Han legger til at i sjeldne tilfeller kan male fileå komplekst regional smertesyndrom. Da vil smerten utvide seg og omfatte en større del.Man starter oftest den smertestillende behandling med et svagt virkende middel, hvis ikke smerterne allerede er blevet stærke.Hvis TCA har været forsøgt i fuld dosis uden effekt er det teoretisk mindre sands
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