{"id":59680,"date":"2022-05-27T10:33:46","date_gmt":"2022-05-27T08:33:46","guid":{"rendered":"https:\/\/mivisalud.com\/blog\/sudecks-disease\/"},"modified":"2026-07-24T11:48:22","modified_gmt":"2026-07-24T09:48:22","slug":"sudecks-disease","status":"publish","type":"post","link":"https:\/\/mivisalud.com\/en\/blog\/sudecks-disease\/","title":{"rendered":"Sudeck&#8217;s disease"},"content":{"rendered":"<h2>What is Sudeck&#8217;s disease?<\/h2>\n<p><strong>Sudeck&#8217;s disease<\/strong>, Complex Regional Pain Syndrome (CRPS) or also known as Reflex Sympathetic Dystrophy (RSD) is a rare, infrequent, multi-symptomatological and chronic affectation of one or several parts of the body, usually an extremity. It consists of the appearance of a pathology secondary to trauma, damage, surgical intervention, long-term rest or other causes, in which the system is altered and on the defensive. <\/p>\n<p>Early diagnosis is very important for a good prognosis of Sudeck&#8217;s disease. A diagnosis at the earliest stage could avoid very painful stages, slow recovery and secondary complications. <\/p>\n<h3>Diagnosis of Sudeck&#8217;s disease<\/h3>\n<p>The <strong>diagnosis <\/strong>is based on the clinical history, to know if the patient has suffered any triggering situation and to rule out other pathologies.<\/p>\n<p>The differential diagnosis will depend on the evolutionary stage of the disease, in each stage we should rule out different pathologies.<\/p>\n<p>The complementary <strong>tests<\/strong> that can help us to make the diagnosis are:<\/p>\n<ul>\n<li>X-ray, in which bone demineralization is visualized. It can be seen as mottled osteoporosis. <\/li>\n<li>Gammagraphy, useful in the initial stages for early diagnosis.<\/li>\n<li>MRI, depending on where the Sudeck is located.<\/li>\n<li>CT, helps to relate a complex diagnosis, where different levels are affected (vasomotor, tendinous, ligamentous, capsular).<\/li>\n<li>Thermography, which measures the heat emitted by the body.<\/li>\n<\/ul>\n<p><strong>Sudeck<\/strong> manifests with the presence of deep, intense (burning) and scattered pain in the affected area(s) (usually extremities), skin (pallor) and sensory (allodynia) alterations, abnormal sweating, edema, muscle and bone atrophy.<\/p>\n<h2>The <strong>main symptoms<\/strong> are:<\/h2>\n<p>&nbsp;<\/p>\n<ul>\n<li>Intense, deep, stabbing pain. Many patients describe it as a pain similar to the pain of &#8220;chocking&#8221; their teeth. <\/li>\n<li>Skin alterations: alterations in skin pigmentation (whitish or bluish), in temperature, peeling or dryness of the skin, pallor or fibrosis, shiny skin, hair growth in the area, faster nail growth.<\/li>\n<li>Localized inflammation in the painful area.<\/li>\n<li>Motor disorders, difficulty in movement of the affected area caused by the same pain. As a consequence of the limitation of movement, the musculature atrophies. <\/li>\n<li>Bone alterations, osteoporosis.<\/li>\n<li>Pharmacological problems (dependence) due to psychological and emotional alterations, as a consequence of pain and limited mobility.<\/li>\n<\/ul>\n<p>It is not known why the <strong>Sympathetic Nervous System<\/strong> is in &#8220;active mode&#8221; continuously, originating an inflammatory response that perpetuates the symptomatology of Sudeck&#8217;s disease.<\/p>\n<h2>Risk factors for Sudeck&#8217;s disease<\/h2>\n<ul>\n<li>Cardiovascular diseases.<\/li>\n<li>Neurological lesions (central and peripheral)<\/li>\n<li>Idiopathic disorders.<\/li>\n<li>Infections<\/li>\n<\/ul>\n<h2>Treatments for Sudeck&#8217;s disease<\/h2>\n<p>In our MIVI centers, most of the <strong>SUDECK<\/strong> patients we have treated have been diagnosed after a prolonged period of immobilization, regardless of the reason for the immobilization (fracture, surgery, trauma).