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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Treatment For Sprain In The Ankle And Lower Back After Falling Down.

Hello~ I was Dx a year ago with RSD after a fall where I severely sprained my left ankle and lower back. I do experience all the symptoms however it is not isolated to my foot. At times the entire left side of my back swells up as well as my leg. When I go for my checkups the doctor only concentrates on my leg and not the complaint of my back? Could there be something else going on? Thanks, Maylene M.
Tue, 3 Jan 2017
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Orthopaedic Surgeon 's  Response
Hello and welcome to ‘Ask A Doctor’ service.

I have reviewed your query and here is my advice.

With your given history of reflex sympathetic dystrophy, it is a clinical syndrome of many unknown causes like minor traumas, infections, surgeries, with an unclear course of pain attacks, vasomotor dysfunction, strokes, characterized by pain, swelling, and vasomotor dysfunction of an extremity.

So don't worry this syndrome is a bit rare, your back pain and swelling is co-related to your ankle trauma. I don't think there are another complaints. If you early diagnose the RSD you may ask your physician about a sympathetic blockade with anti inflammatory drugs as a first line of treatment.

Sometimes surgical sympathectomy is needed if there is spinal injury for your back swelling and pain. If you are unable to do your usual normal activities or reached late stages which I think and hope you are not you may use spinal stimulation ( Epidural implantation of a spinal cord stimulator which has been shown to provide significant, prolonged pain relief and functional improvement) only if needed or after at least 6 month of chronic pain.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ahmed Aly Hassan
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Need Treatment For Sprain In The Ankle And Lower Back After Falling Down.

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. With your given history of reflex sympathetic dystrophy, it is a clinical syndrome of many unknown causes like minor traumas, infections, surgeries, with an unclear course of pain attacks, vasomotor dysfunction, strokes, characterized by pain, swelling, and vasomotor dysfunction of an extremity. So don t worry this syndrome is a bit rare, your back pain and swelling is co-related to your ankle trauma. I don t think there are another complaints. If you early diagnose the RSD you may ask your physician about a sympathetic blockade with anti inflammatory drugs as a first line of treatment. Sometimes surgical sympathectomy is needed if there is spinal injury for your back swelling and pain. If you are unable to do your usual normal activities or reached late stages which I think and hope you are not you may use spinal stimulation ( Epidural implantation of a spinal cord stimulator which has been shown to provide significant, prolonged pain relief and functional improvement) only if needed or after at least 6 month of chronic pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ahmed Aly Hassan