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Complex regional pain syndrome
K Ehikhametalor1, M Nelson, D Treasure
1Department of Surgery, Radiology, Anaesthesia and Intensive Care, Section of Anaesthesia, University of the West Indies, Kingston 7, Jamaica, West Indies.
The West Indian Medical Journal
|December 3, 2003
Summary
Complex regional pain syndrome Type II, a debilitating condition, significantly improved with stellate ganglion block, neurostimulation, and physical therapy. This multimodal approach enabled a household helper to regain normal function after a hand injury.
Area of Science:
- Pain Medicine
- Neurology
- Rehabilitation
Background:
- Complex regional pain syndrome Type II (CRPS-II), formerly known as reflex sympathetic dystrophy, presents significant challenges in pain management and functional recovery.
- This case highlights the impact of CRPS-II on daily activities and occupational functioning.
Observation:
- A 55-year-old female household helper developed severe hyperesthesia and allodynia in her left hand after a minor injury.
- The patient experienced significant functional limitations, preventing her from performing household tasks and engaging in physiotherapy.
Findings:
- A comprehensive treatment regimen including stellate ganglion block, neurostimulation, and physical therapy was implemented.
- The patient demonstrated a dramatic improvement in her CRPS-II symptoms and functional capacity following the intervention.
Implications:
- Multimodal treatment strategies combining interventional procedures and rehabilitation are effective for managing CRPS-II.
- Successful management of CRPS-II can lead to significant functional recovery and return to normal activities, improving quality of life.