The system resulted from a special consensus conference that was convened on this topic and is based upon the patient's history, presenting symptoms, and findings at the time of diagnosis. [doi.org]

Case presentation We report the case of a 67-year-old woman who presented with shoulder-hand syndrome as the initial manifestation of gastric cancer which had metastasized to bone. [jmedicalcasereports.biomedcentral.com]

The central role of the sympathetic nerve is presently in doubt. [ncbi.nlm.nih.gov]

• Arm Pain

  By the next day the pain had spread to involve her right arm. When she arrived at the hospital she described severe pain in both shoulders, spreading down the anterior aspect of her arms as far as her elbows. [ispub.com]

• Flushing

  Dystrophic (three to six months): early skin changes of shiny, thickened skin and contracture with persistent pain, but diminished swelling and flushing. [medicinenet.com]

  Bone marrow cells were collected from male C57BL/6J mice by flushing out femora and tibiae with α-minimal essential medium (α-MEM; GIBCO-BRL, Grand Island, NY) containing penicillin and streptomycin. [doi.org]

• Shoulder Pain

  You are here Home » Tag: shoulder hand syndrome Hemiplegic Shoulder Pain & Complex Regional Pain Syndrome Evidence Review This review provides a complete discussion of the current literature on hemiplegic shoulder pain and complex regional pain syndrome [ebrsr.com]

  shoulder-hand syndrome a disorder of the upper limb characterized by pain and stiffness in the shoulder, with puffy swelling and pain in the ipsilateral hand; it sometimes occurs after myocardial infarction but can also be produced by other causes. complex [medical-dictionary.thefreedictionary.com]

  […] with cervical spinal cord injury, focusing on the clinical features of SHS: shoulder pain, hand/wrist pain, edema, vasomotor changes, trophic changes and osteoporosis on x-ray. [ncbi.nlm.nih.gov]

  In comparing groups of patients with and without shoulder pain in a rehabilitation facility, those without shoulder pain were significantly more likely to be functionally independent [ 72 ]. [karger.com]

• Osteopenia

  0000000000001520, PMID: 30747906 Issn Print: 0304-3959 Publication Date: 2019/06/01 Bojana Bazika-Gerasch;Christoph Maier;Nina Kumowski;Carolin Fiege;Miriam Kaisler;Jan Vollert;Johannes Dietrich; Checking for direct PDF access through Ovid Abstract Local osteopenia [doi.org]

  […] on x-ray Chronic > 12 months Dimished pain, fibrosis, glossy skin, joint contractures Extreme osteopenia on x-ray International Association for the Study of Pain Classification type I CRPS without demonstrable nerve lesions most common from trauma, cast [orthobullets.com]

  Alesi / Science Source There may be objective findings in the patient with CRPS—for example, side-to-side difference in skin temperature, or osteopenia and osteoporosis with abnormalities on bone scan/scintigraphy or on plain X-rays with both hands on [acepnow.com]

  […] on radiographs; - palmar faciitis may be present with nodules. - Stage 3, > 6-12 months: - skin pale, cool, dry, tight and glossy; joint contractures - severe osteopenia with spindling of fingers; diminished pain; nails become rigid; hair becomes fragile [wheelessonline.com]

  Most CRPS features—spreading pain and skin hypersensitivity, vasomotor instability, osteopenia, edema, and abnormal sweating—are explicable by small‐fiber dysfunction. [dx.doi.org]

• Joint Stiffness

  Studies have shown that 9 weeks post injury, persons with persistent pain, tenderness, swelling, joint stiffness (fingers and wrist), and sweating or temperature changes in the injured limb may have CRPS type 1 (LOE: 2, case series and case control studies [jfponline.com]

  Oedema becomes hard or brawny which leads to gross joint stiffness. There can be ankylosis of the joints presence of fibrous joints. Associated changes in dystonic parts (hands or feet). Associated tremors. [apekshabesekar.com]

  Diagnosis The diagnosis usually is made when at least three of the following symptoms are present: pain and tenderness, signs of changed blood flow (either increased or decreased), swelling with joint stiffness, or skin changes. [orthopedicspecialistsofseattle.com]

  stiffness, swelling and damage Muscle spasms, tremors, weakness and loss (atrophy) Decreased ability to move the affected body part Symptoms may change over time and vary from person to person. [mayoclinic.org]

