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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2001 September;25(3):157-66

language: Italian

The treatment of algodystrophy of the foot

Parino E., Zanchi A.


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The reflex sympathetic dystrophy (RSDS) first described at the beginning of the century is nowadays object of controversy both in the field of treatment and pathogenesis. In the algodystrophy of the foot, pain is the first condition of the disease and generally increases with weight bearing. The goal of non weight bearing should be directed at interrupting the pathologic cycle of pain-dystrophy and dystrophy-pain. The therapy proposed in the study is complete non weight bearing and active mobilisation of all the joints of the foot (motilisation). A retrospective study is carried out on 58 patients treated from 1991 through 2000. The average follow-up was 40 months. The results are evaluated to assess residual pain and clinical signs related with hyper activity of the sympathetic system (swelling, vasomotor and throphic changes). Sixty-four per cent of good results have been obtained with the association of a period of non weight bearing on the foot and active joint mobilisation of the foot. The results obtained and a short review of the literature are presented.

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