The use of HBOT in the treatment of post-traumatic Sudeck's Syndrome is rational. In fact, hyperbaric oxygenation induces vasoconstriction and reduce edema: this counteracts vascular stasis and venous repletion, increases depresses osteoblast activity and mineralization, reduces fibrous tissue formation. HBOT seems to break the vicious self sustaining cycle of reflex sympathetic dystrophy, because normalization of local tissue oxygen tension, pH and water interstitial content stops abnormal sensory nerve stimulation and efferent vasomotor activity.


Kenneth P. Stoller, MD

Reflex Sympathetic Dystrophy And HBOT

Thomas PS; Hakim TS; Trang LQ; Hosain SI; Camporesi EM
Department of Anesthesiology, State University of New York Health Science Center, Syracuse 13210, USA.