• Scand J Pain · Jan 2017

    Review Case Reports

    Intrathecal management of complex regional pain syndrome: A case report and literature.

    • Jonathan M Hagedorn and George Atallah.
    • Baylor College of Medicine, Department of Anesthesia, One Baylor Plaza, MS: BCM 120, Houston, TX 77030, United States. Electronic address: jonathan.hagedorn@bcm.edu.
    • Scand J Pain. 2017 Jan 1; 14: 110-112.

    Background And PurposeComplex regional pain syndrome (CRPS) is a painful condition typically resulting from a traumatic event. Pain control in these patients is often difficult and requires a multimodal approach. Our objectives are to present a single intrathecal pain management regimen for CRPS and provide a literature review of intrathecal pain management options in CRPS.MethodsCase report from an academic pain management clinic.Case ReportWe present the case of a 29-year-old female with a past medical history of multiple lumbar spine surgeries and lumbar post-laminectomy syndrome who presented to clinic with CRPS type II of the bilateral lower extremities. After failing conservative measures, she underwent placement of a successful intrathecal drug delivery system.ConclusionThe use of intrathecal medications is useful for pain control in CRPS patients.ImplicationsWe provide a framework for treatment of CRPS, which could be useful for practitioners dealing with this difficult and painful condition.Copyright © 2016 Scandinavian Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

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