Spontaneous recovery of long-term severe complex regional pain syndrome of the upper limb: A case report

Abstract

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.

Keywords

Complex regional pain syndrome spontaneous recovery physiotherapy

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References

Turner-Stokes

Goebel

. Complex regional pain syndrome in adults: concise guidance. Clin Med 2011; 11: 596–600.

Janig

Baron

. Complex regional pain syndrome: mystery explained? Lancet 2003; 2: 687–697.

de Mos

Huygen

van der Hoeven-Borgman

. Outcome of the complex regional pain syndrome. Clin J Pain 2009; 25: 590–597.

NICE. Neuropathic pain – clinical guideline 96, www.nice.org.uk (2010, accessed 3 July 2013).

Moseley

. Graded motor imagery is effective for long standing complex regional pain syndrome. Pain 2004; 108: 192–198.

Mosely

. Why do people with complex regional pain syndrome take longer to recognise their affected hand? Neurology 2004; 62: 2182–2186.

Moseley

. Is successful rehabilitation of complex regional pain syndrome due to sustained attention to the affected limb. Pain 2005; 114: 54–61.

Mosely

. Graded motor imagery for pathologic pain. Neurology 2006; 67: 1–6.

McCabe

Haigh

Ring

EFJ

. A controlled pilot study of the utility of mirror visual feedback in the treatment of complex regional pain syndrome (type 1). Rheumatology 2003; 42: 97–101.

10.

Kiefer

Rohr

Ploppa

. Complete recovery from intractable complex regional pain syndrome, CRPS-type 1, following anaesthetic ketamine and midazolam. Pain Pract 2007; 7: 147–150.

11.

Dilek

Yemez

Kizil

. Anxious personality is a factor for developing complex regional pain syndrome type 1. Rheumatol Int 2012; 32: 915–920.

12.

Moseley

Flor

. Targeting cortical representations in the treatment of chronic pain: a review. Neurorehabil Neural Repair 2012; 26: 646–652.

13.

Penfield

Boldrey

. Somatic, motor and sensory representation in the cerebral cortex of man as studied by electrical stimulation. Brain 1937; 60: 389–448.

14.

Butler DS. Pain conceptual change model. Doctoral Thesis, Flinders University, 2008.

15.

Moseley

. 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 Pain 2003; 4: 184–189.