scholarly journals Ten years of successful pain management for complex regional pain syndrome by epidural anesthesia with implanted port: a case report

2013 ◽  
Vol 27 (6) ◽  
pp. 967-967
Author(s):  
Nobuyasu Komasawa ◽  
Junichi Ikegaki
Keyword(s):  
Case Report ◽  
Pain Management ◽  
Complex Regional Pain Syndrome ◽  
Epidural Anesthesia ◽  
Pain Syndrome

scholarly journals Epidural Anesthesia to Effectively Manage Pain and Facilitate Rehabilitation in a Pediatric Case of Complex Regional Pain Syndrome

2018 ◽  
pp. 209-212
Author(s):  
Goran Tubic
Keyword(s):  
Pain Management ◽  
Physical Therapy ◽  
Epidural Catheter ◽  
Complex Regional Pain Syndrome ◽  
Epidural Anesthesia ◽  
Pain Syndrome ◽  
Epidural Infusion ◽  
Lumbar Catheter ◽  
Interventional Pain Management ◽  
And Function

There is a paucity of information related to treatment of pediatric CRPS. Treatment of CRPS in pediatric patients has been guided by adult recommendations, which consist of a multidisciplinary approach involving pharmacotherapy, physical therapy, and psychotherapy, as appropriate. Patients unable to tolerate physical therapy with traditional oral pharmacotherapy may require more invasive pain management techniques such as sympathetic blocks, epidural infusion of analgesics, or spinal cord stimulation to facilitate restoration of function. This case report describes the successful use of epidural infusion of fentanyl, clonidine, and bupivacaine through a tunneled epidural lumbar catheter for pain management in an 11-year-old girl who developed complex regional pain syndrome I (CRPS I) approximately 2 months after sustaining an injury to her right knee. Following short-lasting pain relief from 3 repeated blocks, she underwent an implant of a tunneled epidural catheter (TEC) and a 4-week infusion of fentanyl (2 mcg/mL), clonidine (1 mcg/mL), and bupivacaine (0.04%). At last follow-up, approximately 3.5 months after implant of the TEC, the patient’s pain and symptoms were completely resolved, her range of motion and function were completely restored, and her physical activity had returned to pre-injury levels. Key words: Complex regional pain syndrome (CRPS), tunneled epidural catheter, pediatric, continuous regional anesthesia, epidural analgesia, continuous epidural anesthesia, interventional pain management

Pain Management via a Subcutaneous Infusion of Ketamine in a Patient with Complex Regional Pain Syndrome - A case report -

2007 ◽  
Vol 20 (2) ◽  
pp. 190 ◽  
Author(s):  
Jeong Hun Suh ◽  
Mi Suk Koo ◽  
Francis Sahngun Nahm ◽  
Hwa Yong Shin ◽  
Yong Min Choi ◽  
...  
Keyword(s):  
Case Report ◽  
Pain Management ◽  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Subcutaneous Infusion

Perioperative Pain Management in the Patient with Complex Regional Pain Syndrome -A case report-

2006 ◽  
Vol 19 (2) ◽  
pp. 218
Author(s):  
Ji Yon Jo ◽  
Mi Geum Lee ◽  
Hyo Min Lee ◽  
Yun Suk Choi ◽  
Hey Jeong Yun ◽  
...  
Keyword(s):  
Case Report ◽  
Pain Management ◽  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Perioperative Pain ◽  
Perioperative Pain Management

Intrathecal management of complex regional pain syndrome: A case report and literature

2017 ◽  
Vol 14 (1) ◽  
pp. 110-112 ◽  
Author(s):  
Jonathan M. Hagedorn ◽  
George Atallah
Keyword(s):  
Case Report ◽  
Pain Management ◽  
Complex Regional Pain Syndrome ◽  
Pain Control ◽  
Traumatic Event ◽  
Pain Syndrome ◽  
Type Ii ◽  
Management Options ◽  
Painful Condition ◽  
History Of

AbstractBackground and purposeComplex regional pain syndrome (CRPS) is a painful condition typically resulting from a traumatic event. Pain control in these patients is often difficult and requires a multimodal approach. Our objectives are to present a single intrathecal pain management regimen for CRPS and provide a literature review of intrathecal pain management options in CRPS.MethodsCase report from an academic pain management clinic.Case reportWe present the case of a 29-year-old female with a past medical history of multiple lumbar spine surgeries and lumbar post-laminectomy syndrome who presented to clinic with CRPS type II of the bilateral lower extremities. After failing conservative measures, she underwent placement of a successful intrathecal drug delivery system.ConclusionThe use of intrathecal medications is useful for pain control in CRPS patients.ImplicationsWe provide a framework for treatment of CRPS, which could be useful for practitioners dealing with this difficult and painful condition.

Management of Complex Regional Pain Syndrome Type 1 with Barbiturate Coma Therapy -A case report-

2006 ◽  
Vol 19 (2) ◽  
pp. 213
Author(s):  
Tae Kyu Park ◽  
Kyung Ream Han ◽  
Dong Wook Shin ◽  
Young Joo Lee ◽  
Chan Kim
Keyword(s):  
Case Report ◽  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Syndrome Type ◽  
Barbiturate Coma

scholarly journals Complex Regional Pain Syndrome: Current Practice Management and Referral Trends in a Closed Healthcare System

Osteology ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 39-47
Author(s):  
Connor Zale ◽  
Joshua Hansen ◽  
Paul Ryan
Keyword(s):  
Pain Management ◽  
Pain Score ◽  
Complex Regional Pain Syndrome ◽  
Healthcare System ◽  
Pain Syndrome ◽  
Occupational Outcomes ◽  
Mean Delay ◽  
Significant Difference ◽  
The Mean ◽  
Over Time

Background: Complex regional pain syndrome (CRPS) is a neurologic condition that can present with severe pain and dysfunction. Delay in treatment adversely affects outcomes. The purpose of this study is to evaluate patient outcomes as they relate to the time from diagnosis to pain management referral once the diagnosis of CRPS has been made in a closed healthcare system. Methods: A retrospective record review from a closed healthcare system was utilized for CRPS cases from 2010–2019. Demographics, injury pattern, surgeries, pain score, treatment modalities, occupational outcomes, and time to pain management referral were recorded. Results: There were 26 cases of CRPS that met inclusion criteria. The mean time from diagnosis to treatment was 55 days. 16/26 (61.5%) were medically discharged from the military. 23/26 (88.5%) were unable to return to full duty due to CRPS. There was no significant difference in the reported pain scores over time regardless of treatment (p = 0.76). A linear regression demonstrated a significantly higher Visual Analog Scale Pain Score (VAS) over time in patients that were medically discharged (p = 0.022). Conclusions: The mean delay in referral to the pain service was 55 days. The majority of patients (88.5%) did not return to full duty secondary to the diagnosis of CRPS, and 61.5% of patients required medical separation from active duty. Due to the negative impact that the diagnosis of CRPS has on occupational outcomes with a mean delay in referral of 55 days, clinics and providers should set up referral criteria and establish early pain pathways for patients diagnosed with CRPS.

scholarly journals Gabapentin for complex regional pain syndrome in Machado-Joseph disease: a case report

2011 ◽  
Vol 5 (1) ◽  
Author(s):  
Yang-Ching Lo ◽  
Kwong-Kum Liao ◽  
Yi-Chung Lee ◽  
Bing-Wen Soong
Keyword(s):  
Case Report ◽  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Machado Joseph Disease
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