On rehabilitation of patients with complex regional pain syndrome in the upper extremity

2021 ◽  
Vol 22 (1) ◽  
pp. 78-82
Author(s):  
N. A. Burmatov ◽  
◽  
K. S. Sergeev ◽  
A. A. Gerasimov ◽  
N. V. Zykova ◽  
...  
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Upper Extremity ◽  
Electric Stimulation ◽  
Early Mobilization ◽  
Pain Syndrome ◽  
Skin Surface ◽  
Outpatient Rehabilitation ◽  
Temporary Work ◽  
Rehabilitation Period ◽  
Orthopedic Patients

The aim of this study is to improve the results of treating patients with Complex Regional Pain Syndrome (CRPS). Materials and Methods. The study analyses the use of intratissual electric stimulation (ITES) combined with the complex of special exercises for recovery of upper extremity function at the outpatient rehabilitation stage in patients (179 persons) who underwent osteosynthesis of upper limb bones, or nerve and tendon transfer surgery. The objective pain syndrome and trophic innervation of the injured extremity assessment was performed by measuring skin surface electric potential using Gerasimov’s method. The results were interpreted according to “Personalized system of assessing the results of treating trauma and orthopedic patients”. Results. “Combination treatment in the rehabilitation of the upper extremity” proved to be effective to fight pain syndrome and trophic dysfunction of the nervous system. It allows the patient to do the complex of special exercises to prevent limb contracture if used during late rehabilitation period. It is an efficient method of preventing and treating neurotrophic dysfunction. The use of this technique leads to early mobilization and the reduction of treatment period and the period of temporary work disability. Conclusion. The pathogenetically substantiated method of treating upper extremity, the use of intratissual electric stimulation (ITES) at the outpatient rehabilitation stage of humerus fractures prove to be effective.

On rehabilitation of patients with severe traumatic hand injury (case history)

2021 ◽  
Vol 22 (3) ◽  
pp. 33-36
Author(s):  
N. A. Burmatov ◽  
◽  
K. S. Sergeev ◽  
A. A. Gerasimov ◽  
N. V. Zykova ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Case History ◽  
Electric Stimulation ◽  
Pain Syndrome ◽  
Hand Injury ◽  
Postoperative Treatment ◽  
Outpatient Rehabilitation ◽  
Flexor Tendons ◽  
Rehabilitation Period ◽  
Tendon Surgery

Reconstruction of flexor tendons anatomic continuity at the level of osteofibrous canals is one of the most challenging in hand surgery. Due to the complex anatomy of the hand and a high risk of developing postoperative adhesions choosing the optimal treatment protocol remains crucial during flexor tendons rehabilitation period. Surgeons and rehabilitation specialists agree that a number of poor results of flexor tendon surgery can be caused by a wrong postoperative treatment, violation of treatment protocols or just by the lack of adequate rehabilitation measures. The aim of this study is analysis and the description of the case history of treating the teenager with concomitant hand injury after staged reconstructive and restorative nerve and tendon surgery. Materials and methods. The study analyses the use of intratissual electric stimulation (ITES) combined with the complex of special exercises for recovery of upper extremity function at the outpatient rehabilitation stage in patients who underwent nerve and tendon surgery. The objective pain syndrome and trophic innervation of the injured extremity assessment was performed by measuring skin surface electric potential using Gerasimov’s method. The results were interpreted according to “Personalized system of assessing the results of treating trauma and orthopedic patients”. Results. “Combination treatment in the rehabilitation of the upper extremity” proved to be effective to fight pain syndrome and trophic dysfunction of the nervous system. It allows the patient to do the complex of special exercises to prevent limb contracture if used during the late rehabilitation period. It is an efficient method of preventing and treating neurotrophic dysfunctions. Conclusion. The pathogenetically substantiated method of treating upper extremity, the use of intratissual electric stimulation at the outpatient rehabilitation stage of humerus fractures prove to be effective.

scholarly journals Asymmetrical Uptakes in 99m Tc MDP Bone Scan in Upper Extremity in Patient with Prostate Cancer: an Interesting Case

2018 ◽  
Vol 19 (2) ◽  
pp. 152
Author(s):  
Pupree Mutsuddy ◽  
Shamim MF Begum ◽  
Rahima Perveen ◽  
Mohammad Simoon Salekin
Keyword(s):  
Prostate Cancer ◽  
Complex Regional Pain Syndrome ◽  
Upper Extremity ◽  
Bone Scan ◽  
Pain Syndrome ◽  
Interesting Case ◽  
Skeletal Scintigraphy ◽  
Methylene Diphosphonate

