Immediate Return to Ambulation and Improved Functional Capacity for Rehabilition in Complex Regional Pain Syndrome following Early Implantation of a Spinal Cord Stimulation System

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.

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Cite this paper

@inproceedings{Goff2015ImmediateRT, title={Immediate Return to Ambulation and Improved Functional Capacity for Rehabilition in Complex Regional Pain Syndrome following Early Implantation of a Spinal Cord Stimulation System}, author={Brandon Jesse Goff and Jeremy Wingseng Naber and John Patrick McCallin and Edward Michael Lopez and Kevin Brant Guthmiller and Kevin Brant and Karl Alan Lautenschlager and Tristan Toll Lai and Dean Harry Hommer and Ra{\'u}l H{\'e}ctor Mar{\'i}n and J E Naber and E L{\'o}pez and Eugene A. Vandermeersch}, year={2015} }