We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

A Civilian Experience With Causalgia

Fremont P. Wirth Jr, MD; Robert B. Rutherford, MD
Arch Surg. 1970;100(6):633-638. doi:10.1001/archsurg.1970.01340240001001.
Text Size: A A A
Published online


The case histories of 32 patients treated in a University hospital for "minor causalgia during a recent ten-year period have been reviewed. The inciting causes were varied and could rarely be directly attributed to nerve injury. Patients with minor causalgia presented for treatment much later following injury than patients with "major" causalgia seen in the same hospital, and they exhibited varied physical signs. Osteoporosis was present in over half of the involved extremities examined radiographically. Because of the less severe nature of the pain, the remoteness of the injury, and the varied clinical presentation, over half of these patients had been treated unsuccessfully on the basis of other diagnoses and many were considered psychoneurotic. Sympathetic block proved to be the most accurate diagnostic aid and in four cases was of therapeutic benefit. Sympathectomy produced gratifying relief in 24 of 27 patients, and all patients who responded favorably to sympathetic block benefited from surgery. Follow-up in 15 patients, 2 to 17 years after surgery, revealed lasting relief in 13. In civilian practice, minor causalgia is more common than major causalgia, and, because it is so readily treated, early recognition is of great clinical significance.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.