Phases of Reflex Sympathetic Dystrophy

Question 1

Acute Phase

Answer 1

Pain - localized, severe, and burning

Extremity - warm

Skin - dry and red

X-ray - normal

Duration - 1-3 months

Question 2

Dystrophic

Answer 2

Pain - more diffuse, throbbing

Extremity - cold, cyanotic, and edematous; muscle wasting

Skin - sweaty

X-ray - reveals osteoporosis

Duration - 3-6 months

Question 3

Atrophic

Answer 3

Pain - less severe; often involves other extremities

Extremity - severe muscle atrophy; contractures

Skin - glossy and atrophic

X-ray - reveals severe osteoporosis, and ankylosis of joints

Duration - indefinite