1/2. Painful conditions of peripheral nerves.A plea is made for the early recognition of the possible development of painful conditions affecting peripheral nerves, since it is believed that the experience of our institution, which is detailed here, confirms that while rehabilitation programmes are of benefit to the patient, successful therapy depends upon prompt institution of prophylactic measures to prevent sensitization to sympathetic outflow. patients are encouraged to use their hands, and it is considered important that they would understand that their complaints arise from a genuine organic condition.- - - - - - - - - - ranking = 1keywords = programme (Clic here for more details about this article) |
2/2. reflex sympathetic dystrophy in hemiplegia--two case reports and review of the literature.reflex sympathetic dystrophy (RSD) can be precipitated by a variety of events. We report two cases of RSD in hemiplegic patients detected within three months of the cerebrovascular accidents. Diagnosis of RSD was based upon clinical and scintigraphic findings. Management included elevation, range of movement of the affected joints and analgesics. With treatment, the pain and swelling subsided, range of motion of joints improved and the patients were able to participate in the rehabilitation programme. A high index of suspicion, early diagnosis and aggressive treatment were found to be essential for the successful treatment of RSD.- - - - - - - - - - ranking = 1keywords = programme (Clic here for more details about this article) |