Causalgia


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Related to Causalgia: causalgia neuralgia

causalgia

[kȯ′zal·jē·ə]
(medicine)
A sensation of burning pain, especially of the palms and soles, which may be of psychic or organic origin.

Causalgia

 

a painful condition that develops after injury to the extremities, characterized by excruciating, unendurable, intermittently intensifying pains, mostly of a burning nature.

Causalgia results from injury to a nerve trunk (when it is not completely severed) that has an abundance of sympathetic nerve fibers such as the sciatic and tibial nerves in the leg and the median and (less commonly) ulnar nerves in the arm. Between five and ten days after injury, pain arises in the extremity along with marked autonomic disturbances—vascular, secretory and trophic. These changes, like the burning pains, sometimes involve the neck and upper part of the chest, when an arm is affected, and the lower part of the abdomen when a leg is affected. The pains intensify at the slightest movement or light contact with the skin (especially stroking) and are affected by emotional stress, noise, and light. Cooling and constantly wetting the skin usually diminishes the pains.

Causalgia occurs in two forms—ischemic (coldness and pallorof the extremity, trophic disorders) and hyperemic; the latter ismilder and its disorders are less pronounced, and it tends todisappear spontaneously after four or five months. Treatmentinvolves the injection of novocain or alcohol into the area of theaffected nerve trunk or of the ganglion-blocking substances intothe sympathetic ganglia. Physical therapy may be helpful (elec-trophoresis with novocain, X-ray therapy). Surgery is indicated(freeing the nerve from scars) if more conservative treatmentfails.[H-1604–4]

References in periodicals archive ?
The condition has been previously referred to as reflex sympathetic dystrophy, causalgia, Sudeck's atrophy, post-traumatic dystrophy (minor or major), reflex neurovascular dystrophy, algodystrophy, mimo-causalgia, sympathalgia, and post-traumatic spreading neuralgia.
In 1916, Rene Leriche, a French surgeon, later connected the sympathetic nervous system to causalgia by noting that sympathectomy provided pain relief in many of his patients.
Causalgia or complex regional pain syndrome is a painful syndrome affecting one or more extremities of the body and is marked by a wide variety of symptoms.
Causalgia or complex regional pain syndrome is usually described after a specific initiating event (in most cases trauma or an operation), but it is sporadically observed after a stroke, myocardial infarction and infection.
Dorsal sympathectomy may also be performed with neurovascular decompression through any of the above incisions for sympathetic maintained pain syndrome (SMPS), reflex sympathetic dystrophy, causalgia, and Raynaud's phenomenon and disease (42).
Rates of use were highest for patients diagnosed with postherpetic neuralgia (70%), phantom limb pain (60%), cancer with neuropathic involvement (55%), back and neck pain with neuropathic involvement (54%), causalgia (53%), and atypical face pain (50%).
Roberts, A Hypothesis on the Physiological Basis for Causalgia and Related Pains, 24 PAIN 297 (1986).
Specifically, the researchers included claims coded as diabetic neuropathy; postherpetic neuralgia; back and neck pain with neuropathic involvement; cancer with neuropathic involvement; causalgia, reflex sympathetic dystrophy, and related disorders; HIV/AIDS with neuropathic involvement; phantom limb pain; trigeminal neuralgia; atypical face pain; or other disorders of the peripheral nervous system associated with neuropathic pain.
The uncertainty surrounding this disorder is well reflected by the disparate nomenclature, such as causalgia, Sudeck's atrophy, post-traumatic dystrophy, sympathetically-maintained pain, algodystrophy, reflex sympathetic dystrophy (RSD) etc.
com 1,3,4,6 CARTILAGE-HAIR HYPOPLASIA See: Dwarfism; Growth Disorders; Short Stature CARTILAGNOUS ENCHONDROSES, MULTIPLE See: Oilier Disease CAT'S CRY SYNDROME See: Cri Du Chat Syndrome CAUSALGIA SYNDROME See: Reflex Sympathetic Dystrophy Syndrome CELIAC DISEASE See also: Celiac Sprue; Gluten Intolerance Canadian Celiac Association 190 Britannia Rd E Unit 11 Mississauga.
Post operative treatment of phantom limb pain and causalgias with calcitonin.