Clinical Examples
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A 32 year old housewife and mother presented with acute back pain with right L2 and L3 sensory and motor nerve root involvement. Thermography confirmed right L2/L3 root irritation and myelography and CT scan showed a large right L2/L3 prolapse with L4/L5 root involvement.
Thermography shows excellent correlation with CT, MRI and Myelography in radiculopathy.
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Complex Regional Pain Syndrome right foot, significant increase in sympathetic motor tone right foot 3.7°c colder than left foot. A cold stress test was positive, (no sympathetic change).
CRPS developed in the right foot after a fractured calcaneum 18 months previously. Weight bearing was painful. The diagnosis of CRPS was missed initially since nuclear imaging was not typical of CRPS.
Some cases of CRPS are misdiagnosed as psychological or hysterical pain states. Thermography is able to show characteristic changes if utilized.
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Post-Traumatic Complex Regional Pain Syndrome. A 34 year old female supermarket worker injured her left wrist 3 years previously. There were typical features of CRPS including severe persistent pain and colour and temperature changes in the left wrist and hand.
Thermographic monitoring of sympathetic blockade provides useful objective data to quantify effectiveness of previous blockade and prospective treatments.
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A 25 years pregnant patient with left hand pains, numbness and weak grip, thermography shows evidence of early Stage Carpal Tunnel Syndrome.
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