In all 18 patients with upper limb involvement, the pain threshold was reduced on the affected side, but this applied to only 11 of the 15 with leg involvement. This difference may be because patients with lower limb symptoms had been referred later in the course of the syndrome. We showed by repeated tests that after an average of 49 days, there was a slow return to normality. Three case studies demonstrate typical findings. Treatment consists of early, aggressive physical therapy, adequate pain relief, and corticosteroids when appropriate.
Sympathetic blockade is useful for diagnosis and therapy.
Access to literature can be easily made from any clinic with the use of a personal computer and an ordinary telephone line. Information access is becoming a crucial skill to cope with the proliferation of journals and the ethical and medicolegal demands of practice in the 90s. All Rights Reserved, Dynamic Chiropractic, 2001.