Post on 13-Jul-2020
The Plastic Surgeon’s Approach toRaynaud’s Syndrome: An Update
Sophia OpelPlastic Surgery Registrar
Royal Free Hospital
Why is this important to us?
• Common– 10 million people in the UK
• Numerous causes– Including scleroderma
• Spasm of blood supply to fingers! pain,numbness, ulcers, gangrene, REDUCEDHAND FUNCTION
Why here?
• Royal Free Hospital is recognised as a majorEuropean centre for the treatment ofscleroderma
• Current management for Raynaud’s:– Avoidance of cold, nicotine, caffeine– If severe: intravenous iloprost (infusion
5-10 days) BUT WHAT IS NEW?
Botox!
Botox
Botox in Raynaud’s Syndrome
• NICE approved treatment• Led by Professor Butler• Injections into base of fingers• Thermographic camera• Before and after:
– Pain score– Activity of daily living score– Hand function assessment
Findings• 20 patients with scleroderma• 80% overall improvement in symptoms ☺ • 80% reduction in pain• 75% improved appearance• 65% improved cold intolerance• 90% improved pinch• 80% improvement in daily activity score
Side Effects?
• Small amount of muscle weakness– (2 patients, all improved within 6 weeks and hand
function was still improved)
How does it work?
?
Get involved!• Please leave your contact details • Or, discuss with your medical team
Thank you