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

Yuta Shinohara; Aiko Ishikawa; Daisuke Nishimura; Michiyuki Kawakami; Shizuko Kosugi; Meigen Liu; Hiroshi Morisaki

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

VernacularTitle: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
Author: Yuta SHINOHARA ¹ ; Aiko ISHIKAWA ² ; Daisuke NISHIMURA ¹ ; Michiyuki KAWAKAMI ³ ; Shizuko KOSUGI ¹ ; Meigen LIU ² ; Hiroshi MORISAKI ¹
Author Information

1. Interdisciplinary Pain Center, Keio University Hospital
2. Department of Anesthesiology, Keio University School of Medicine
3. Department of Rehabilitation Medicine, Keio University School of Medicine
Keywords: complex regional pain syndrome; spinal cord stimulation; physical therapy; physiotherapy
From:The Japanese Journal of Rehabilitation Medicine 2020;57(6):558-564
CountryJapan
Language:Japanese
Abstract: 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.