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Re: RSD & Pregnancy

Re: RSD & Pregnancy

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Posted by dee on July 20, 2000 at 12:35:37:

In Reply to: RSD & Pregnancy posted by Tim Santiago on July 14, 2000 at 01:31:30:

: My fiance' is pregnant with our child and she also has RSD. Her doctors told her to go on the legs, hips, pelvis, lower abdomen, and lower back. During the first pregnancy (4+ years ago) she only had it in her left leg. Now that it has spread, are there any known problems that we should be aware of? Most importantly, please be honest. Tell us any and all facts you know of, so we know what to expect. All of the pages I have visited don't have any information about pregnancy.


I found this article and thought it might help you...good luck to you!


Pregnacy & RSD

To better understand the diagnosis of reflex sympathetic dystrophy of the lower extremities in pregnant women a study was done. SUBJECT: Disease analysis using a retrospective series of nine cases and a review of the literature (57 patients and 159 sites of reflex sympathetic dystrophy). RESULTS: This disorder should be considered in any painful pelvic girdle syndrome or lower extremity pain. The hip is involved in 88% of cases. Symptoms develop in the third trimester of pregnancy, between the 26th and the 34th weeks. Magnetic resonance imaging (MRI) provides an early, accurate, and very specific diagnosis, although standard radiography continues to be the first-line diagnostic tool. Fracture occurs in 19% of patients. The etiology and pathophysiology remain unclear, although pregnancy itself appears to play a significant role in this disease. Although locoregional mechanical factors partly explain reflex sympathetic dystrophy. Hypertriglyceridemia appears to be a risk factor. This disorder develops independently, but the conclusion of pregnancy appears to be necessary for cure. Reflex sympathetic dystrophy does not appear to affect the course of the pregnancy. Indications for cesarean delivery remain obstetrical and should be discussed when a fracture is involved. Simple therapeutic management using gentle physical therapy provides rapid and complete recovery in 2-3 months. CONCLUSION: Reflex sympathetic dystrophy during pregnancy remains poorly understood and underestimated. Only joints of the inferior limbs are involved. MRI appears to be the best diagnostic tool. Pathogenesis remains unclear. Fractures are not rare. Treatment should be non-aggressive.


Author
Cindy Huffman
Published
June 30, 2000

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