Friday, August 17, 2007

Vitamin C reduces the prevalence of complex regional pain syndrome after wrist fractures.

A friend's son's accident, in which he broke his wrist, prompted me to remember I haven't placed a link to research about preventing CRPS after a wrist fracture. This is of particular interest to me as had this information been known at the time of my wrist fracture in 1998, this simple, inexpensive treatment could have prevented my nines years of pain.
The Lancet in December 1999 reported that doctors at Leyenburg Hospital, The Hague, The Netherlands in a prospective, double-blind study showed that vitamin C was associated with a lower risk of RSD after wrist fractures. They hypothesized that this beneficial effect of prophylaxis would be useful in other forms of trauma.
Pub Med reported that Researchers at Centre Hospitalier, Rue Marcellin Berthelot, 02 000 Laon, France found that the incidence of reflex sympathetic dystrophy was five time times lower in a group give vitamin C orally for 45 days from the start of the fracture. They considered that this supported previous observations and lent credibility to the value of vitamin C administration as a prophylactic measure to prevent the occurrence of reflex sympathetic dystrophy in patients who undergo surgical treatment of a displaced fracture of the distal radius.

In July 2007 the Journal of Bone & Joint Surgery reported that Drs Zollinger, Tuinebreijer, Breederveld and Kreis, Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands had conducted a randomized, controlled, multicenter dose-response study into whether vitamin C can prevent the development of Complex Regional Pain Syndrome in patients with wrist fractures.
The study concluded that Vitamin C reduces the prevalence of complex regional pain syndrome after wrist fractures. A daily dose of 500 mg for fifty days was recommended recommended.
To read more go to the link to the left of this blog under "crps/rsd related articles".

Please note. A comment below mentions professor Scott Reuben. His research has been discredited and is no longer relevent.


Usiku (oo-SEE-koo) said...

I wonder if Vitamin C helps all types of fractures or injuries in general?

jeisea said...

Good question Usiku.

Actually Professor Scott Reuben recommends vitamin C for after surgery & dental work. I think I would consider it after any tissue trauma.

The Reflex Sympathetic Dystrophy Association, in their patient resources, recorded an interview with Dr Scott Reuben, Director of Acute Pain Service and Professor of Anesthesiology and Pain Medicine, Tufts University School of Medicine. Professor Reuben talked about protocols for reducing the likelihood of worsening or spreading CRPS symptoms in patients with CRPS having surgery. He also spoke about protocols for reducing the risk of development of CRPS in patients with no history of CRPS and having surgery.

"It is thought that approximately 20% of CRPS patients who present to chronic pain clinics have a history of prior surgical procedures in the affected area with most reports of postoperative CRPS occurring after orthopedic surgery, especially after operations on the extremities."

The professor specifically mentions as well pre-emptive analgesia before dental surgery.

I received an email from Professor Reuben, in which, regarding my question about vitamin C and surgery, he says that they now incorporate Vitamin C in their protocols.

For the link to this article go to "crps/rsd related articles" to the left of this blog.

noriaki_yoshizawa said...

Dear jeisea

Thank you for your information.

I'm a patient in Japan.

I broke my right hand badly on Sep.29 , 2008. About 35 days after the surgical treatment of fractures , I found you.

May I translate this page from English to Japanese ?

Best regards,
Noriaki Yoshizawa

jeisea said...

Dear Noriaki,
Yes please translate my posts. You might find the link to "Bable Fish" at the bottom left of my blog. If you look to the left of the blog there are links to research. If you are interested in a particular thing then click on the tag for that topic.

If you have developed complex regional pain syndrome please consider mirror therapy. As you have recently broken your wrist the outcome should be very good if you treat appropriately straight away.

I suggest you take 1000mg of vitamin c. Look at my posts on mirror therapy and do it for a minute or two only but several times a day. Use any mirror that lets you put your broken wrist out of site. Move the good hand/lower arm/fingers while watching the mirror image of your good hand. This is brain re-mapping. Add in extras like chewing gum, listening to music etc to keep the experience fresh. Keep doing this till the pain is gone.
Dr Yamamoto a neurologist in Japan has developed New Scalp Acupuncture. It's used for neurological problems and works for crps/rsd.

I was a teacher of Japanese and loved my time studying in Japan. Noriaki, if you click on "Subscribe to crps/rsd a better life by email" you'll get emails of any new posts. If you click "reply" to one of those emails, it sends an email to me. I can then reply to you personally.

Please ask and I will do what I can to help you.


I was a teacher of Japanese so

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