317 St. Francis Dr. Suite 350
Greenville, SC 29601

317 St. Francis Dr.
Suite 350
Greenville, SC 29601
Tel: 1-864-235-1834, Fax: 1-864-235-2486

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RSD And Spread

Controversy has developed on the question of whether RSD can spread from one part of the musculoskeletal system (like an arm or a leg) to another part (like a different arm or leg). On one side of the camp, patients feel quite strongly that spread is a common occurrence. The opposite camp, usually physicians, feels that RSD does not spread and that it presents as a localized syndrome affecting the hand or upper extremity. Like most debates that have extreme points of view, the truth probably lies somewhere in the middle.

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Ophthalmic, Cardiac, Hormonal & Dental Involvement In RSD

Ophthalmic, cardiac, hormonal, and dental system involvement should be carefully considered as a complication of Reflex Sympathetic Dystrophy (RSD). While controversy exists about this statement, basic facts concerning anatomy and physiology support the conclusion. In addition, clinical presentations occur where ophthalmic, cardiac, hormonal, or dental systems become involved, and the only discernable etiology for their involvement was the pre-existence or RSD.

RSD and Opthalmic Effects
Due to the autonomic innervation of the eye, patients with RSD not uncommonly complain of difficulty with dry eyes or blurred vision. In some instances accommodation, the eye’s ability to focus on images at varying distance is impaired. In others, the tearing mechanism is altered. Pupilary function can become sluggish as well. While these problems may wax and wane in concert with exacerbations and remission of pain, there does not need to be a direct correlation.

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Reflex Sympathetic Dystrophy, Fibromyalgia And Spread

While occasionally someone afflicted with Fibromyalgia is told he may have Reflex Sympathetic Dystrophy (RSD), it is not uncommon for someone with RSD to be told he has Fibromyalgia. Unfortunately, this only adds confusion to those with either of these disorders.

Inflammatory Pain Vs. Neuropathic Pain

The hallmark of RSD is cold sensitivity in the presence of vasomotor and sudomotor change (abnormal skin color and sweating), which may progress to edema (swelling), contracture (loss of range of motion), and bone loss. Symptoms usually begin after an identifiable, causative event. In patients with RSD, the weather-sensitive component may manifest itself as pain that increases with barometric change. This is a noticeable worsening and a major feature in those with RSD.

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