0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Pain Following Laceration-Reply

Ray J. Defalque, MD
JAMA. 1980;243(22):2286-2287. doi:10.1001/jama.1980.03300480012008.
Text Size: A A A
Published online

ABSTRACT

In Reply.—  The QUESTIONS AND ANSWERS item "Reflex Sympathetic Dystrophy [RSD] and Causalgia" prompts me to offer the following comments. First, a stellate ganglion block with a good Horner's syndrome occasionally produces an incomplete sympathectomy of the upper extremity, and thus the limb should always be checked as recommended by Dr Ecker, but such discrepancy between eye and arm denervation is rare. The persistence of the pain after the block was performed in Dr Martin's patient, the narrow distribution of pain along a definite neuroanatomic pathway, and the absence of cutaneous and vascular changes, all argue against the presence of a causalgia. Burning pain does not necessary imply RSD, and lesions of mixed nerves often produce such a symptom. This patient may well have protracted nerve damage, or, more plausibly, had scar entrapment of the lateral terminal branch of the median nerve. Meticulous palpation of the scar might uncover a

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();