<\/p>\n<p><strong>Treatment <\/strong>should be as early as possible (to avoid chronicity), multidisciplinary (physiotherapeutic, psychological, pharmacological, orthopedic) and individualized.<\/p>\n<p><strong><em>Pharmacological treatment <\/em><\/strong>to alleviate the symptoms, especially analgesics. In more acute or intense cases of pain, nerve blocks may be used. <\/p>\n<p>The<em> <strong>physiotherapeutic treatment<\/strong><\/em> is oriented to treat the symptoms and reeducate the patient to use the affected limb and recover mobility, strength and functionality. The patient&#8217;s involvement in the rehabilitation is very important. It will be a &#8220;soft&#8221; treatment, we do not want to provoke an increase in pain or a defense reaction of the body.  <\/p>\n<p>&nbsp;<\/p>\n<p>The physiotherapeutic techniques used are:<\/p>\n<ul>\n<li><strong><em>Kinesitherapy<\/em><\/strong>mobilization of the affected limb, improving joint range and thus functionality.<\/li>\n<li>Work of the <strong><em>sensitivity<\/em><\/strong>In case it is altered, we will work with different textures, brushes, mirror, pen, etc.<\/li>\n<li><em><strong>Manual lymphatic drainage<\/strong> <\/em>in order to reduce edema.<\/li>\n<li><em><strong>Analgesic electrotherapy<\/strong> <\/em>to reduce pain.<\/li>\n<li><strong> <em>Proprioceptive<\/em> exercises <\/strong>for a better perception and awareness of the affected area by the patient.<\/li>\n<li><strong><em>Magnetotherapy <\/em><\/strong>for its anti-inflammatory and vasodilator action.<\/li>\n<li><strong><em>Contrast baths <\/em><\/strong>can be beneficial depending on the alteration of the patient&#8217;s temperature, always taking into account a possible &#8220;rebound&#8221; effect or sudden change in the patient&#8217;s thermal symptomatology.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>The<em> <strong>physical exercise<\/strong> <\/em>gentle and painless physical exercise helps the patient&#8217;s physical and psychological improvement. Exercise performed in the aquatic environment is very beneficial. <\/p>\n<p>How <strong><em>orthopedic therapy<\/em><\/strong> and complementary therapy, the use of compression stockings suitable for this pathology is recommended.<\/p>\n<p>The <strong><em>psychological treatment<\/em><\/strong> in many cases is advisable, especially in advanced stages, since the patient suffers intense pain, which usually takes a long time to be diagnosed and incapacitates his daily life. Pain management techniques are often taught to cope with the pathology. <\/p>\n<p>Some <strong><em>supplements <\/em><\/strong>such as calcium, vitamin B complex, magnesium, tryptophan and melatonin help treat both bone, regulate pain and stimulate the parasympathetic system. Always supervised by your doctor. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is Sudeck&#8217;s disease? Sudeck&#8217;s disease, Complex Regional Pain Syndrome (CRPS) or also known as Reflex Sympathetic Dystrophy&hellip;<\/p>\n","protected":false},"author":3,"featured_media":58967,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1003],"tags":[1070,1071,1072,1073,1074,1075,1076,1077,1078,1079,1068,1069],"ppma_author":[1384],"class_list":["post-59680","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pain-in-extremities","tag-sudeck-disease","tag-it-is-possible-to-work-with-sudecks-syndrome","tag-aftereffects-of-sudeck","tag-sudecks-syndrome","tag-sudeck-hand-syndrome","tag-sudeck-foot-syndrome","tag-sudeck-ankle-syndrome","tag-symptoms-sudeck-disease","tag-sudeck-phases","tag-sudeck-treatment","tag-diagnotisco-sudeck-en","tag-sudecks-syndrome-can-be-cured","author-irene"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO 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