Index to Chiropractic Literature
Index to Chiropractic Literature
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Saturday, November 27, 2021
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
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ID 26561
  Title Chiropractic care of a patient with complex regional pain syndrome type 1 (CRPS-1): A case report
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7729204/
Journal J Chiropr Med. 2020 Jun;19(2):145-151
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: The purpose of this case report is to describe the evaluation and treatment of a patient presenting with left upper extremity pain and neck pain after a slip and fall.

Clinical Features: A 56-year-old woman sustained a left distal radius fracture secondary to a slip-and-fall accident. She was placed in a cast for 6 weeks, and after the removal of her cast she developed excruciating left forearm, wrist, hand, and finger pain. The patient was diagnosed with complex regional pain syndrome type 1 utilizing the modified (Budapest) International Association for the Study of Pain criteria.

Intervention and Outcome: The patient did not respond positively to initial management, which included the application of a cast after closed reduction of the distal radius fracture, 8 weeks of physical/occupational therapy, and the use of a brace which kept her left wrist, hand, and fingers in a flexed position. Subsequently, the patient presented to the University of Bridgeport College of Chiropractic outpatient clinic, where she was evaluated and treated. She received a total of 36 chiropractic treatments between her initial office visit in January 2018 and the follow-up in June 2018. The patient reported and demonstrated amelioration of her presenting complaints, decreased pain, increased ranges of motion, and increased function.

Conclusion: This case report underscores the importance of a rapid, accurate, initial diagnosis of complex regional pain syndrome type 1, during the acute (warm) stage.

Author keywords: Complex Regional Pain Syndromes; Chiropractic; Pain

Author affiliations: University of Bridgeport College of Chiropractic Outpatient Clinic, Bridgeport, Connecticut, United States

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record | PDF


 

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