RSD Puzzle #050

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 #50
RSD By Any Other Name Is Still The Same

Question:

Dear Dr. Hooshmand,

After two and a half months I have found out that I do not have RSD. I went to see an RSD doctor up North yesterday and he confirmed that I do not have it. I have Myofacial Pain Syndrome, nerve damage, etc... but no RSD. I was told that a lot of the symptoms mimic each other. The cold, hair growth, burning, shooting pain, etc...

Debbie

Answer:

Dear Debbie,

A rose is a rose by any name.

First of all, Myofacial pain syndrome was originally coined almost 20 years ago for any soft tissue pain that couldn't be specifically classified. It refers to a tender spot under the skin. That is all-nothing less nothing more. It is not accompanied by, as you say "the cold, hair growth, burning shooting pain, etc..."

These are the symptoms of RSD. Due to nonspecific terminology of "Myofacial syndrome". Thoracic outlet syndrome", "Fibromyalgia", "Carpal tunnel syndrome", and a dozen other euphemisms RSD is left untreated, mistreated, and ignored until it becomes too advanced or too late to be managed.

H.Hooshmand, M.D.

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