Publication: Complex Regional Pain Syndrome
Date
2024
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Complex regional pain syndrome is chronic pain condition involving hyperalgesia and
allodynia of extremities. The pathophysiology of CRPS is thought to be combination
of different factors that take place at the time of initial injury. Sixty two years
female presented to us with severe leg pain after intravenous cannulation during
her spine surgery and associated with hyperalgesia and allodynia. On examination,
there was shinny skin and nail changes on right leg and significant surface
temperature difference between two legs. Patients were managed conservatively
with patient education, physical therapy, pharmacological management, and
psychological therapy with diagnosis of complex regional pain syndrome. Diagnosis
is a clinical finding based on the Budapest diagnostic criteria. Early treatment with
multidisciplinary approach to pain management is necessary to achieve complete
recovery and prevent damage. Complex regional pain syndrome is life altering
condition but understanding the etiological factors helps us to an early diagnosis
and a better implementation of treatment.
KEY WORDS
Allodynia, Budapest criteria, Complex reginal pain syndrome, Hyperalgesia
Description
Shakya S,1 Amatya S,2 Thapa S,2 Thapa P,3 Pokharel S4
1Department of Anesthesiology and Critical Care
Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
2Nepal Pain Care and Research Center
Kathmandu, Nepal
3Nepal Army Institute of Health Sciences
Kathmandu, Nepal
4BP Koirala Memorial Cancer Hospital
Chitwan, Nepal
Keywords
Allodynia, Budapest criteria, Complex reginal pain syndrome, Hyperalgesia