Reflex Sympathetic Dystrophy of the Right Hand following an Acute Traumatic Injury

Abstract

Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy, is a chronic neuropathic pain disorder with significant autonomic features. Recently, it has been recognized that CRPS is not simply a sympathetically mediated peripheral pain condition but rather a disease of the central nervous system as well. Herein, we present a case of a patient who presented with complaints of severe pain following a traumatic event, severing his extensor tendon of his right fifth finger.

Bier block as a successful management of a patient with intractable complex regional pain syndrome (CRPS) type 1: A case report

“…The duration of pain relief after PRF of stellate ganglion in our case was one week. Previous studies have reported that a brachial plexus block as a single block or continuous infusion through a catheter inserted with local anesthesia and an additive such as steroids or morphine can treat the pain of CRPS patients 18 . Wong and Wilson reported pain relief with a brachial plexus catheter using the axillary approach in a patient with severe CRPS 19 .…”

“…19 An interscalene block was evaluated and reported to be as effective as SGB for the management of severe pain in a patient with CRPS. 18 Kingery used an interscalene block with an infusion pump of bupivacaine for a period of 3 to 6 months and showed good results in patients with CRPS. 20 Fallatah reported the successful management of CRPS type 1 using a single interscalene brachial plexus block and showed dramatic improvement after one injection.…”

“…Previous studies have reported that a brachial plexus block as a single block or continuous infusion through a catheter inserted with local anesthesia and an additive such as steroids or morphine can treat the pain of CRPS patients. 18 Wong and Wilson reported pain relief with a brachial plexus catheter using the axillary approach in a patient with severe CRPS. 19 An interscalene block was evaluated and reported to be as effective as SGB for the management of severe pain in a patient with CRPS.…”

“…Wong and Wilson reported pain relief with a brachial plexus catheter using the axillary approach in a patient with severe CRPS 19 . An interscalene block was evaluated and reported to be as effective as SGB for the management of severe pain in a patient with CRPS 18 . Kingery used an interscalene block with an infusion pump of bupivacaine for a period of 3 to 6 months and showed good results in patients with CRPS 20 .…”