Treatment of Reflex Sympathetic Dystrophy
Interventional Procedures for Reflex Sympathetic Dystrophy
- Infection
- Bleeding
- Spinal fluid leaks
- Injury to the spinal cord
- Malfunction of the pump
Side effects of morphine include:
- Nausea/vomiting
- Urine retention
- Itching
- Constipation
- Confusion
- Sexual dysfunction
Implantable spinal pumps are considered a last resort therapy and should be only considered if the patient doesn't respond to spinal cord stimulation or has multiple pain sites. Before a patient can be considered for intrathecal medication, it is important to evaluate several factors such as:
- If the patient has had any adverse response to any systemic medications
- If the patient is motivated to pursue functional rehabilitation when they experience symptom relief from the implantable pump
- If the patient is psychologically stable and can control their medications in an appropriate manner
- If the patient understands the risks and benefits of this therapy
- How the patient has responded to all previous treatments
Implantable spinal pump is contraindicated in the following conditions:
- If the patient is intolerant to the medications used in the pump
- If the patient has an infection
- If the patient has problems with blood clotting
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