Cargando…
Sympathetic blocks for the treatment of complex regional pain syndrome: A case series
RATIONALE: To present the successful treatment of complex regional pain syndrome type -1 utilizing sympathetic blocks. PATIENT CONCERNS: Severe pain interfering with activities of daily living and temporary disability secondary to complex regional pain syndrome. DIAGNOSES: Complex regional pain synd...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5959427/ https://www.ncbi.nlm.nih.gov/pubmed/29742728 http://dx.doi.org/10.1097/MD.0000000000010705 |
_version_ | 1783324390937591808 |
---|---|
author | Gungor, Semih Aiyer, Rohit Baykoca, Buse |
author_facet | Gungor, Semih Aiyer, Rohit Baykoca, Buse |
author_sort | Gungor, Semih |
collection | PubMed |
description | RATIONALE: To present the successful treatment of complex regional pain syndrome type -1 utilizing sympathetic blocks. PATIENT CONCERNS: Severe pain interfering with activities of daily living and temporary disability secondary to complex regional pain syndrome. DIAGNOSES: Complex regional pain syndrome type-1 with involvement of lower extremity (2 patients), and upper extremity (1 patient). INTERVENTIONS: We report the management of 3 patients with diagnosis of complex regional pain syndrome type-1 by early institution of sympathetic blocks for diagnostic and therapeutic purposes. All 3 patients were able to tolerate physical therapy only after adequate pain relief had been achieved with institution of sympathetic blocks. OUTCOMES: All 3 patients responded very favorably to sympathetic blocks with dramatic reversal of pathology. All patients reported almost complete resolution of pain, symptoms, and signs within 6 months duration after diagnosis of complex regional pain syndrome. All 3 patients were able to wean their pain medications and achieve normal activities of daily living without any significant limitations. All patients were able to return to full-time employment. LESSONS: Treatment options are limited and there is lack of high quality research regarding the efficacy of sympathetic blocks in the treatment of complex regional pain syndrome. As presented in this case series, sympathetic blocks maybe very effective in the treatment of complex regional pain syndrome in a subset of patients. Thus, early institution of sympathetic blocks should be considered in complex regional pain syndrome prior to physical therapy and consideration of more invasive pain management interventions. |
format | Online Article Text |
id | pubmed-5959427 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-59594272018-05-24 Sympathetic blocks for the treatment of complex regional pain syndrome: A case series Gungor, Semih Aiyer, Rohit Baykoca, Buse Medicine (Baltimore) Research Article RATIONALE: To present the successful treatment of complex regional pain syndrome type -1 utilizing sympathetic blocks. PATIENT CONCERNS: Severe pain interfering with activities of daily living and temporary disability secondary to complex regional pain syndrome. DIAGNOSES: Complex regional pain syndrome type-1 with involvement of lower extremity (2 patients), and upper extremity (1 patient). INTERVENTIONS: We report the management of 3 patients with diagnosis of complex regional pain syndrome type-1 by early institution of sympathetic blocks for diagnostic and therapeutic purposes. All 3 patients were able to tolerate physical therapy only after adequate pain relief had been achieved with institution of sympathetic blocks. OUTCOMES: All 3 patients responded very favorably to sympathetic blocks with dramatic reversal of pathology. All patients reported almost complete resolution of pain, symptoms, and signs within 6 months duration after diagnosis of complex regional pain syndrome. All 3 patients were able to wean their pain medications and achieve normal activities of daily living without any significant limitations. All patients were able to return to full-time employment. LESSONS: Treatment options are limited and there is lack of high quality research regarding the efficacy of sympathetic blocks in the treatment of complex regional pain syndrome. As presented in this case series, sympathetic blocks maybe very effective in the treatment of complex regional pain syndrome in a subset of patients. Thus, early institution of sympathetic blocks should be considered in complex regional pain syndrome prior to physical therapy and consideration of more invasive pain management interventions. Wolters Kluwer Health 2018-05-11 /pmc/articles/PMC5959427/ /pubmed/29742728 http://dx.doi.org/10.1097/MD.0000000000010705 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0 |
spellingShingle | Research Article Gungor, Semih Aiyer, Rohit Baykoca, Buse Sympathetic blocks for the treatment of complex regional pain syndrome: A case series |
title | Sympathetic blocks for the treatment of complex regional pain syndrome: A case series |
title_full | Sympathetic blocks for the treatment of complex regional pain syndrome: A case series |
title_fullStr | Sympathetic blocks for the treatment of complex regional pain syndrome: A case series |
title_full_unstemmed | Sympathetic blocks for the treatment of complex regional pain syndrome: A case series |
title_short | Sympathetic blocks for the treatment of complex regional pain syndrome: A case series |
title_sort | sympathetic blocks for the treatment of complex regional pain syndrome: a case series |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5959427/ https://www.ncbi.nlm.nih.gov/pubmed/29742728 http://dx.doi.org/10.1097/MD.0000000000010705 |
work_keys_str_mv | AT gungorsemih sympatheticblocksforthetreatmentofcomplexregionalpainsyndromeacaseseries AT aiyerrohit sympatheticblocksforthetreatmentofcomplexregionalpainsyndromeacaseseries AT baykocabuse sympatheticblocksforthetreatmentofcomplexregionalpainsyndromeacaseseries |