This is the name given to the syndrome that used to be called reflex sympathetic dystrophy and heartburn. There are 2 distinct types of this syndrome. In type I no nerve injury can be found, while in type II the nerve injury is given. It can occur in patients who have undergone an injury or surgery at the upper or lower limbs. The onset of the syndrome is thought to be related to some form of inflammation in the affected nerve; unfortunately often it does not respond to the usual analgesic treatment. It is often accompanied by redness of the limb and reaction even to non-painful stimuli. Sometimes even a simple touch on the affected area can cause pain.
Modern treatments
Contemporary neurosurgery can suggest a modern treatment to these patients who continue to suffer despite taking medication, or if medication cause serious side effects. The implantation of spinal cord stimulators in the spine offers significant relief to 60-80% of these patients. The correct diagnosis of the syndrome made by specialized doctors (anesthesiologists, neurologists, or neurosurgeons) and the correct choice of patients who may benefit from it is a prerequisite. The stimulator is implanted in the patient’s body, usually in the abdomen. After a short period of training it can be used by the patients themselves through a simple remote control, depending on the intensity and location of their symptoms. It significantly improves symptoms by controlling pain in the exact area where it occurs. The implant operation is relatively simple. The surgery lasts 30-45 minutes, under general anesthesia, and the duration of postoperative treatment is 2-3 days. The use of the system can start during the hospitalization of the patient and its beneficial effects are immediately felt.
