Sudeck's disease on the hand

Synonyms

  • Sudeck's healing derailment
  • Algodystrophy
  • Causalgia
  • Sudeck syndrome
  • Post-traumatic dystrophy
  • Complex Regional Pain Syndrome (CRPS)
  • Complex regional pain syndrome I and II (CRPS I and II)
  • Complex Regional Dysfunction System
  • Reflex sympathetic dystrophy
  • Sudeck's disease

definition

Under the term Sudeck's disease one understands a complex regional Pain syndrome, which classically runs in three stages. Eventually, in the final stage, there is one atrophy (Regression) of bone and Soft tissues; Joints, skin, Tendons and Muscles shrink, resulting in a loss of mobility. In the context of Sudeck's disease, at least one joint is always affected, usually on hand or foot.
The exact cause of this disease has not yet been conclusively clarified, but it is noticeable that it is increasing Operations or Injuries, for underlying diseases of the annoy, of the thyroid or des Heart or occurs when taking certain medications.

Symptoms

This manifests itself in the area of ​​the upper extremity Sudeck's disease most often at the hand. This means a particularly serious restriction for those affected, as there, as a result of massive functional losses, in up to 60% of the cases to one disability can lead. In addition to violent (often not exactly localizable) burning pain and Hypersensitivity In the corresponding skin regions, a main symptom of Sudeck's disease is the change in the tissue.
Affected areas are often unusual colored, swollen and or overheated, tend to overproduce Sweat.
By stiffening the joint, it can become uncontrollable Tremble and / or lack agility up to Signs of paralysis come. Especially in the hand, this leads to an immense impairment of the quality of life, since the simplest everyday activities such as shaking hands, getting dressed or writing are either no longer possible or only possible with massive pain. As a result, patients are so severely restricted in both their private and professional lives that the disease often leads to recognition of a disability. In addition, the hands are also difficult to hide, which means that the disease is directly visible to everyone due to the skin changes, which is also uncomfortable for many affected people.

Appointment with a hand specialist?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

In order to be able to treat successfully in orthopedics, a thorough examination, diagnosis and a medical history are required.
In our very economic world in particular, there is too little time to thoroughly grasp the complex diseases of orthopedics and thus initiate targeted treatment.
I don't want to join the ranks of "quick knife pullers".
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me at:

  • Lumedis - orthopedics
    Kaiserstrasse 14
    60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, appointments can only be made with private health insurers. I ask for understanding!
Further information about myself can be found at Lumedis - Dr. Nicolas Gumpert

diagnosis

The diagnosis one Sudeck's disease of the hand is about:

  • the examination by the specialist (swelling, pain, restricted mobility, changes in tissue, hair growth)
  • X-ray of the hand (decalcification?)
  • MRI of the hand

posed.

therapy

Therapeutic measures primarily pursue the goal that agility to improve the joint and ideally restore it completely. Both Medication, physical measures (physiotherapy, Electrotherapy) as well as Nerve blocks are used. These procedures are used to Pain relief, because local anesthesia reduces or switches off the pain perception of the affected nerves.
For one Sudeck's disease at the hand comes both the blockage of the Stellate ganglion (a plexus of nerves in the neck area) and des Brachial plexus (at the transition between neck and shoulder) in question. Blockade of the brachial plexus is usually preferred because it is in addition to one Increased blood flow comes up, which is also positive Pain affects.