The role of peripheral nerve injections in the diagnosis and treatment of CRPS

Mansano, André Marques; Trescot, Andrea M.

doi:10.15761/pmrr.1000121

Cited by 3 publications

(3 citation statements)

References 52 publications

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“…He observed that after the wounds of some injured soldiers had healed, they continued to experience severe pain. The disorder was termed “causalgia” from the Greek word for fever ( kausos ) and pain ( algia ) (Iolascon et al, 2015; Mansano & Trescot, 2016).…”

Section: Definition and Pathophysiologymentioning

confidence: 99%

“…Although the pathophysiology of CRPS is not fully understood, the available literature suggests that even with CRPS 1, an initial nerve injury in an extremity—even one of minimal severity—can be a trigger that results in the development of CRPS (Bruehl & Warner, 2010; Mansano & Trescot, 2016; Oaklander et al, 2006). At the time of the injury, a combination of abnormal mechanisms occur simultaneously involving the peripheral and the central nervous system, causing distinct aberrant neuroplasticity and an exaggerated immune and inflammatory response, combined with autonomic dysfunction (Baronio et al, 2020; Cutts et al, 2020; Shim et al, 2019).…”

Section: Definition and Pathophysiologymentioning

confidence: 99%

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Complex Regional Pain Syndrome

Nirenberg¹

2021

Orthopaedic Nursing

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Complex regional pain syndrome (CRPS) is a potentially life-altering, neuropathic pain condition that often affects an extremity in response to surgery or even minor trauma. The pain is often disproportionate to the injury sustained or the surgical procedure performed—and it has been described as excruciating and unbearable. CRPS can result in irreversible, disabling changes in the affected limb. In some cases it has resulted in amputation or severe psychological issues. However, CRPS outcomes are generally more successful with early detection and treatment. This article presents an overview of CRPS and discusses the critical role nurses can play in recognizing the condition early, assisting with treatment, and providing psychological support.

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Section: Definition and Pathophysiologymentioning

confidence: 99%

Section: Definition and Pathophysiologymentioning

confidence: 99%

Complex Regional Pain Syndrome

Nirenberg¹

2021

Orthopaedic Nursing

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“…While the inciting injury that causes CRPS cannot always be identified, the literature suggests that it is believed to be a nerve injury, and in some cases, even a trivial one (7)(8)(9). There are 2 subtypes of CRPS: type 1, in which the specific nerve injured is uncertain, and type 2, in which the injured nerve is identified (5).…”

Section: Introductionmentioning

confidence: 99%

Complex Regional Pain Syndrome of the Foot and Ankle: Treatment at the Early Onset with an Anesthetic Ankle Block

Nirenberg¹

2021

PMCR

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Background: Complex regional pain syndrome (CRPS) is a potentially severely painful and debilitating disorder that frequently affects an extremity after surgery or even a minor injury. Treatment of CRPS can be challenging, and due to some patients’ co-morbidities, treatments may be limited. Case Report: Retrospective review of 20 patients who were diagnosed with CRPS of the foot and/or ankle early (within 45 days of onset) and who were adjunctively treated with ring-type ankle blocks of bupivacaine with dexamethasone. Patients who benefited from the treatment were monitored for 12 months. Conclusion: When CRPS of the foot and/or ankle was diagnosed early and adjunctively treated with one or two 2 ankle blocks of bupivacaine with dexamethasone, the condition resolved completely for 18 of the 20 patients (90%). The ankle block is a simple, safe treatment with the potential to assist in alleviating CRPS of the foot and/or ankle when the condition is diagnosed early. Key words: Ankle, ankle block, complex regional pain syndrome (crps), foot, local anesthesia

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A cadaveric study using the ultra-minimally invasive thread transection technique to decompress the superficial peroneal nerve in the lower leg

Guo

Harrison

et al. 2019

Acta Neurochir

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The role of peripheral nerve injections in the diagnosis and treatment of CRPS

Cited by 3 publications

References 52 publications

Complex Regional Pain Syndrome

Complex Regional Pain Syndrome

Complex Regional Pain Syndrome of the Foot and Ankle: Treatment at the Early Onset with an Anesthetic Ankle Block

A cadaveric study using the ultra-minimally invasive thread transection technique to decompress the superficial peroneal nerve in the lower leg

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