months of a nerve injury. Phase two: thin, shiny, cool skin that sweats excessively replaces normal skin on the affected limb three to six months after the injury, and pain continues. Phase three: after a further three to six months, the skin becomes very thin, scar tissue develops in the limb, and affected joints become contracted, painful and immobile.
Tests for Causalgia
No specific diagnostic tests. Electromyography (EMG: measurement of electrical impulses in muscles) may be abnormal.
Treatment for Causalgia
Unsatisfactory. Physiotherapy, anti-inflammatory drugs and steroids have been tried.
Complications of Causalgia of its treatment
Permanent disability involving the affected limb common.
Likely Outcome of Causalgia
Poor. Symptoms often persist long term.
       
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