Complex Regional Pain Syndrome in a Patient with Muscular Dystrophy

Pulsed Radiofrequency of Dorsal Root Ganglia for the Treatment of Complex Regional Pain Syndrome in an Adolescent with Poliomyelitis Sequel: A Case Report

“…Simple analgesics (paracetamol or nonsteroidal antiinflammatory drugs) are frequently prescribed or supplemented by adjuvant analgesics (tricyclic antidepressants or anticonvulsants) to enable the children to participate in physiotherapy . Invasive approaches, including repeated sympathetic blocks and Bier block, continuing peripheral nerve blocks and epidural analgesia using a catheter , and radiofrequency application are sometimes necessary in pediatric cases who exhibit no response to medical therapy . Among these procedures, sympathetic blocks are the first choice for the management of CRPS‐I patients .…”

“…Among these procedures, sympathetic blocks are the first choice for the management of CRPS‐I patients . Apiliogullari et al successfully treated CRPS‐I in an adolescent patient with Becker Muscular Dystrophy using an epidural catheter . However, this patient required hospitalization during the treatment.…”

“…She did not respond to nonsteroidal antiinflammatory drugs and pregabalin (75 mg/day) because this medical treatment was not tolerated. Invasive approaches, including sympathetic blocks, Bier block, continuous epidural analgesia using a catheter , and radiofrequency application, were explained to her. She preferred the single shot PRF application over sympathetic blocks or epidural catheter‐mediated analgesia.…”

“…Complex regional pain syndrome (CRPS) is a painful and debilitating syndrome in which the patient presents with disabling pain, edema, vasomotor, or pseudomotor abnormalities . Here, we describe an adolescent patient with poliomyelitis who exhibited type I CRPS that developed after a series of orthopedic surgeries.…”