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What Are Chances Of Recurrence Of Reflex Sympathetic Dystrophy?
Question: I,ve had episodes of rsd once from tennis elbow on my left arm and once from a fracture on my left foot last time was in 1983. I am age 76 and need minor surgery on my left knee. what are the chances I will get it again?
Brief Answer:
Osteoporosis may be a cause of recurrence
Detailed Answer:
Hi
Thanks for posting
After going through your query and searching through textbooks and online journals following are the predisposing factor for recurrence of RSD (reflex sympathetic dystrophy)-
1. Osteoporosis that is severe weakness of bone/brittle bone. This can be assessed by DEXA scan and if found it may be treated by - calcitonin nasal spray
- Once a year injection of zoldronic acid, once a month tablet of alendronate, once a week tablet of osteophos.
- Injection Teriparatide.
You may discuss with your treating doctor and decide what is best for you.
Beside above drugs take balanced diet rich in calcium (1000mg/day) and vitamin D (1000 i.u. /day) along with vitaminB12, B6.
Therefore prior to surgery subcutaneous dose of calcitonin may prevent recurrence.
2. Recurrences occur especially in younger patients and in the symmetrical limb.
3. Surgery on upper limb has more chance of recurrence as compare to lower limbs.
As far as recurrence rate is concerned it is 1.8% per year.
Hope this information suffices and I shall be glad to answer any further query.
Take care and wish you good health
Regards
Dr.chugh, Orthopaedic surgeon
http://bit.ly/drmchugh
Osteoporosis may be a cause of recurrence
Detailed Answer:
Hi
Thanks for posting
After going through your query and searching through textbooks and online journals following are the predisposing factor for recurrence of RSD (reflex sympathetic dystrophy)-
1. Osteoporosis that is severe weakness of bone/brittle bone. This can be assessed by DEXA scan and if found it may be treated by - calcitonin nasal spray
- Once a year injection of zoldronic acid, once a month tablet of alendronate, once a week tablet of osteophos.
- Injection Teriparatide.
You may discuss with your treating doctor and decide what is best for you.
Beside above drugs take balanced diet rich in calcium (1000mg/day) and vitamin D (1000 i.u. /day) along with vitaminB12, B6.
Therefore prior to surgery subcutaneous dose of calcitonin may prevent recurrence.
2. Recurrences occur especially in younger patients and in the symmetrical limb.
3. Surgery on upper limb has more chance of recurrence as compare to lower limbs.
As far as recurrence rate is concerned it is 1.8% per year.
Hope this information suffices and I shall be glad to answer any further query.
Take care and wish you good health
Regards
Dr.chugh, Orthopaedic surgeon
http://bit.ly/drmchugh
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Mukesh Chugh
Orthopaedic Surgeon, Joint Replacement
Practicing since :1997
Answered : 1619 Questions
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