ࡱ> 02/@ bjbjFF -,, NNNNNNNb b       $6 R b% N% NN: ***.NN***h[NN 0   P 0  * bbNNNN N *% % bbd*bbWhat is RSD? WHAT IS REFLEX SYMPATHETIC DYSTROPHY (RSD)? Reflex Sympathetic Dystrophy is a complex disorder that requires a legal professional with specific experience. Art Fulmer has successfully defended the rights of many RSD patients in significant cases. RSD is a chronic pain disorder involving the sympathetic nervous system. It usually is the result of an injury or trauma, but can also be a complication of surgery, infection, casting or splinting and myocardial infraction (heart attack). The trauma sets off the body's mechanism for pain recognition, but then the "normal system of pain perception" begins to misfire in it neural response, and an abnormal cycle of intractable pain begins. As RSD progresses, the abnormal pain of the sympathetic nervous system has an effect on other areas of the body and can result in total disability as muscles, bones, skin and the autonomic immune system become involved. The first indication of RSD is prolonged pain usually more severe than the injury. The symptoms are severe burning pain in a localized area, intense sensitivity to temperature and light touch, and a color change to the skin. There are several stages to RSD, which progress at different rates in different people. Initially, there is swelling and redness in the affected area. Next, the area becomes blue and cold, with increased pain and stiffness of ligaments and joints, and Osteoporosis may become evident. Finally, there may be a wasting of affected muscles, contraction of tendons, and a definite withering of the affected limb. In all of the stages, severe chronic pain continues to be a major complaint. Although RSD can be a progressive disorder, it should not be assumed that all cases will advance and present all clinical symptoms and dysfunction. CLINICAL SYMPTOMS OF RSD Pain is the first and primary complaint, described as extremely severe and burning & aching in nature Swelling and joint tenderness Loss or diminished motor function Muscle spasms Increased sweating Changes in skin temperature and color Bone softening - patchy osteoporosis EFFECTS of RSD: RSD can be as painful as CANCER as costly as AIDS as crippling as ARTHRITIS WHAT CAUSES RSD? Trauma (often minor) such as a bruise, sprain or broken bone Surgery Myocardial Infarction (heart attack) Infections Repetitive motion disorders such as Carpal Tunnel Syndrome HOW IS RSD DIAGNOSED? Clinical Evaluation Sympathetic Blockade X-Ray Thermographic Study EMG, CAT scan, MRI studies IV Systemic Blockade HOW IS RSD TREATED? Drug Therapy Nerve Blocks Physical Therapy Sympathectomy Transcutaneous Electrical Stimulator IMPLANTABLE DEVICES: Spinal Cord Stimulator or Drug Delivery Infusion Pump   8+:QfWk hH>* hH0JhH hH0J5 9 |  dy+G]p Qg & F$a$g|"1Wl & F+0P/ =!"#$%<@< NormalCJ_HmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List d$@d Envelope Address!@ &+D/^@ 5CJD%@D Envelope Return 5:CJDOD H1$dd@&5CJ0KH$htH u(W@!( Strong5  9|dy+G]p  Q g |   " 1 W l \>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>0\>00 0 0 0 0 0 00 0 0 0 0 00 00 g  " / 1 ?  *,,`V@h ^`OJQJo("2 H @0T P@UnknownGz Times New Roman5Symbol3& z Arial"qhFF  #r4 3H?"2  What is RSDLaura RenpHelpdesk Oh+'0d   , 8DLT\ What is RSDhatLauras aur Normal.dot RenpHelpdesko2npMicrosoft Word 10.0@F#@@ ՜.+,0 hp|   i   What is RSD Title  !"#$%&()*+,-.1Root Entry Fp3Data 1TableWordDocument-SummaryInformation(DocumentSummaryInformation8'CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q