My Dear Friend,

Sudeck's Dystrophy is very common in colles# . Its very difficult for the patient as well as the Physiotherapist. I would like to suggest some tips which you may have already done , I believe. The locking of the middle finger may be the result of the # due to the calcium deposition. If so mobilise it with proximal phalanx stabilised after moist heat or dipping in moderate warm water. Or check for any nodule in the flexor region which may be locking it. Check for the nerve tension , is there any neuralgic pain , if some entrapment. we cant neglect the possibility of that. Especially Median N. Do neurodynamics.

Sudecks osteodystrophy can only be relieved to some extent by active movmnts. It can be done after masking the pain by some type of moist heat or wax . I think there will be a change after that.
Thankyou