Dr. Francisco Piñal, Keynote speaker at the American Society for Reconstructive Microsurgery
In the main speech, the Cantabrian surgeon presented his studies on Sudeck’s disease (also called reflex sympathetic dystrophy, or complex regional pain)
Elimination by microsurgery of pain in case of reflex sympathetic dystrophy in the lower limb
16-year-old girl with intense pain in her right foot. After two previous unsuccessful interventions, she was diagnosed with complex regional pain syndrome (CRPS) or reflex sympathetic dystrophy. The patient is polymedicated and suffers from severe functional difficulties.
Dr. Del Piñal: “If no hope is given to someone with a radius fracture, we are before lack of knowledge or just malpractice”
Las fracturas de radio o fracturas de Colles se producen de forma muy común, y –por desgracia- en demasiadas ocasiones son abordadas incorrectamente. De forma tradicional se han considerado lesiones de muñeca de buen pronóstico, lo que genera excesos de confianza que desembocan en diagnosis y tratamientos inadecuados.
Dr. Piñal: «Reflex sympathetic dystrophy does not exist, it is a ‘scam’, a catch-all in which to hide what goes beyond our knowledge»
Under the name of syndrome of reflex sympathetic dystrophy (for its acronym in English, RSD and CRPS * 1) a whole series of symptoms are grouped – continuous pain, redness, burning, swelling, etc. – that usually appear in patients who have previously suffered some type of trauma or fracture.