RSD Puzzle #122

H. Hooshmand, M. D.

DIPLOMATE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY

BOARD CERTIFIED IN ELECTROENCEPHOLOGRAPHY

BOARD CERTIFIED IN ELECTROMYOGRAPHY

BOARD CERTIFIED IN AMERICAN BOARD OF ELECTODIAGNOSTIC MEDICINE

INTRACTABLE NEUROLOGY

EPILEPSY, PAIN, MS

An International Referral Center dedicated to Treatment, Education and Research

RSD PUZZLE #122

Hip Replacement And RSD

Hip replacement in RSD is a big No-NO.

It flares up RSD and grounds the patient without being able to walk.

The "osteomomyelitis" is typical of RSD involving the hip an is not really osteomomyelitis but osteonecrosis due to RSD complicated by inactivity.

The first step of treatment should be to limit the patient to no more than 8 to 9 hours in bed every 24 hours. Prolonged inactivity is the worst aggravator of RSD.

If your brother has the hip replacement he should realize that he will probably end up in a nursing home as the osteonecrosis can not hold any hardware from the hip replacement.

His only hope is to walk to get rid of this problem. His pain can be helped a great deal by trigger point injections to the greater trochanteric areas of bursitis.

H. Hooshmand, M.D.

Copyright © 1997-2012 H. Hooshmand, M.D. No part of this publication may be reproduced, transmitted, stored in a retrieval system other than this specific media, transcribed, or translated into any language without the expressed written permission from the author; H. Hooshmand, M.D. and Eric Phillips and CMNE. This material is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician.

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The material on the Neurological Associates Pain Management Center Homepage and all it's associated, linked or reference pages is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician. H. Hooshmand, M.D., Neurological Associates Pain Management Center and Associates will not be held liable for any damage or loss as a result of information provided on this page or associated documentation. Again, this WEB SITE is simply published as an information source and should not be used to treat or make judgments on RSD/CRPS. All associated material on this web site may not be copied, reproduced or quoted without expressed written permission from the owner; Copyright © 1999-2012 H. Hooshmand, M.D.