Neurological Associates

Pain Management Center

Vero Beach, Florida

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RSD PUZZLE #46
RSD AND OSTEOPOROSIS IN WOMEN

Question:

Dear Dr. Hooshmand,

I have Total Body RSD, and would like to know if you think the new drug for osteoporosis called Fosimax might be helpful to me. Also do you think taking calcium supplements might help retard the bone demineralization I've been (painfully) having?

Answer:

Dear Donna,

Fosimax is a very good medicine. Make sure that you don't lie down for at least a half an hour after taking. It can irritate the stomach. Also take it with lots of water. This medicine is not enough. The cause of osteoporosis is avoidance of use of the extremity. When a part of the body is not moving the RSD gets worse and skin becomes cold at the expense of bone and muscle having a lot of flushing and increased blood circulation. Nothing works better than weight bearing and activity. In addition to Fosimax and exercise the soaking of the body in Epsom salt and warm water helps a lot. It improves skin conditions and counteracts the excessive bone circulation.

Calcium tablets are not as effective as cabbage and low-fat dairy products. In addition both for sake of RSD and osteoporosis if at all possible you should be treated with female hormone supplement if your Gynecologist does not find any contraindications.

Because your RSD has spread, it is time to get rid of the wheelchair and start moving around with help of a combination of muscle relaxants such as Baclofen (Lioresol) as well as strong non- addicting pain medications (like Klonopin).

Exercise is important in treatment of RSD but only if done briefly, intermittently, with a lot of rest in-between. In activity and exercise both can cause pain. It is best to alternate the two to counteract the complication of RSD.

H. Hooshmand, M.D.

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Copyright © 1997-2006 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 © 1999-2006 H. Hooshmand, M.D.

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This page was last updated on 3/11/2000.