Improved symptoms of complex regional pain syndrome after novel lymphatic treatment and interdisciplinary pain management.

Autor: Zafereo J; Department of Physical Therapy, UT Southwestern Medical Center, USA. Electronic address: jason.zafereo@utsouthwestern.edu., Jones S; Department of Anesthesiology & Pain Management, UT Southwestern Medical Center, USA., Jarrett RB; Department of Psychiatry, UT Southwestern Medical Center, USA., Frost S; Department of Physical Therapy, UT Southwestern Medical Center, USA., Noe C; Department of Anesthesiology & Pain Management, UT Southwestern Medical Center, USA.
Jazyk: angličtina
Zdroj: Complementary therapies in clinical practice [Complement Ther Clin Pract] 2022 Feb; Vol. 46, pp. 101512. Date of Electronic Publication: 2021 Nov 10.
DOI: 10.1016/j.ctcp.2021.101512
Abstrakt: Introduction: Complex regional pain syndrome (CRPS) is a pain syndrome with no singular mechanism and no specific cure. The aim of this case report is to study the impact of Lymphatic Enhancement Technology (LET) treatment on CRPS-related symptoms.
Methods: A 51 year-old female presented with a chief complaint of severe, refractory ankle pain and CRPS related to a tibial and fibular fracture sustained three years earlier. The patient completed twelve cognitive behavioral therapy sessions over a 4-week period, and eleven physical therapy sessions over a four-month period, six of which utilized LET.
Results: Pain and swelling were largely unchanged with interdisciplinary treatment before the introduction of LET. A within-session change of 37.5% in pain intensity and 87.5% in ankle girth was observed immediately after the first application of LET. Three months after beginning LET treatment, the patient maintained a 43.8% improvement in pain intensity and 100% improvement in measurements of lower extremity girth and ankle range of motion. No side effects or adverse events were associated with the LET treatment.
Conclusion: Swelling, pain, and mobility loss are common symptoms and features of CRPS. LET is a novel, non-invasive treatment that appears to be quite safe and effective for improving pain, swelling, and mobility loss related to CRPS.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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