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Chapter 92 - Complex Regional Pain Syndrome Types I and II

from Section 13 - Acute and Chronic Pain

Published online by Cambridge University Press:  03 August 2023

By
Winston Singleton  and
Brendan J. Astley
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 21-year-old female softball pitcher had a surgical ulnar nerve transposition/release for pain in her pitching arm three months ago. Now she still complains of severe pain daily. She can barely bend her elbow and has decreased function of her hand. She notes increased sensitivity to cold temperatures and generalized swelling, which is more pronounced on the ulnar side of her hand. She is in your office for pain management. What are your concerns? What is her diagnosis? How will you confirm the diagnosis? How will you treat the patient’s pain?

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Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 385 - 390
Publisher: Cambridge University Press
Print publication year: 2023

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References

Benzon, HT, Raja, SN, Molloy, RE, et al. Essentials of Pain Medicine and Regional Anesthesia, 4nd ed. Philadelphia: Elsevier, 2018, pp. 223–232, e2.Google Scholar
Harden, RN, Bruehl, S, Stanton-Hicks, M, Wilson, PR. Proposed new diagnostic criteria for complex regional pain syndrome. Pain Med 2007;8(4):326–31.CrossRefGoogle ScholarPubMed
Harden, RN, Oaklander, AL, Burton, AW, et al. Complex regional pain syndrome: practical diagnostic and treatment guidelines, 4th edition. Pain Med 2013;14(2):180–229.CrossRefGoogle ScholarPubMed
Waldman, SD. Pain Management, Vol. 1. Philadelphia: Saunders Elsevier, 2007, pp. 283–303.Google Scholar

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