Sleep Problems, Hormones and Healing Outcomes
Custom Prosthetic Services Ltd.
Description
Collection
Title:
Sleep Problems, Hormones and Healing Outcomes
Creator:
Custom Prosthetic Services Ltd.
Date:
2/1/2006
Text:
I read with interest Tony Barr's posting regarding the importance of a trouble-free residual limb and the benefits of the Ertl procedure. Regrettably the Ertl procedure or reconstruction technique is quite rare in Canada and surgeons here have not been quick to embrace it.
I have a number of patients who received trans tibial amputations secondary to traumatic ankle injury and fusion failure , with long-standing pain issues. Their regional pain did reappear after a few years in their residual limbs. Further surgery ( even the Ertl Reconstruction) is not currently viewed as the answer to their pain problems, now managed with strong analgesics.
I wonder if anyone has information related to research or investigations into the relationship between the presence (or lack thereof) of hormones regulating tissue growth and repair and the development of Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy)? Many of these hormones (e.g. Human Growth Hormone) are secreted mostly during a particular (Delta) phase of sleep, which I suspect is not enjoyed by people under great stress or in pain. A destructive cycle of pain and greater disability can result.
Any comments or information is most helpful.
Kindest Regards,
Geoff Hall, B.Sc., C.P. ( c )
I have a number of patients who received trans tibial amputations secondary to traumatic ankle injury and fusion failure , with long-standing pain issues. Their regional pain did reappear after a few years in their residual limbs. Further surgery ( even the Ertl Reconstruction) is not currently viewed as the answer to their pain problems, now managed with strong analgesics.
I wonder if anyone has information related to research or investigations into the relationship between the presence (or lack thereof) of hormones regulating tissue growth and repair and the development of Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy)? Many of these hormones (e.g. Human Growth Hormone) are secreted mostly during a particular (Delta) phase of sleep, which I suspect is not enjoyed by people under great stress or in pain. A destructive cycle of pain and greater disability can result.
Any comments or information is most helpful.
Kindest Regards,
Geoff Hall, B.Sc., C.P. ( c )
Citation
Custom Prosthetic Services Ltd., “Sleep Problems, Hormones and Healing Outcomes,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/226253.
