scholarly journals Going toe-to-toe with a rare case of a complex regional pain syndrome limited to the hallux

2021 ◽  
Vol 14 (8) ◽  
pp. e242781
Author(s):  
Audrey Wetzel-Weaver ◽  
Sylvie Revaz ◽  
Michel Konzelmann ◽  
Francois Luthi
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Rare Case ◽  
Specific Treatment ◽  
Pain Syndrome ◽  
Future Research ◽  
First Case ◽  
Uniform Nomenclature ◽  
Budapest Criteria

We report the first case of a complex regional pain syndrome (CRPS) limited to the hallux using the Budapest criteria. Limited forms of CRPS are scarce in the literature and probably overlooked. There is currently no consensus to define these forms. Due to the particular metameric topography, common to the hand and the foot, we suggest the term ‘metameric’ CRPS to describe them. A uniform nomenclature would promote future research to study its prevalence and specific treatment in more detail.

Complex Regional Pain Syndrome - Diagnosis, Treatment and Future Perspectives

2011 ◽  
Vol 6 (4) ◽  
pp. 270 ◽  
Author(s):  
Sigrid GL Fischer ◽  
Roberto SGM Perez ◽  
◽  
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Motor Function ◽  
Pain Syndrome ◽  
Signs And Symptoms ◽  
Future Research ◽  
Future Perspectives ◽  
Central Sensitisation ◽  
Anti Inflammatory ◽  
Budapest Criteria ◽  
Cortical Reorganisation

Complex regional pain syndrome (CRPS) is a pain syndrome of the extremities that can result in severe disability. CRPS is diagnosed using diagnostic Budapest criteria based on signs and symptoms, whereby sensory, autonomic, vasomotor, motor and trophic disturbances are assessed. Many pathophysiological mechanisms are proposed in the development and disease course of CRPS, starting with exaggerated inflammation and resulting in vascular deregulation, central sensitisation and cortical reorganisation. Treatment is based primarily on reducing inflammation by using medicinal anti-inflammatory therapy and increasing motor function by physiotherapy. Furthermore, pain reduction, normalisation of vasomotor and motor function, and psychological interventions might be needed. Future research should focus on the efficacy of anti-inflammatory therapy, effective rehabilitation programmes, modulating neuropathic pain and cortical reorganisation.

Validity of the Budapest Criteria For Poststroke Complex Regional Pain Syndrome

2019 ◽  
Vol 35 (10) ◽  
pp. 831-835 ◽  
Author(s):  
Sang-Wook Oh ◽  
Seong-Uk Choi ◽  
Mina Park ◽  
Joon-Ho Shin
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Budapest Criteria

scholarly journals Complex regional pain syndrome type II arising from a gunshot wound (GSW) associated with infective endocarditis and aortic valve replacement

2018 ◽  
pp. bcr-2018-224702
Author(s):  
Vinicius Tieppo Francio ◽  
Brandon Barndt ◽  
Chris Towery ◽  
Travis Allen ◽  
Saeid Davani
Keyword(s):  
Aortic Valve ◽  
Complex Regional Pain Syndrome ◽  
Gunshot Wound ◽  
Pain Syndrome ◽  
Syndrome Type ◽  
Type Ii ◽  
Thoracic Sympathectomy ◽  
Arm Pain ◽  
First Case ◽  
Pain Status

A 34-year-old man with a history of gunshot wound (GSW) to the right upper chest developed secondary aortic valve endocarditis (AVE) and was treated with an artificial valve placement (AVP). Three months after, he presented to an outpatient pain management clinic right arm pain and was diagnosed with complex regional pain syndrome type II (CRPS II). The patient underwent a diagnostic sympathetic ganglion block, before undergoing endoscopic thoracic sympathectomy surgery. Successful outcomes revealed decreased pain, opioid utilisation and improved tolerance to therapy and activities of daily living. To our knowledge, this is the first case reporting CRPS II arising from a GSW complicated by AVE followed by AVP, which emphasises how unforeseen syndromes can arise from the management of seemingly unrelated pathology. This case demonstrates the importance of timely and proper diagnosis of uncharacterised residual pain status post-trauma and differential diagnosis and management of chronic pain syndromes.

scholarly journals Still's Disease and Recurrent Complex Regional Pain Syndrome Type-I: The First Description

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
César Faillace ◽  
Jozélio Freire de Carvalho
Keyword(s):  
Neuropathic Pain ◽  
Complex Regional Pain Syndrome ◽  
Skin Color ◽  
Pain Syndrome ◽  
Type I ◽  
Still’S Disease ◽  
Chronic Neuropathic Pain ◽  
Still's Disease ◽  
First Case ◽  
Psychiatric Conditions

