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Successful Treatment with a Combination of Spinal Cord Stimulation and Physical Therapy for Complex Regional Pain Syndrome:A Case Report

  • Shinohara Yuta
    Interdisciplinary Pain Center, Keio University Hospital Department of Anesthesiology, Keio University School of Medicine
  • Ishikawa Aiko
    Interdisciplinary Pain Center, Keio University Hospital Department of Rehabilitation Medicine, Keio University School of Medicine
  • Nishimura Daisuke
    Interdisciplinary Pain Center, Keio University Hospital Department of Anesthesiology, Keio University School of Medicine
  • Kawakami Michiyuki
    Interdisciplinary Pain Center, Keio University Hospital Department of Rehabilitation Medicine, Keio University School of Medicine
  • Kosugi Shizuko
    Interdisciplinary Pain Center, Keio University Hospital Department of Anesthesiology, Keio University School of Medicine
  • Liu Meigen
    Department of Rehabilitation Medicine, Keio University School of Medicine
  • Morisaki Hiroshi
    Department of Anesthesiology, Keio University School of Medicine

Bibliographic Information

Other Title
  • 複合性局所疼痛症候群(CRPS)に対し,脊髄刺激療法(SCS)と理学療法による複合的治療が奏効した1症例
  • 症例報告 複合性局所疼痛症候群(CRPS)に対し,脊髄刺激療法(SCS)と理学療法による複合的治療が奏効した1症例
  • ショウレイ ホウコク フクゴウセイ キョクショ トウツウ ショウコウグン(CRPS)ニ タイシ,セキズイ シゲキ リョウホウ(SCS)ト リガク リョウホウ ニ ヨル フクゴウテキ チリョウ ガ ソウコウ シタ 1 ショウレイ

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Abstract

<p>Spinal cord stimulation (SCS) has been reported to be effective for complex regional pain syndrome (CRPS). This is a case report of a patient with CRPS who was successfully treated with a combination of temporary SCS lead placement and physical therapy. A 19-year-old man presented with severe pain for a few months since receiving plaster cast fixation as treatment for an ankle sprain injury at the previous hospital. At his first visit to our pain center, he could not walk without crutches because of severe pain accompanied by symptoms such as allodynia, decreased skin temperature, redness, edema, muscle weakness, and changes in the appearance of the affected area. The symptoms met the diagnostic criteria for CRPS. Temporary SCS lead placement was performed to alleviate the pain and peripheral circulatory disorder, along with physiotherapy to improve the flexibility and restore the normal appearance of the affected limb. The interdisciplinary treatment effectively improved our patient's leg edema and walking ability, which consequently led to pain relief.</p>

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