<p>Asymmetrical uptake of 99m Tc MDP (methylene diphosphonate) in skeletal scintigraphy in extremity may lead to confusion in the diagnosis of metastasis or complex regional pain syndrome. After the exclusion of possible contamination in this report a case was presented with asymmetrical uptake of MDP in the upper extremity from accidental intra-arterial injection.</p><p>Bangladesh J. Nuclear Med. 19(2): 152-154, July 2016</p>

scholarly journals Prednisolone in Complex Regional Pain Syndrome

2014 ◽  
Vol 2;17 (2;3) ◽  
pp. 179-185 ◽  
Author(s):  
Nilgun Simsir Atalay
Keyword(s):  
Quality Of Life ◽  
Range Of Motion ◽  
Grip Strength ◽  
Complex Regional Pain Syndrome ◽  
Upper Extremity ◽  
Functional Ability ◽  
Clinical Symptoms ◽  
Pain Syndrome ◽  
Sf 36

Background: Although there are several studies of systemic corticosteroid therapies in various doses and various durations in complex regional pain syndrome (CRPS), the outcome measurement parameters are limited to the range of motion measurements, edema, and symptoms of CRPS. Objective: To investigate the effects of prednisolone on clinical symptoms, pain, hand grip strength, range of motion, as well as on functional ability and quality of life in patients who developed CRPS after traumatic upper extremity injury. Study Design: Retrospective evaluation. Methods: Forty-five patients who used prednisolone for CRPS of the upper extremity were retrospectively studied. Prednisolone was started with a dose of 30 mg and tapered by 5 mg every 3 days until discontinuation after 3 weeks. Clinical symptoms (morning stiffness, cold intolerance, shoulder pain, numbness of fingers, hyperesthesia, abnormal sweating, and cyanosis that is exacerbated by exposure to cold temperature), pain (Visual Analogue Scale-Rest [VAS-R] and VASActivity [VAS-A]) were reviewed. The muscle strength with grip strength (GS) (kg), lateral pinch (LP) (pound), tip-to-tip pinch (TP) (pound), and chuck pinch (CP) (pound) measurements; the joint range of motion with using third finger tip-distal crease distance (FT-DC) (cm); functional ability with Quick-Disabilities of the Arm, Shoulder and Hand (Q-DASH) score; and quality of life with Short Form-36 (SF-36) score were evaluated. Results: Mean age was 43.53 ± 11.43 years. After 3 weeks of therapy, patients showed significant improvements in clinical symptoms compared to the basal assessments (P < 0.05). The comparison of pre- and post-treatment results revealed that VAS-R, VAS-A, GS, LP, TP, CP, FT-DC, Q-DASH scores, and all SF-36 subscores were significantly improved (P < 0.05). Limitations: The retrospective design and data collection procedure was limited to the medical records of patients. Conclusion: A short-term oral prednisolone therapy significantly reduced the symptoms and signs of CRPS, and improved the functional abilities and quality of life. Key words: Complex regional pain syndrome, prednisolone, function, quality of life

scholarly journals Prednisone for Acute Complex Regional Pain Syndrome: A Retrospective Cohort Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Andrew Jamroz ◽  
Michael Berger ◽  
Paul Winston
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Oral Prednisone ◽  
Pain Syndrome ◽  
Outpatient Rehabilitation ◽  
Inclusion Criteria ◽  
Duration Of Symptoms ◽  
Time To Treatment ◽  
Prednisone Treatment ◽  
Patient Reported ◽  
Symptoms And Signs

Objective. The objective of this study was to evaluate prednisone effectiveness on complex regional pain syndrome (CRPS) features in a community-based outpatient rehabilitation setting. Design. A single-centre, retrospective inception cohort design was used. Inclusion criteria were CRPS diagnosis according to the Budapest criteria, involvement of multiple joints, treatment with prednisone, and duration of symptoms less than one year. Typical prednisone treatment was 28-day taper regimen with 60 mg. Patient symptoms and signs were compared before and after treatment. Results. There were 39 patients who met inclusion criteria for analysis. Duration of symptoms before treatment was 80.8 ± 67.7 days. Following treatment, 19 (48.7%) patients reported complete pain resolution, 19 (48.7%) patients reported decreased pain permitting functional use, and 1 (2.6%) patient reported no improvement. All symptoms and signs decreased significantly following oral prednisone treatment (p<0.001). Range of motion (ROM) deficits persisted in 19 (49%) patients. However, 17 of these patients reported functional ROM recovery. Degree of ROM recovery and time-to-treatment had low positive correlation (r = 0.354, p<0.05). Logistic regression did not demonstrate associations among any patient factors and clinical outcomes. Conclusions. These data support short-course prednisone treatment for acute and subacute CRPS with multijoint involvement in a community rehabilitation setting. The association between time-to-treatment and ROM recovery suggests earlier treatment may result in improved ROM outcomes.

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