KUMJ | VOL. 22 | NO. 1 | ISSUE 85 | JANUARY - MARCH
Complex Regional Pain Syndrome
Shakya S, Amatya S, Thapa S, Thapa P, Pokharel S.
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.
Keyword : Allodynia, Budapest criteria, Complex reginal pain syndrome, Hyperalgesia
