Thoracic Spine Dysfunction in Upper Extremity Complex Regional Pain Syndrome Type I

2000 ◽  
Vol 30 (7) ◽  
pp. 401-409 ◽  
Author(s):  
Jeanine Yip Menck ◽  
Susan Mais Requejo ◽  
Kornelia Kulig
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Upper Extremity ◽  
Thoracic Spine ◽  
Pain Syndrome ◽  
Type I ◽  
Syndrome Type

Complex regional pain syndrome type I as a consequence of trauma or surgery to upper extremity: management with intravenous regional anaesthesia, using lidocaine and methyloprednisolone

2011 ◽  
Vol 36 (9) ◽  
pp. 771-777 ◽  
Author(s):  
S. E. Varitimidis ◽  
L. K. Papatheodorou ◽  
Z. H. Dailiana ◽  
L. Poultsides ◽  
K. N. Malizos
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Upper Extremity ◽  
Early Recognition ◽  
Pain Syndrome ◽  
Type I ◽  
Syndrome Type ◽  
End Of Treatment ◽  
Anaesthetic Block ◽  
Intravenous Regional Anaesthesia

Complex regional pain syndrome type I (CRPS-I) is a known complication after surgery or trauma to the upper extremity and is difficult to treat. A simple and easily tolerated method of treatment that includes intravenous regional anaesthetic block with lidocaine and methyloprednisolone is presented. One hundred and sixty-eight patients with CRPS-I of the upper extremity were treated in a 5-year period. At the end of treatment 88% of the patients reported minimal or no pain. After a mean follow-up of 5 years (range 28 months to 7 years) complete absence of pain was reported by 92% of patients. The symptoms of the acute phase of the syndrome were reversed. Early recognition and prompt initiation of treatment is very important for the course of the disease as symptoms can be reversible when treatment starts early. Permanent results with a functional upper extremity and very satisfactory pain relief can be anticipated.

Effect of spinal cord stimulation in Type I complex regional pain syndrome with 2 rare severe cutaneous manifestations

2009 ◽  
Vol 110 (2) ◽  
pp. 274-278
Author(s):  
Kim Rijkers ◽  
Jasper van Aalst ◽  
Erkan Kurt ◽  
Marc A. Daemen ◽  
Emile A. M. Beuls ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Complex Regional Pain Syndrome ◽  
Female Patient ◽  
Spinal Cord Stimulation ◽  
Scientific Literature ◽  
Pain Syndrome ◽  
Type I ◽  
Syndrome Type ◽  
Cutaneous Manifestations ◽  
Giant Bullae

The authors present the case of a 49-year-old female patient with complex regional pain syndrome–Type I (CRPSI) who was suffering from nonhealing wounds and giant bullae, which dramatically improved after spinal cord stimulation (SCS). The scientific literature concerning severe cutaneous manifestations of CRPS-I and their treatment is reviewed. Nonhealing wounds and bullae are rare manifestations of CRPS-I that are extremely difficult to treat. Immediate improvement of both wounds and bullae after SCS, such as in this case, has not been reported previously in literature. Considering the rapidly progressive nature of these severe skin manifestations, immediate treatment, possibly with SCS, is mandatory.

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