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Author's opening note: The discussion here is of a speculative nature. This presentation is the result of a brainstorming session between Margaret Windecker, Ph.D. candidate and Les Abrams. The ideas and the basis for this article belong to Margaret Windecker.
We shall be discussing the nature of trauma-mediated RSD. We shall examine every aspect of and each element of the patient's physiology and environment and immediate history as it may pertain to trauma-mediated RSD. There are questions about these elements that aid and abet the onset of RSD as well as those that prevent such occurrence. We shall look into these questions in great detail and seek to answer them and draw some global conclusions from these answers. The precursor conditions are perhaps the more interesting aspect of this study. Not only is the patient affected by such optional activites as smoking or alcohol or other such stimulants and depressants, but may be affected by substances as innocuous food and beverage. Or by mental state - agitated or angry and tensed. All of the physiological and psychological factors play a role here and it is the purpose of this study to identify and show the contributing role of each substance, and from whence it derives. Not all traumata experienced by the patient produce or cause the onset RSD. At some point, the physiology of the patient undergoes attack or change. The immune system may be weakened and there may be antibodies present. We are going to examine all possible aspects of the patient's physiology, as well as the mental state. What is the exact nature of the RSD precursor condition - what are the factors that contribute to the onset of trauma-mediated RSD? Is the onset of RSD due to the existance of these pre-conditions? Is it due to the specific condition and state of the physiology of the patient? Or is it both of these? We begin with questions regarding the physiological and psychological states of the patient both before and after the onset of traumatically mediated RSD. We shall examine the aspects of the other mediated etiologies of RSD in a later article. TRAUMATICALLY MEDIATED RSD RSD that results from an injury is said to be traumatically mediated. The patient has most likely, received more than one similar trauma which, earlier did not result in the mediation of RSD. Thus one is led to ask - what has happened to the patient between traumata? What has changed? What is the nature of this change? And what other mediating factors may exist, waiting only for a key event to be called to action to precipitate the onset of RSD?
The copyright of the article Precursor Conditions and Trauma-Mediated RSD in Neurological Diseases is owned by Les Abrams. Permission to republish Precursor Conditions and Trauma-Mediated RSD in print or online must be granted by the author in writing.
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