Document Type
Article
Publication Date
2014
Abstract
Complex regional pain syndrome (CRPS) is a neuropathic pain condition that is characterized by vasomotor, sensory, sudomotor, and motor symptoms. Spinal cord stimulation (SCS) has been successfully utilized for the treatment of pain refractory to conventional therapies. We present a case of a previously highly functioning 54-year-old female who developed a rarely reported case of idiopathic CRPS of the right ankle which spontaneously occurred four months after an uncomplicated anterior cervical disc fusion. This condition resulted in severe pain and functional impairment that was unresponsive to pharmacological management. The patient's rehabilitation was severely stymied by her excruciating pain. However, with the initiation of spinal cord stimulation, her pain was adequately controlled allowing for progression to full unassisted ambulation, advancing functional capacity, and improving quality of life. This case report supports the concept that rapid progression to neuromodulation, rather than delays that occur due to attempts at serial sympathetic blocks, may better control symptoms leading allowing for a more meaningful recovery
Publication Title
Case Reports in Anaesthesiology
Volume
2014
PubMed ID
25525522
Recommended Citation
Goff, Brandon Jesse; Naber, Jeremy Wingseng; McCallin, John Patrick; Lopez, Edward Michael; Guthmiller, Kevin Brant; Lautenschlager, Karl Alan; Lai, Tristan Toll; Hommer, Dean Harry; and Marin, Gonzalez Raul, "Immediate Return to Ambulation and Improved Functional Capacity for Rehabilition in Complex Regional Pain Syndrome following Early Implantation of a Spinal Cord Stimulation System" (2014). PCOM Scholarly Works. 283.
https://digitalcommons.pcom.edu/scholarly_papers/283
Comments
This article was originally published in Case reports in anaesthesiology, Volume 2014, and is an open access article distributed under Creative Commons.
Copyright © Brandon Jesse Goff et al.