Abstract
Reported is a case of reflex sympathetic dystrophy (RSD) in a young girl after ankle joint injury. Intractable pain, all odynia, hyperalgesia, coldness, sweating, cyanosis and swelling developed, and she was diagnosed as having type I complex regional pain syndrome (stage III RSD). In thermography, the skin of the injured leg showed a low temperature. Although she received sympathetic nerve block including continuous epidural block and intravenous regional sympathetic block, several medications and rehabilitation, the relief of her symptoms was poor. After receiving psychogenic advise, such as, activities of daily school life, and rehabilitation for two years, she had a perfect recovery from the symptoms. The present case suggests that a psychogenic approach and rehabilitation is important in a child RSD case.
