Nerve Decompression for Complex Regional Pain Syndrome Type II Following Upper Extremity Surgery

Background: Complex Regional Pain Syndrome (CRPS) is a neuropathic pain syndrome associated with edema, muscle weakness, and hyperhidrosis. It can be precipitated by fracture, surgery, and spinal cord injury and usually involves the ipsilateral and sometimes contralateral extremity. Case Details: A 47-year-old male with CRPS Type-II involving the upper extremity had severe neuropathic pain that was limiting his ADLs despite medical, physical and occupational therapy. This case discusses the use of stellate ganglion block in the treatment of upper extremity CRPS Type-II. Conclusion: Stellate ganglion blockade is an effective adjuvant therapy in the treatment of CRPS Type-II when conservative therapy has failed to provide improvement in pain, highlighting a need for a multimodal therapeutic strategy. Keywords: Stellate ganglion block; Chronic pain; Complex regional pain syndrome type-II; Bupivacaine

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The effect of upper-extremity aerobic exercise on complex regional pain syndrome type I: a randomized controlled study on subacute stroke

Topics in Stroke Rehabilitation ◽

10.1179/1074935714z.0000000025 ◽

2015 ◽

Vol 22 (4) ◽

pp. 253-261 ◽

Cited By ~ 11

Author(s):

Asli Topcuoglu ◽

Nilufer Kutay Ordu Gokkaya ◽

Halil Ucan ◽

Dilek Karakuş

Keyword(s):

Aerobic Exercise ◽

Complex Regional Pain Syndrome ◽

Upper Extremity ◽

Pain Syndrome ◽

Randomized Controlled Study ◽

Controlled Study ◽

Type I ◽

Syndrome Type ◽

Randomized Controlled ◽

Subacute Stroke

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Complex Regional Pain Syndrome Type II (Causalgia)

Pain Management ◽

10.1016/b978-0-7216-0334-6.50031-5 ◽

2007 ◽

pp. 302-303

Author(s):

Andreas Binder ◽

Jörn Schattschneider ◽

Ralf Baron

Keyword(s):

Complex Regional Pain Syndrome ◽

Pain Syndrome ◽

Syndrome Type ◽

Type Ii

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Complex regional pain syndrome type II arising from a gunshot wound (GSW) associated with infective endocarditis and aortic valve replacement

BMJ Case Reports ◽

10.1136/bcr-2018-224702 ◽

2018 ◽

pp. bcr-2018-224702

Author(s):

Vinicius Tieppo Francio ◽

Brandon Barndt ◽

Chris Towery ◽

Travis Allen ◽

Saeid Davani

Keyword(s):

Aortic Valve ◽

Complex Regional Pain Syndrome ◽

Gunshot Wound ◽

Pain Syndrome ◽

Syndrome Type ◽

Type Ii ◽

Thoracic Sympathectomy ◽

Arm Pain ◽

First Case ◽

Pain Status

A 34-year-old man with a history of gunshot wound (GSW) to the right upper chest developed secondary aortic valve endocarditis (AVE) and was treated with an artificial valve placement (AVP). Three months after, he presented to an outpatient pain management clinic right arm pain and was diagnosed with complex regional pain syndrome type II (CRPS II). The patient underwent a diagnostic sympathetic ganglion block, before undergoing endoscopic thoracic sympathectomy surgery. Successful outcomes revealed decreased pain, opioid utilisation and improved tolerance to therapy and activities of daily living. To our knowledge, this is the first case reporting CRPS II arising from a GSW complicated by AVE followed by AVP, which emphasises how unforeseen syndromes can arise from the management of seemingly unrelated pathology. This case demonstrates the importance of timely and proper diagnosis of uncharacterised residual pain status post-trauma and differential diagnosis and management of chronic pain syndromes.

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