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Looks like shoulder-hand syndrome.  See Pat Davies book "Steps To
Follow" for simple and working regime.
Tom

Richard and Bev Hoskins wrote:

>  Could this be an unusual onset Sudek's atrophy?
>
>      ----- Original Message -----
>      From: Sood
>      To: [log in to unmask] ;
>      [log in to unmask] ; [log in to unmask]
>      Sent: Tuesday, 29 June 1999 16:14
>      Subject: PAIN In PARALYSIS
>        Dear friends,                    probably practice of
>      medicine began when one person asked another for help in
>      relief of his pain.To erase pain I think it is important
>      to find cause or origin of pain.It is in one of rare  case
>      of this kind I seek opinion of the
>      house.                       Two months back   A forty
>      five year old lady,developed hemiplegia  on left side,with
>      the involvement of face,as she was having hypertension,and
>      diabetes no one was surprised,but not until she went in
>      for CT brain where a huge meningioma was found.Face has
>      recovered not the limbs.She is having flaccid paralysis of
>      left arm.But for her that is not the problem ,Problem is
>      SEVERE PAIN in left hand ,not responding to any
>      conventional Analgesic,even opium
>      derivatives.X-ray,cervical Spine Shows,Decreased
>      intervertibral space in C5/C6 ,C6/C7 inaddition to
>      osteoarthritis changes.Xray shoulder shows  attempt at new
>      bone formation in the inferior surface of glnohumral
>      joint,no past h/o any trauma or infectionXray left hand is
>      normal exept few osteoporotic areas. WHAT COULD BE CAUSE
>      OF PAIN OF SUCH SEVERITYIS IT HER TUMOUR,CERVICAL
>      SPINE,SHOULDER,OR HANDHer higher functions are
>      normal,memory,is normal.Blood sugar level was raisedat the
>      time if examination which is now under control.She is
>      being given carbamazapine Tegritol 400 mg tds for diabetic
>      neuropathy.in addition to tramadolanalgesic,TENS.Cockup
>      Splint, passive exercise and message after
>      infrared,cervical traction for cervical
>      spine.ThanksDr.Sarveshwar Chander SoodOrthopaedic Surgeon
>      & HeadDepartment of Physical Medicine &
>      RehabilitationS.B.L.S Civil Hospital812/1,Housing Board
>      Colony,Model TownJalandhar City,Punjab State,IndiaE-mail
>      [log in to unmask]; [log in to unmask] Phone
>      0181-273653,0181-463980
>