Wednesday, December 3, 2008 - 10:13PM EST

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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