Complex regional pain syndrome type 1 in a pediatric patient: Case report

Abstract

Complex regional pain syndrome type 1 is one of the causes of morbidity of childhood which is also named reflex symphathetic dystrophia. The syndrome is characterized with regional pain and vasomotor, sudomotor and sensory changes in the distal parts of the extremities involved. Complex regional pain syndrome type 1 shows difference in children in terms of clinical picture and imaging methods compared to adults. The most important point is that the prognosis is generally better in children if early diagnosis and treatment is provided. On the other hand, causes including presence of psychological factors or less contribution of imaging methods in children lead to delayed diagnosis or erroneous diagnosis. In this article, a 10 year-old male patient who was diagnosed with complex regional pain syndrome type 1 was described. Thus, we aimed to remind clinicians that this syndrome should also be kept in mind in the differential diagnosis of pain in children.

Recovery from acute pediatric complex regional pain syndrome type I after ankle sprain by early pharmacological and physical therapies in primary care: a case report

“…Treatment with intensive physical therapy is recommended for patients with CRPS I, in particular for children. 1 , 12 Various therapeutic techniques such as assisted ROM exercise, 1 joint mobilization, 1 , 12 , 31 stretching, 1 , 8 , 31 strain and counterstrain, 8 , 31 gradual weight bearing, gait training, 8 massage, 12 heating and cooling (contrast bath), 27 , 31 and transcutaneous electrical stimulation 31 have been performed for pediatric CRPS I. However, no technique has shown superiority over the others.…”