Contrast Baths for Reflex Sympathetic Dystrophy, Occurred without Trauma; a Case Report

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  • 外傷なく発生した反射性交感神経ジストロフィー（ＲＳＤ）に交代浴が著効した１例
  • ガイショウ ナク ハッセイ シタ ハンシャ セイ コウカン シンケイ ジストロフィー RSD ニ コウタイヨク ガ チョコウ シタ 1レイ

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Abstract

We report one case where contrast bathing produced a remarkable effect on RSD (reflex sympathetic dystrophy) that occurred without trauma. The subject was a 58-year-old woman. Her chief complaint was the painful right upper extremity. She had gastric catarrh in her medical history and was being treated with internal medicines. Since about March 2003, the chief complaint developed with no trauma. She received medical treatment (pain killers) in another medical office, but the symptom did not improve. She subsequently visited our hospital on August 12. Because we observed aberrant aching, swelling, cutaneous chromatotropism, and articular contracture of the right hand as well as bone atrophy on roentgenogram, we diagnosed her as having RSD and began treating her with contrast bathing (4min at 40°C, 1min at 15°C x 4 sessions) and range of motion exercises (active, passive) on August 14. Swelling went down in one week, thumb opposition was enabled in one month, and grip recovered to 8kg in three months after the beginning of the treatment.<br>Since the patient was satisfied by such improvement and was able to perform normal daily life, she is now receiving rehabilitation mainly consisting of range of motion exercise.<br>Finally, we report that we applied contrast bathing to RSD that occurred without trauma and obtained good results. We consider that contrast bathing is simple and easy and, therefore, it is effective for patients who are highly motivated toward the treatment.

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