A case report is presented detailing the development, medical and therapeutic treatment of a patient with severe complex regional pain syndrome of the upper limb. The sudden spontaneous recovery of this patient’s symptoms is discussed and the evidence for diagnosis of complex regional pain syndrome is reflected upon with reference to the adapted Budapest diagnostic criteria.
MoseleyGL. Graded motor imagery is effective for long standing complex regional pain syndrome. Pain2004; 108: 192–198.
6.
MoselyGL. Why do people with complex regional pain syndrome take longer to recognise their affected hand?Neurology2004; 62: 2182–2186.
7.
MoseleyGL. Is successful rehabilitation of complex regional pain syndrome due to sustained attention to the affected limb. Pain2005; 114: 54–61.
8.
MoselyGL. Graded motor imagery for pathologic pain. Neurology2006; 67: 1–6.
9.
McCabeCSHaighRCRingEFJ. A controlled pilot study of the utility of mirror visual feedback in the treatment of complex regional pain syndrome (type 1). Rheumatology2003; 42: 97–101.
10.
KieferRTRohrPPloppaA. Complete recovery from intractable complex regional pain syndrome, CRPS-type 1, following anaesthetic ketamine and midazolam. Pain Pract2007; 7: 147–150.
11.
DilekBYemezBKizilR. Anxious personality is a factor for developing complex regional pain syndrome type 1. Rheumatol Int2012; 32: 915–920.
12.
MoseleyGLFlorH. Targeting cortical representations in the treatment of chronic pain: a review. Neurorehabil Neural Repair2012; 26: 646–652.
13.
PenfieldWBoldreyE. Somatic, motor and sensory representation in the cerebral cortex of man as studied by electrical stimulation. Brain1937; 60: 389–448.
MoseleyGL. Unravelling the barriers to reconceptualisation of the problem in chronic pain: the actual and perceived ability of patients and health professionals to understand the neurophysiology. J Pain2003; 4: 184–189.
