You are in: Home > Articles > 3rd July 2007 > 37 year old lady with Complex Regional Pain Syndrome (CRPS) treated succesfully with Lumbar Sympathectomy.
3rd July 2007 at 08:33 BST by Dr C.A.Jenner MB BS, FRCA. Permalink.
Article on 37 year old lady with Complex Regional Pain Syndrome (CRPS) treated succesfully with Lumbar Sympathectomy.
This lady was seen in the Pain Clinic. She had been previously treated with a number of medications including Pregabalin, Fentanyl, Vitamin C, Tramadol, Oxycodone, Gabapentin and Amitriptyline.
Although she had become reasonably well controlled with the medication, she was still getting a lot of pain from the complex regional pain syndrome in her right ankle. This started following an ankle fracture, which lead to the requirement for insertion of ankle plates and screws.
The lady had had a lumbar sympathectomy, which had given her some short term benefit. She was then given a lumbar sympathectomy at 2 levels; L2 and L3, using pulse radiofrequency at 120 seconds at 42˚c, as well as 20 mls of 0.5% Bupivacaine and 80 mg of Depo-Medrone.
At 8 weeks post procedure she was found to have significant pain relief and the decision was made to start to reduce the doses of medication she was taking. She will be reviewed in a further 3 months.
‘37 year old lady with Complex Regional Pain Syndrome (CRPS) treated succesfully with Lumbar Sympathectomy.’ was posted by Dr C.A.Jenner MB BS, FRCA on 3rd July 2007 at 08:33 BST and filed under case studies.
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