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Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report

Complex regional pain syndrome (CRPS) is still poorly understood. It is a pain disorder in which pain is disproportionate to the initial stimulus. There is no specific therapy for CRPS, but it can be managed by a combination of treatments. We report a 13-year-old girl with CRPS of the upper limb tre...

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Autores principales: Marchetti, Giuliano, Vittori, Alessandro, Mascilini, Ilaria, Francia, Elisa, Insalaco, Antonella, De Benedetti, Fabrizio, Picardo, Sergio Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8699959/
https://www.ncbi.nlm.nih.gov/pubmed/34943383
http://dx.doi.org/10.3390/children8121187
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author Marchetti, Giuliano
Vittori, Alessandro
Mascilini, Ilaria
Francia, Elisa
Insalaco, Antonella
De Benedetti, Fabrizio
Picardo, Sergio Giuseppe
author_facet Marchetti, Giuliano
Vittori, Alessandro
Mascilini, Ilaria
Francia, Elisa
Insalaco, Antonella
De Benedetti, Fabrizio
Picardo, Sergio Giuseppe
author_sort Marchetti, Giuliano
collection PubMed
description Complex regional pain syndrome (CRPS) is still poorly understood. It is a pain disorder in which pain is disproportionate to the initial stimulus. There is no specific therapy for CRPS, but it can be managed by a combination of treatments. We report a 13-year-old girl with CRPS of the upper limb treated with somatic and abdominal acupuncture. She described a severe, pulsating pain in the left wrist and hand, with hypersensitivity, allodynia, a marked reduction in strength, and swelling and sweating at the level of the fingers. Pain began three months previously, after a trauma to the left wrist. The diagnostic tests performed were negative. At the first visit we recommended oral tramadol. During the first two sessions we used somatic acupuncture. At the third session, the girl reported suffering intolerable pain in the affected limb during the previous sessions, so we decided to use abdominal acupuncture. After 8 sessions of abdominal acupuncture the pain completely disappeared. Acupuncture could be a potential alternative when conservative therapy with physical and medical treatment fails, but more often parents and adolescents prefer this therapy since other comorbidities are often present in pediatric populations and abdominal acupuncture could be a valuable alternative aid.
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spelling pubmed-86999592021-12-24 Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report Marchetti, Giuliano Vittori, Alessandro Mascilini, Ilaria Francia, Elisa Insalaco, Antonella De Benedetti, Fabrizio Picardo, Sergio Giuseppe Children (Basel) Case Report Complex regional pain syndrome (CRPS) is still poorly understood. It is a pain disorder in which pain is disproportionate to the initial stimulus. There is no specific therapy for CRPS, but it can be managed by a combination of treatments. We report a 13-year-old girl with CRPS of the upper limb treated with somatic and abdominal acupuncture. She described a severe, pulsating pain in the left wrist and hand, with hypersensitivity, allodynia, a marked reduction in strength, and swelling and sweating at the level of the fingers. Pain began three months previously, after a trauma to the left wrist. The diagnostic tests performed were negative. At the first visit we recommended oral tramadol. During the first two sessions we used somatic acupuncture. At the third session, the girl reported suffering intolerable pain in the affected limb during the previous sessions, so we decided to use abdominal acupuncture. After 8 sessions of abdominal acupuncture the pain completely disappeared. Acupuncture could be a potential alternative when conservative therapy with physical and medical treatment fails, but more often parents and adolescents prefer this therapy since other comorbidities are often present in pediatric populations and abdominal acupuncture could be a valuable alternative aid. MDPI 2021-12-16 /pmc/articles/PMC8699959/ /pubmed/34943383 http://dx.doi.org/10.3390/children8121187 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Marchetti, Giuliano
Vittori, Alessandro
Mascilini, Ilaria
Francia, Elisa
Insalaco, Antonella
De Benedetti, Fabrizio
Picardo, Sergio Giuseppe
Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report
title Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report
title_full Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report
title_fullStr Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report
title_full_unstemmed Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report
title_short Somatic and Abdominal Acupuncture for Pain Treatment in Adolescent Complex Regional Pain Syndrome (CRPS) of the Upper Limb: A Case Report
title_sort somatic and abdominal acupuncture for pain treatment in adolescent complex regional pain syndrome (crps) of the upper limb: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8699959/
https://www.ncbi.nlm.nih.gov/pubmed/34943383
http://dx.doi.org/10.3390/children8121187
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