  Swelling and joint stiffness usually follow, along with increased warmth and redness in the affected limb. There may be faster-than-normal nail and hair growth and excessive sweating. Stage II: Dystrophic Stage II can last 3 to 12 months. [orthoinfo.aaos.org]

• Frozen Shoulder

  The pathogenesis of this dystrophy is unclear but entrapment of vessels and nerves in the frozen shoulder may pay a role. The shoulder capsulitis is treated by physical therapy aimed at avoiding immobility and strain of the shoulder. [diapedia.org]

  Frozen Shoulder is seen five times more often among people who have diabetes than among people who do not. THREE STAGES OF FROZEN SHOULDER: Stage one: The affected shoulder begins to ache and feel stiff before becoming increasingly painful. [diabetesdigest.com]

  Journal of Medical Case Reports, Jul 2008 Introduction Shoulder-hand syndrome is a relatively rare clinical entity classified as a complex regional pain syndrome type 1 and consisting essentially of a painful 'frozen shoulder' with disability, swelling [paperity.org]

  SHS consists essentially of a painful 'frozen shoulder' with disability, swelling, vasomotor or dystrophic changes in the homolateral hand. The shoulder involvement usually precedes, sometimes accompanies or rarely follows the changes in the hand. [jmedicalcasereports.biomedcentral.com]

• Euphoria

  At the maximal infusion dose, euphoria and disorientation increased moderately ( Safety Issues There were no changes in complete blood cell counts, coagulation parameters, liver enzymes, CPK or C-reactive protein. [doi.org]

• Motor Disturbances

  All symptoms of CRPS II show many similarities to those of CRPS I. [25] [26] [27] [28] CRPS is clinically characterised by sensory, autonomic, and motor disturbances. [physio-pedia.com]

  Case reports and hypothesis: a neglect-like syndrome may be responsible for the motor disturbance in reflex sympathetic dystrophy (Complex Regional Pain Syndrome-1). J Pain Symptom Manage. 1995 Jul. 10(5):385-91. [Medline]. [emedicine.medscape.com]

  Rotarod Performance In order to rule out any sedative effects or motor disturbances elicited by SN50, rats were tested by being placed on a rotating drum (7 cm diameter), 23 cm above the floor of a metal enclosure (11 cm wide, 42 cm long, and 40 cm high [anesthesiology.pubs.asahq.org]

• Forgetful

  Caroline Voet, Bernard le Polain de Waroux, Patrice Forget, Ronald Deumens and Etienne Masquelier, Spinal cord stimulation for complex regional pain syndrome type 1 with dystonia: a case report and discussion of the literature, F1000Research, 10.12688 [dx.doi.org]

  Carpal Tunnel Syndrome Forget what you think you know about office work and carpal tunnel syndrome. "That's a big misconception," says Weiss. "Typing doesn't actually increase the incidence of carpal tunnel syndrome." [diabetesforecast.org]

• Clumsiness

  Physical Physical symptoms/characteristics of CRPS may include the following: Some impairment of motor function is present in about 80-90% of patients at some point in the disease and consists of paresis, pseudoparalysis, or clumsiness. [emedicine.medscape.com]

• Memory Impairment

  Ketamine-induced NMDA receptor hypofunction as a model of memory impairment and psychosis. Neuropsychopharmacology 1999 ; 20 : 106 – 18. DOI: 50. Neuroprotective agents. In: Evers AS, Mayes M, editors. [doi.org]

The full syndrome recurred in six patients, all of whom responded to a second course of treatment. [ncbi.nlm.nih.gov]

Pain Management Center A program that includes treatment options for patients with RSD, trigeminal neuralgia and chronic pain. A look at the center itself as well as the specific treatments offered. [curlie.org]

Wilfrid Jänig and Ralf Baron, Mechanisms and Treatment Strategy of Complex Regional Pain Syndromes, Targeted Treatment of the Rheumatic Diseases, 10.1016/B978-1-4160-9993-2.00027-8, (370-385), (2010). [doi.org]

