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Background and Aims Complex regional pain syndrome (CRPS) is a chronic pain disorder, usually involving hyperalgesia and allodynia of the extremities. The exact mechanism is unknown, although several different mechanisms have been suggested. The diagnosis is clinical. Regional Anaesthesia can play an important role in treating the pain in these patients who will thus be able to carry out the correct physiotherapy.
Methods This study is a case series of 7 children with a diagnosis of CRPS, aged from 8 to 15 years, that received specific continuous nerve blocks. The 70% of these patients presented symptoms to lower limbs, while only the 30% had an involvement of upper limbs. During the first objective examination, all the children showed a considerable decreased range of motion (ROM) of the interested extremity, meanwhile a change in sensitivity and temperature was observed, besides hyperalgesia, allodynia, redness, oedema. After a multidisciplinary discussion, every child was treated with physical therapy, previous placement of ultrasound- guided perineural catheter.
Results After this intervention all the children were able to perform physical therapy without pain. At the end of therapy program, an increase of ROM was observed, besides a reduction of Number pain rating scale (NPRS).
CRPS
CRPS
CRPS
Conclusions Two persons of this group had a recurrence of acute episode after six months; they were treat in the same way, but only one of them had a benefits. The other one was a 12 years a young woman that had particular psychological characteristics, such as kinesiophobia for this reason she followed a psychologic and cognitive- behaviour treatment.
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