Reflex sympathetic dystrophy is a chronic pain syndrome characterized
by chronic burning pain, restricted range of motion, oedema and vasola
bility. Patients are difficult to treat and the prognosis is very ofte
n poor. This report emphasizes that an amputation in case of a reflex
sympathetic dystrophy is mostly due to a too late recognition of this
syndrome. In the international literature little is written about an a
mputation as a therapy for reflex sympathetic dystrophy. It is only me
ntioned as a therapy in the end stages of this syndrome. Sometimes a r
ejected amputation, as in this case report, can have a relatively good
result. An early recognition of this pain syndrome produces the best
possible outcome.