Reflex sympathetic dystrophy. Functional diagnostics

Regional myofascial syndrome with median nerve irrigation (Sudeck syndrome) is considered as the pathomorphological basis of the myofascial and ligamentous pain syndrome of the upper quadrant region with pathological involvement of forearm rotators and irrigation of the median nerve which contains a large number of sympathetic fibers. Stage 1 is blocking of the first rib with irritation of the stellate ganglion and simultaneous blocking of the elbow joint with the formation of myofascial pain syndrome in the forearm rotators; stage 2 is regional myofascial syndrome with irritation of the median nerve in the upper third of the forearm in the fibromuscular canal; stage 3 is completion of the development of vegetative-irritative typical complex regional pain syndrome of the arm.