Management of Algodystrophy in Rheumatology Thermal Treatment at Saubusse
What is algodystrophy?
Algodystrophy, also known as Complex Regional Pain Syndrome (CRPS), is a complex condition characterized by intense localized pain, vasomotor changes (such as redness, coldness, swelling, etc.), and delayed recovery. It most often occurs after a trauma (fracture, sprain, surgery, etc.).
The pathophysiological causes of algodystrophy are still poorly understood, although several hypotheses have been proposed. Diagnosis mainly relies on clinical signs, while complementary tests such as scintigraphy or radiography offer variable sensitivity and specificity.
Managing algodystrophy can be challenging, especially in chronic cases or when diagnosed late. Rehabilitation remains the cornerstone of treatment. In some chronic cases, a thermal cure in rheumatology, such as the one offered at Saubusse Thermal Spa, can be an interesting therapeutic alternative.
Algodystrophy is a clinical syndrome characterized by severe localized pain, vasomotor and trophic changes, and delayed recovery.
It primarily occurs after trauma (fracture, dislocation) or a surgical intervention (ankle, knee, wrist, etc.). There are also rarer causes of algodystrophy, such as neurological injuries (stroke, infarction, spinal injury, etc.).
Symptoms of Algodystrophy
The symptoms of algodystrophy can vary significantly from one patient to another. Typically, algodystrophy causes intense pain in a limb (for example, the ankle), associated with swelling, redness, and the affected limb being warmer than usual. This pain can sometimes be insomniac and disproportionate to the initial trauma. It is essential to rule out other causes of pain (infection, thrombophlebitis, etc.).
Algodystrophy typically evolves in several stages:
Stage I (a few weeks to a few months):
The Hot Phase Characterized by sharp pain, with the affected limb being red, warm, and stiff.
Stage II (several months):
The Cold Phase Pain decreases, the limb becomes cold, the skin thickens, and there may be severe joint stiffness.
Stage III:
The Atrophy Phase Pain persists with localized atrophy of the skin and muscles.
Management of Algodystrophy at the Saubusse Thermal Station
Various treatments can provide relief to patients (analgesics, physical therapy, pain management centers, etc.). It is also crucial to address the underlying cause of algodystrophy (sprain, burn, skin trauma, etc.) with appropriate care.
The management must be comprehensive, taking into account psychological impacts, particularly in cases of chronicity (impact on daily life, isolation, depression, etc.). Thermal cures play an essential role in the therapeutic arsenal due to the relaxation effects they provide. A multidisciplinary approach is often necessary in chronic cases.
Benefits of the Saubusse Thermal Cure for Algodystrophy
The thermal cure offers a natural treatment, free from side effects, and is often effective against the pain associated with algodystrophy. However, during the acute phase (or "hot phase"), starting a thermal cure is not recommended. It becomes particularly beneficial during the chronic phase ("cold phase stage 2" or "atrophy phase stage 3"), when pain and stiffness persist.
Treatments Offered During the Saubusse Thermal Cure for Algodystrophy
The treatments provided during the 18-day thermal cure at Saubusse may include:
Mud Therapy (Pélotherapy)
Thermal mud helps relieve joint pain and relax muscles.
Hydrotherapy
Thermal water has analgesic properties that reduce joint pain and contribute to reducing stress and anxiety. These treatments are available in various forms: bathtubs, pools, local showers, jet showers, etc.
Relaxation Workshops and Balneotherapy
Participating in relaxation sessions and water-based activities (e.g., gym exercises, balneotherapy) is highly recommended to promote relaxation, a particularly sought-after effect in this thermal station.
This relaxation effect is crucial for patients who are often psychologically affected by algodystrophy’s impact on their mental health (e.g., anxiety, depression).
The peaceful setting of the Landes countryside, coupled with a break from daily routines, encourages a beneficial disconnection that aids in overall pain management.
Finally, the improvement in sleep quality observed during the Saubusse cure also plays an important role in the holistic care of the patient.
To maximize the benefits of the treatments, your doctor may prescribe a dual approach in both rheumatology and phlebology, allowing you to benefit from both hot and cold treatments.
