REFLEX NEUROVASCULAR DYSTROPHY

REFLEX NEUROVASCULAR DYSTROPHY

Reflex neurovascular dystrophy (RND) is a painful condition. It usually brings about severe pain in the joints and muscles in children. The pain is unbearable. This pain is caused by nerve sensitivity wherein the nerves in the body send abnormal pain signals to the brain. Girls are more affected by this condition.

Reflex neurovascular dystrophy (RSD) originates from problems in the sympathetic nervous system. The sympathetic nervous system controls blood flow movements and also helps regulate heart rate and blood pressure. When one gets hurt, the sympathetic nervous system modifies blood vessels so that the person will not lose too much blood from the injury site. After that, this system will allow the blood vessels to open up, so blood can get to the damaged tissues and then help repair them.

If one has RSD, the sympathetic nervous system gets abnormal mixed signals that go on continuously. This can also cause a lot of pain and swelling at the injury site.

SYMPTOMS

Reflex neurovascular dystrophy may have the following symptoms:

  • Headache
  • Stomach pain
  • Chest pain
  • Painful menstruation
  • Poor concentration
  • Memory loss
  • Insomnia
  • Ringing in the ears
  • Swelling
  • Changes in skin color
  • Changes in temperature
  • Dizziness
  • Loss of appetite
  • Weight loss
  • Weight gain
  • Fatigue

DIAGNOSIS

The doctor will first obtain a medical history and do a physical exam. He or she may request for tests which may include the following:

  • Bone scan, to know if there are brittle bones or problems with blood flow
  • MRI to note for any tissue changes
  • Sweat test
  • Thermography test to check your sympathetic nervous system
  • X-rays to look for bone loss

TREATMENT

Early diagnosis can treat the condition. Treatments may include the following:

  • Anesthetic creams such as lidocaine
  • Antidepressants
  • Anti-inflammatory drugs, called NSAIDs
  • Anti-seizure medications
  • Corticosteroids like methylprednisolone or prednisolone
  • A nasal spray that treats bone loss
  • Nerve blocking injections
  • Opioids, such as oxycodone, morphine, hydrocodone, and fentanyl
  • Over-the-counter options like aspirin, ibuprofen, or naproxen for pain
  • Electrodes or small electric shocks
  • Physical therapy
  • Psychotherapy
  • Splints
  • Sympathectomy surgery

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