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Complex regional pain syndrome (CRPS Type 1 and Type 2), sometimes referred to by the hyponyms Reflex Sympathetic Dystrophy (RSD) or Reflex Neurovascular Dystrophy (RND), is a rare and severe form of neuroinflammatory and dysautonomic disorder causing chronic pain, neurovascular, and neuropathic symptoms.
Rest pain is a continuous burning pain of the lower leg or feet. It begins, or is aggravated, after reclining or elevating the limb and is relieved by sitting or standing. It is more severe than intermittent claudication, which is also a pain in the legs from arterial insufficiency. [citation needed]
Pain in the affected area [1] [2] Muscle spasm in the affected area [1] Numbness and tingling in an arm or leg [1] [2] Paleness [1] [2] of the skin of the arm or leg; Muscle weakness of an arm or leg, [1] [2] possibly to the grade of paralysis [2] Later symptoms are closely related to infarction of the tissue supplied by the occluded artery:
The predominant symptoms of NC involve one or both legs and usually presents as some combination of tingling, cramping discomfort, pain, numbness, or weakness in the lower back, calves, glutes, and thighs and is precipitated by walking and prolonged standing. However, the symptoms vary depending on the severity and cause of the condition.
There are six characteristic signs and symptoms related to acute compartment syndrome: pain, paresthesia (reduced sensation), paralysis, pallor, poikilothermia, and pulselessness. These classical signs and symptoms may also be remembered by the 6 P's mnemonic. [5] [18] Pain and paresthesia are the early symptoms of compartment syndrome. [19] [9]
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It is important that the doctor of chiropractic be aware of RSD The most common symptoms are chronic pain, especially of a burning nature, allodynia hyperpathia, cold extremity, and hyperhydrosis. Thermography is considered by many in the chiropractic and medical communities to be the test of choice in early diagnosis since thermography is a ...
That gaiety hides a deeper, lasting pain at losing loved ones in combat. A 2004 study of Vietnam combat veterans by Ilona PIvar, now a psychologist the Department of Veterans Affairs, found that grief over losing a combat buddy was comparable, more than 30 years later, to that of bereaved a spouse whose partner had died in the previous six months.
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