MedifocusHealth

The prognosis for reflex sympathetic dystrophy is unpredictable. Prognosis is typically better the earlier reflex sympathetic dystrophy (RSD) is diagnosed and treatment begins. While some people experience spontaneous remission within the first 2-3 months, others may require intensive therapy before they experience relief, while others suffer for many years with pain and residual symptoms. Multidisciplinary rehabilitation appears to be an effective protocol for many people, and includes functional rehabilitation with intensive physical therapy; drug therapy and interventional treatment initiated on an "as-needed" basis to facilitate functional rehabilitation; psychological/behavioral therapy to provide the patient with skills to manage their pain during and after therapy while reducing the impact on their quality of life. Patients who are refractory to treatment may be candidates for interventional therapies such as nerve block or sympathectomy. The rate of recurrence of RSD is unknown, although it is thought to occur in up to 10% of patients. Recurrence can affect the same limb or a contralateral limb.

For some patients, RSD may cause a significant impact on their lifestyle and quality of life. They not only have to cope with severe pain and other related symptoms, but they also may have to cope with physical limitations, restricted social activity, unemployment, trouble sleeping, guilt, change of role in the family, and other issues. It is understandable that depression and anxiety are common comorbidities for people coping with RSD. Management of their symptoms may require several professionals, such as pain specialist, psychiatrist, psychologist, physical therapist, or occupational therapist.