Complex regional pain syndrome (CRPS) is a chronic neuropathic pain disorder characterized by neuropathic pain associated with local edema and changes suggestive of autonomic involvement such as altered sweating, skin color, and skin temperature of the affected region. CRPS was described associated with several diseases, such as trauma, psychiatric conditions, and cancer. However, no case associated with Still's disease has been previously described. In this paper, the authors describe the first case of CRPS associated with Still's disease.

scholarly journals Validation of proposed diagnostic criteria (the “Budapest Criteria”) for Complex Regional Pain Syndrome

Pain ◽  
2010 ◽  
Vol 150 (2) ◽  
pp. 268-274 ◽  
Author(s):  
Norman R. Harden ◽  
Stephen Bruehl ◽  
Roberto S.G.M. Perez ◽  
Frank Birklein ◽  
Johan Marinus ◽  
...  
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Diagnostic Criteria ◽  
Pain Syndrome ◽  
Budapest Criteria

scholarly journals Ketamine Treatment for Intractable Pain in a Patient with Severe Refractory Complex Regional Pain Syndrome: A Case Report

2008 ◽  
Vol 3;11 (5;3) ◽  
pp. 339-342
Author(s):  
Paul E. Schulz
Keyword(s):  
Case Report ◽  
Complex Regional Pain Syndrome ◽  
Upper Extremity ◽  
Pain Syndrome ◽  
Future Research ◽  
Intractable Pain ◽  
Ganglion Block ◽  
Ketamine Infusion ◽  
Patient Reported ◽  
Intravenous Ketamine

In this case report, we describe the effect of ketamine infusion in a case of severe refractory complex regional pain syndrome I (CRPS I). The patient was initially diagnosed with CRPS I in her right upper extremity. Over the next 6 years, CRPS was consecutively diagnosed in her thoracic region, left upper extremity, and both lower extremities. The severity of her pain, combined with the extensive areas afflicted by CRPS, caused traumatic emotional problems for this patient. Conventional treatments, including anticonvulsants, bisphosphonates, oral steroids and opioids, topical creams, dorsal column spinal cord stimulation, spinal morphine infusion, sympathetic ganglion block, and sympathectomy, failed to provide long-term relief from pain. An N-methyl-d-aspartate (NMDA) antagonist inhibitor, ketamine, was recently suggested to be effective at resolving intractable pain. The patient was then given several infusions of intravenous ketamine. After the third infusion, the edema, discoloration, and temperature of the affected areas normalized. The patient became completely pain-free. At one-year of follow-up, the patient reported that she has not experienced any pain since the last ketamine infusion. Treatment with intravenous ketamine appeared to be effective in completely resolving intractable pain caused by severe refractory CRPS I. Future research on this treatment is needed. Key words: Ketamine, Complex Regional Pain Syndrome (CRPS), treatment

The Budapest criteria for complex regional pain syndrome: The diagnostic challenge

2018 ◽  
Vol 02 (01) ◽  
Author(s):  
Joseph V Pergolizzi ◽  
Jo Ann LeQuang ◽  
Sri Nalamachu ◽  
Robert Taylor ◽  
Ryan W Bigelsen
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Diagnostic Challenge ◽  
Budapest Criteria

Complex Regional Pain Syndrome

2019 ◽  
pp. 262-270
Author(s):  
Steven R. Hanling ◽  
Ian M. Fowler ◽  
C. Ryan Phillips
Keyword(s):  
Chronic Pain ◽  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Signs And Symptoms ◽  
Pain Medication ◽  
Channel Blockers ◽  
Chronic Pain Condition ◽  
Ion Channel Blockers ◽  
Budapest Criteria ◽  
Sympathetic Blocks

Complex regional pain syndrome (CRPS) is a chronic pain condition that typically occurs after injury to a limb or directly to a nerve. Progression of the disease can result in multiple debilitating symptoms including pain disproportionate to the inciting event. The Budapest criteria cateforize the constellation of signs and symptoms of CRPS (sensory, vasomotor, sudomotor/edema, and motor/trophic changes) and are used to diagnose the syndrome. Treatments include rehabilitation (physical and occupation therapy), multimodal pain medication (medications that target neuropathic pain such as antidepressants, membrane stabilizers, and ion channel blockers), interventional treatments (sympathetic blocks, infusion catheters, neuromodulation), and psychological therapy.

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