Volume 26, Issue 123, May 2022

Complex regional pain syndrome with radial nerve palsy: A multimodal rehabilitation approach

Sakina Shoeb Hussain Saifee¹, Medhavi Vivek Joshi², Pratik Arun Phansopkar^3♦, Tasneem Lakkadsha⁴, Shivani Lalwani⁴

¹Intern, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India
²Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India
³Associate Professor and HOD, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India
³Intern, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi, Wardha, Maharashtra, India

^♦Corresponding author
Associate Professor & HOD, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra, India

ABSTRACT

Complex regional pain syndrome (CRPS) is a type of neuropathic pain that is most commonly triggered by upper extremity injuries or surgery. The most prevalent symptoms of this illness include pain, edoema, vasomotor changes, stiffness, and impaired functioning. The origin of our patient's CRPS type II was known, namely radial nerve palsy following multiple upper limb fractures, as demonstrated by the investigatory findings of the x-rays, nerve conduction velocity test, and Strength-duration curve. With the healing of the fractures, the symptoms of CRPS worsened, as did joint stiffness. The physiotherapy treatment plan was designed to alleviate symptoms and manage the nerve palsy, with the primary goal of achieving pain-free restricted motions in as much functional range as possible. The treatment yielded impressive results on the outcome measures used to assess after a month.

Keywords: Complex regional pain syndrome, radial nerve palsy, Reflex sympathetic dystrophy, multiple fractures, physiotherapy management.

Medical Science, 2022, 26, ms177e2204

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DOI: https://doi.org/10.54905/disssi/v26i123/ms177e2204

Published: 17 May 2022