What Are the Treatments for RSD in the Right Ankle?

Reflex sympathetic dystrophy (RSD) is a medical condition that causes chronic pain in one area of the body. The condition is characterized by intense pain, swelling and increased sensitivity of the nerves in the affected area. Unfortunately, there is no cure for RSD. However, a comprehensive treatment plan should ease the symptoms and help maintain a decent amount of movement in the right ankle.

Medications

• Medications are commonly used to treat the pain associated with RSD. You will need to speak with a doctor regarding the types of pain you are feeling; medications will then be prescribed based on the information you provide. If you are experiencing constant pain due to inflammation, you will take a nonsteroidal anti-inflammatory drug (NSAID), such as aspirin, ibuprofen or naproxen. If the pain isn't caused by inflammation, you will likely take a central-acting agent, such as tramadol. Muscle cramps and stiffness may both be treated with a muscle relaxant, such as clonazepam or baclofen. In some cases, antidepressants may be used to treat sharp pains, especially those that disrupt sleep patterns. If no other medications work, opioids may be used to treat general, severe pains; these opioids include codeine and morphine. Occasionally, a sympathetic nerve block is administered to block pain signals to the brain. In this procedure, an anesthesia is injected into the right ankle, temporarily numbing the area.

Therapy and Rest

• Physical therapy is an important part of RSD treatment, as it will help maintain flexibility and movement in the affected right ankle. The primary goals of physical therapy are to alleviate pain, restore movement in the right ankle, strengthen the ankle muscles, and reduce swelling and stiffness of the joint. Speak with a physical therapist or rehabilitation counselor regarding the proper physical therapy for your specific case of RSD. You will likely do a series of exercises, including range-of-motion exercises, isometric exercises and movement training. It is important to exercise not only the right ankle, but also the whole leg since this will increase blood circulation to the ankle. As circulation increases, the blood provides nutrients to the ankle, decreasing sensitivity in the area. In addition to physical therapy, it is important to rest the right ankle. Massage therapy or whirlpool therapy may help with the pain and improve circulation. Additionally, applying a cold compress to the ankle will help with pain, while applying a hot compress will sooth the joint and ankle muscles.

Support

• A strong support system is imperative while dealing with RSD. The chronic pain associated with RSD often causes patients and/or their families to become depressed, stressed and anxious. The patient and his or her family should participate in support groups or counseling sessions to learn how to cope properly with the emotional and physical effects of RSD.