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Chronic Post-Ischemia Pain Model for Complex Regional Pain Syndrome Type-I in Rats

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Treating Complex Regional Pain Syndrome Using Counterstrain: A Novel Approach.

Karl Schranz¹, Daltrey Meitz¹, Bethany Powers¹

¹Osteopathic Manipulative Medicine, Edward Via College of Osteopathic Medicine, Spartanburg, USA.

|October 19, 2020

Summary

A novel osteopathic manipulative treatment approach using patient-identified irritants for counterstrain shows promise in treating complex regional pain syndrome (CRPS). This method effectively resolved symptoms and improved sensory deficits in a patient with CRPS.

Keywords:

case report chronic pain counterstrain crps neuropathic omt

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Area of Science:

Osteopathic manipulative medicine
Neurology
Pain Management

Background:

Complex regional pain syndrome (CRPS) presents significant treatment challenges, often necessitating multidisciplinary and multimodal strategies.
Current treatments for CRPS, including physical therapy, medications, and TENS units, offer temporary relief but do not address the underlying pathology.
Osteopathic manipulative treatment (OMT) literature lacks descriptions of counterstrain techniques specifically tailored for CRPS neuropathic symptoms.

Observation:

A 23-year-old female presented with a year of progressively worsening CRPS symptoms in her right foot and lower leg.
The patient had undergone various conventional treatments with limited success in addressing the root cause of her condition.
A novel OMT approach was employed, utilizing patient-identified irritants to induce and then treat neuropathic symptoms as counterstrain tender points.

Findings:

The novel osteopathic counterstrain technique resulted in a lasting resolution of the patient's CRPS symptoms.
Treatment led to significant improvements in proprioception and temperature discrimination in the affected limb.
This OMT approach is characterized by its low intensity, passive nature, and ease of administration, requiring minimal specialized training.

Implications:

Counterstrain using patient-identified irritants represents a potentially valuable and accessible treatment option for complex regional pain syndrome.
This technique's simplicity and tolerability suggest broad applicability for standard practitioners treating CRPS patients.
Further research, including prospective and controlled trials, is warranted to validate the safety and efficacy of this promising intervention for CRPS.