Lower Extremity Complex Regional Pain Syndrome: Long-term Outcome after Surgical Treatment of Peripheral Pain Generators

The long-term effect of complex regional pain syndrome type 1 on disability and quality of life after foot injury

“…were significantly lower (physical component score: 14 Kinesiophobia and joint position test were not significantly correlated with any other parameters.…”

“…This suggests that an injury affecting a given joint or part of a limb might trigger CRPS symptoms also on remote regions of the affected limb. To date, some studies have examined the consequences of CRPS at the lower-limb [13,14], or upper-limb [7,15] or both together [6,9,[10][11][12]14,16] in terms of persistence of clinical signs. The symptoms at the lower-limb are more refractory to intervention than those involving the upper-limb [17].…”

Incidence of Complex Regional Pain Syndrome after Foot and Ankle Surgery

“…Patients should be closely followed up to ensure progress (18,19). One recent retrospective study by Dellon et al (20) identified 30 patients with CRPS type 1 and followed up 13 who were treated operatively, including joint denervation, neuroma resection, muscle implantation, and neurolysis. Of these patients, 55% had excellent results, with either a reduction in pain medication or a restoration of function, 30% had good results, and 15% did not experience CRPS symptom resolution (20).…”

Algodystrophy (CRPS) in minor orthopedic surgery

“…It has been proposed also an appropriate peripheral nerve surgical strategy including a combination of joint denervation, neuroma resection plus muscle implantation, and neurolysis. Outcomes were measured in terms of decreased pain medication usage and recovery of function, and the results were excellent in 7 (55%), good in 4 (30%), and poor (failure) in 2 (15%) patients (32,33). in healing at 7 weeks by distal radius fracture treated conservatively in association with daily injection of an osteoanabolic drug, teriparatide; at the same time the induced periosteal mineral apposition and increased endocortical resorption were associated with an improvement in local bone geometry with significant pain reduction without any sequela (37).…”