Recovery after CRPS treatment varies The prognosis for CRPS type I is better than that of CRPS type II When the syndrome continues for more than 1 year, it is likely that residual impairment will be present Regardless of the treatment afforded, patients [orthopaedicsone.com]

From What is the prognosis for reflex sympathetic dystrophy (RSD) The prognosis (outlook) and response to treatment in patients with RSD is unpredictable. [medicinenet.com]

However, if diagnosed early and treated aggressively, prognosis is improved. [patient.info]

Prognosis Each patient with CRPS responds differently to treatment. Spontaneous improvement occurs in some people. Others may have long-term changes despite treatment. [assh.org]

Hand-Shoulder Syndrome Pain, swelling and osteoporosis Atrophy of the skin of the hand Etiology not known Reflex circulatory disturbance Seen secondary to Myocardial infraction Stroke Trauma Imaging Shoulder x-rays are usually negative Hand shows osteoporosis [learningradiology.com]

In this group belongs the idiopathic shoulder-hand syndrome. 33 It is becoming increasingly apparent that, although the etiology of these various syndromes may be different, many of their FULL TEXT [annals.org]

Autoimmune etiology of complex regional pain syndrome (M. Sudeck). Neurology. 2004 Nov 9. 63(9):1734-6. [Medline]. Oaklander AL, Fields HL. Is reflex sympathetic dystrophy/complex regional pain syndrome type I a small-fiber neuropathy?. [emedicine.medscape.com]

ETIOLOGY: Trauma (often minor). Ischemic heart disease and myocardial infarction. Spinal cord disorder. Cerebral lesions. Infections. Surgery. SIGN AND SYMPTOMS: Due to different causes, clinical manifestations. [mobilephysiotherapyclinic.in]

Read more Within TREND 5 research programmes can be discerned: Epidemiology, Assessment technology, Trials, Genetics, and Biomarkers. Within each research programme multiple research projects are performed. [web.archive.org]

The capsulitis results in a 'frozen shoulder' with movement limitation in all directions, Epidemiology Shouder capsulitis occurs in 10% of patients with type 1 diabetes, in 25% of patients with type 2 diabetes and in 2% of the general population. [diapedia.org]

Valley Royal Hospital, Larbert, Stirlingshire, UK Correspondence to Dr Ishaq Abu-Arafeh, Department of Paediatrics, Forth Valley Royal Hospital, Larbert, Stirlingshire FK5 4WR, UK; iabu-arafeh{at}nhs.net Abstract Objective To study the clinical and epidemiological [doi.org]

All Mayo Clinic and Olmsted Medical Group medical records with codes for reflex sympathetic dystrophy (RSD), CRPS, and compatible diagnoses in the period 1989–1999 were reviewed as part of the Rochester Epidemiology Project. [dx.doi.org]

We conclude that a SHS complicating CSCI is associated with increased amplitude of the SSR, supporting the theory that sympathetic hyperactivity is important in the pathophysiology of reflex sympathetic dystrophy in this setting. [ncbi.nlm.nih.gov]

Pain. 93(2):165–171, AUG 2001 DOI: 10.1016/S0304-3959(01)00309-8, PMID: 11427328 Issn Print: 0304-3959 Publication Date: 2001/08/01 Checking for direct PDF access through Ovid Abstract In order to analyze the pathophysiology behind the clinical similarity [doi.org]

PMID: 15621369 Issn Print: 0304-3959 Publication Date: 2005/01/01 Checking for direct PDF access through Ovid Abstract Functional alterations in noxious, sensory and motor circuits within the central nervous system may play an important role in the pathophysiology [dx.doi.org]

Some studies recommend the use of vitamin C to prevent complex regional pain syndrome. The objective of this meta-analysis was to evaluate the efficacy of vitamin C in prevention of CRPS. [doi.org]

Swelling and contracture of the hands continued to develop despite oral corticosteroid therapy, and one patient underwent surgery in an attempt to prevent the development of further deformity. [ncbi.nlm.nih.gov]

Some cases of CRPS type 1 may be preventable. [jfponline.com]