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 pain would have been similar to the causalgia caused by the palm injuries.
It is of interest that probably the first detailed report of the clinical use of phenoxybenzamine for the treatment of CRPS (designated causalgia, type II, in this case) was from Walter Reed Army Hospital; all of the pain syndromes followed injuries, some of which occurred in armed conflict [13].
Para cuando comenzo a escribir su tratado sobre el miembro fantasma, sobre la causalgia y la neuritis ascendente, unos quinientos mil hombres habian resultado heridos, y de los sobrevivientes, muchos regresaron desahuciados.
--type II was formerly termed causalgia and refers to cases where a definable nerve lesion is present.
Causalgia and reflex sympathetic dystrophy: does the sympathetic nervous system contribute to the generation of pain?
(2) Similarly, some have suggested that even though the radiation of pain following local trauma seemed to resemble causalgia, (20) there was a lack of hyperpathia and changes in the soft tissue, bones, and blood vessels as well as a poor response to sympathetic blockade, thus making clinical features of PLMT inconsistent with known radicular disorders.
Type 2 (formerly called causalgia)--with nerve injury
Recent literature has included multiple articles about complex regional pain syndrome Type 1 (CRPS Type 1), previously known as reflex sympathetic dystrophy or complex regional pain syndrome Type 2 (CRPS Type 2), also known as causalgia (Mann, 2010; Schwarzer & Maier, 2010; van Eijs et al., 2010).
CPRS I - formerly called Reflex Sympathetic Dystrophy - can arise after any type of injury.CRPS II, previously called causalgia (a term coined in the American Civil War when it was first diagnosed), follows partial damage to a nerve.