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Correspondence
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Volume 343:1811-1813 December 14, 2000 Number 24
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Reflex Sympathetic Dystrophy

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by Schwartzman, R. J.
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by Kemler, M. A.
To the Editor: In the trial conducted by Kemler and colleagues (Aug. 31 issue),1 spinal cord stimulation plus physical therapy was compared with physical therapy alone in carefully selected patients with intractable pain due to chronic reflex sympathetic dystrophy. However, no pain-relieving effects could be expected from the exercise program, since physical therapy had already been shown to be ineffective. Hence, the control group received no effective treatment, despite intractable pain. Since spinal cord stimulation is a technique used for the relief of pain, it would be more appropriate to compare spinal cord stimulation plus optimal pain medication with optimal . . . [Full Text of this Article]

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