Mb. Sudeck is also known as "the complex pain syndrome" affecting usually limbs, almost exclusively in the adults. Etiology and pathogenesis are poorly understood. Most often, the trigger is an injury or a surgery with prolonged immobilization. The symptoms are manifested in three degrees, from inflammation and pain in the affected limb during rest and exercise, edema and sweating, to first stiffness of joints with muscular deterioration, cold, bluish skin and x-rays findings of diffuse patchy osteoporosis. The treatment includes pain therapy, physiotherapy and HBOT. HBOT causes local vasoconstriction, lessening edema and pain, ameliorates microcirculation and oxygen supply to soft tissues and bones of the affected limb.
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