DMSO (dimethyl sulfoxide) and CRPS type 1

What 5 graded rows on dmso (dimethyl sulfoxide) agree on for CRPS type 1, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the DMSO (dimethyl sulfoxide) page, with its PubMed record.

Your question

DMSO (dimethyl sulfoxide) and CRPS type 1

5 rows · 269 people

Mostly an improvement: 4 of 5 rows, and most of the people. 1 had mixed results.

Mixed
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside. Outlined: mixed results.
  • Grade C× 5
Rows
5
Trials
5
People
269

What the rows share

From the rows

The best-graded row, grade C, is a randomized trial of 146 people (2003) and reported mixed results.

The rows run from 26 to 146 people, published from 1993 to 2012: 5 single studies.

The rows

4 improved · 1 mixed
  1. Grade CPain in reflex sympathetic dystrophy (open study) · Improved

    Open-label trial · n 37 · 1993 · Patients with acute signs of reflex sympathetic dystrophy (Netherlands)

    Applied to the affected limb, with physiotherapy · Mean 3.4 months

    Pain (VAS 0 to 10) fell from 5.3 to 0.9 (p < 0.01). Twelve patients noticed a sulfurous smell on the breath; the skin became mildly dry and scaly.

    Row on the DMSO (dimethyl sulfoxide) page · PubMed 8455741 (opens PubMed)

  2. Grade CCRPS type 1 signs and pain (acute reflex sympathetic dystrophy) · Improved

    RCT · n 31 · 1996 · Adults with acute reflex sympathetic dystrophy (CRPS type 1) after an accident (Netherlands); 32 randomized, 1 withdrawn for surgery

    Applied to the affected limb, with physiotherapy · 2 months

    Both groups improved on the RSD score and pain (VAS), but the RSD score improved significantly more with DMSO cream (P < 0.01).

    Row on the DMSO (dimethyl sulfoxide) page · PubMed 8721469 (opens PubMed)

  3. Grade CPain and limb function in CRPS type 1 (hospital series) · Improved

    Observational · n 29 · 2012 · Patients with CRPS type 1 of less than 1 year at a traumatology hospital (Valencia, Spain); retrospective

    Topical, alongside oral drugs and interventional techniques · Up to 1 year of follow-up

    Pain (VAS) fell by 3.09 points overall, quality-of-life (Likert) rose 1.36 points, and range of motion and strength improved; side effects were scarce.

    Row on the DMSO (dimethyl sulfoxide) page · PubMed 22266201 (opens PubMed)

  4. Grade CEarly CRPS of the hand: DMSO vs guanethidine nerve blocks · Improved

    RCT · n 26 · 1994 · Patients with reflex sympathetic dystrophy of the hand, treatment started within 3 months of diagnosis (Netherlands)

    DMSO cream (dose not given in the abstract) · 9 weeks

    After 9 weeks there was a better result in the DMSO group (13 patients) than the Ismelin group (13 patients).

    Row on the DMSO (dimethyl sulfoxide) page · PubMed 8172505 (opens PubMed)

  5. Grade CCRPS type 1 impairment: DMSO cream vs N-acetylcysteine · Mixed

    RCT · n 146 · 2003 · Outpatients with CRPS type 1 at two Dutch university hospitals

    DMSO cream five times daily to the affected limb; NAC three times daily · 17 weeks (follow-up to 52 weeks)

    No overall difference between DMSO and NAC in impairment or general health at 17 and 52 weeks. Lower-limb function subscores favoured DMSO; DMSO did better in warm CRPS and NAC in cold CRPS.

    Row on the DMSO (dimethyl sulfoxide) page · PubMed 12670672 (opens PubMed)

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