Presentation
The central role of the sympathetic nerve is presently in doubt. [ncbi.nlm.nih.gov]
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. [link.springer.com]
Entire Body System
- 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]
Musculoskeletal
- 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]
Shoulder-hand syndrome (steinbrocker syndrome), also known as reflex sympathetic dystrophy syndrome refers to shoulder pain and shoulder movement disorder associated with ipsilateral hand pain and swelling characteristics, sometimes a group of integrated [mobilephysiotherapyclinic.in]
- 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]
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]
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]
Changes in the shoulder joint are identical with those seen in the frozen shoulder syndrome. The shoulder-hand syndrome begins to emerge as the patient persists in keeping the shoulder and shoulder girdle immobile. [mobilephysiotherapyclinic.in]
Treatment
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]
Prognosis
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]
Etiology
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]
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]
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]
Epidemiology
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]
Pathophysiology
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]
Prevention
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]