An unusual presentation and outcome of complex regional pain syndrome: a case report

A 44 year-old woman presented to a chiropractic clinic with swelling and point tenderness over the right metacarpals and right shoulder and elbow pain of insidious onset. Examination revealed right wrist and hand swelling, diminished grip strength, and reduced wrist and cervical ranges of motion. A bone scan, radiographs, and clinical examination led to the diagnosis of complex regional pain syndrome (CRPS). Following chiropractic care, the patient had improved grip strength, functional abilities, and pain reduction. The primary characteristics of CRPS include motor, trophic and sensory changes, usually in a peripheral limb following some form of trauma. Due to the varied symptom presentation, it may be unclear which conservative therapies will be most beneficial in the treatment of CRPS. A multidisciplinary approach to treatment should be pursued with these patients. More investigation of therapies such as chiropractic care as it relates to the pathophysiology of CRPS is needed.