Neurological Associates

Pain Management Center

Vero Beach, Florida

[Home Page] [Cover Page] [RSD Puzzle List] [Cross-Reference List] [Copyright]

RSD PUZZLE #99
Shoulder-Hand Syndrome

Your condition of limitation of shoulder motion is typical of Shoulder-Hand Syndrome. The rib resection is not the answer. Nerve conduction test is of no use. You need a combination of trigger point injections for multiple areas of bursitis and trigger points irritation, plus physical therapy to mobilize the shoulder.

The nerve conduction studies are usually normal in this condition due to the fact that the involved nerves which are causing the pain of Shoulder-Hand Syndrome are sympathetic nerves in the wall of the blood vessels and cannot be studied by EMG or nerve conduction tests.

Unfortunately, the EMG/NCV studies have been used practically routinely in RSD patients as an excuse to operate on Carpal Tunnel Syndrome or Thoracic Outlet due to edema of RSD. Surgery results in disastrous complications and the spread of RSD.

The diagnosis of RSD with EMG/NCV studies is the same as diagnosing viral diseases with a regular microscope. Viruses can only be seen on an electron microscope. The small C-fibers responsible for RSD pain cannot be detected or studied by nerve conduction tests.


H. Hooshmand, M.D.

GO TO NEXT RSD PUZZLE

[Home Page] [Cover Page] [RSD Puzzle List] [Cross-Reference List] [Copyright]

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.

Send e-mail to Eric Phillips: EricmP9512@aol.com with questions or comments about this media and content.

 

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.

Web Site designed and maintained by:

Eric M. Phillips; E-mail: EricmP9512@aol.com

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