RSD Puzzle #125

H. Hooshmand, M. D.

DIPLOMATE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY

BOARD CERTIFIED IN ELECTROENCEPHOLOGRAPHY

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INTRACTABLE NEUROLOGY

EPILEPSY, PAIN, MS

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RSD PUZZLE #125

Manipulation Under Anesthesia

Question:

Dear Dr. Hooshmand,

Our daughters team of doctors have suggested doing a procedure which involves giving sodium amytal through an i.v. and videotaping the procedure and when the patient is nearly asleep and very relaxed, can manipulate the body and touch the person's skin without hurting them, and can thereby better understand what TYPE of pain the person has (as in our daughter's case which is all over her body and of course the epidurals only help with the lower extremity) and therefore give the more appropriate medication for that type of pain. Have you ever done this type of procedure? What do you advise?

Answer:

Do not be so cruel to your child. Manipulation under anesthesia causes severe damage to areas of nerve injury. The amytal anesthesia simply is a convenience for the doctor so that when such a cruel procedure is done the child cannot scream and bring to their attention how damaging they are causing the patient. Traumatic manipulation makes the pain much worse afterwards and can spread the CRPS (RSD).

In addition the sodium amytal test is usually done just to decide if the patient is telling the truth or not, it is really a lie detector test, and it should not be a form of treatment for CRPS (RSD).

H. Hooshmand, M.D.

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