Complex regional pain syndrome as a complication of a chemical burn to the foot.
J Burn Care Rehabil
; 25(2): 189-91, 2004.
Article
de En
| MEDLINE
| ID: mdl-15091146
ABSTRACT
Complex regional pain syndrome (CRPS) is an unusual complication after burns; however, it is important to recognize so that appropriate treatment can be administered. A 60-year-old man suffered an alkali burn to the right foot. Subsequently, the patient developed CRPS with severe pain and vasomotor changes. Multimodal treatment included the early use of ropivacaine and fentanyl via epidural catheter. Oral extended-release morphine, gabapentin, and amitriptyline also were administered. Once pain was controlled, early aggressive physical therapy was instituted, and attention was turned toward wound coverage. One year after discharge, the patient was ambulating well and has returned to work. His pain was managed with a single morning dose of gabapentin and a nonsteroidal anti-inflammatory agent. Current examination of the foot revealed mild forefoot swelling without residual erythema. Ambiguities exist in the mainstay of treatment for CRPS, but this multimodal method of controlling CRPS after burn injury allowed for control of the patient's pain, early mobilization, and eventual return to work.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Brûlures chimiques
/
Traumatismes du pied
/
Syndrome douloureux régional complexe
Limites:
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
J Burn Care Rehabil
Année:
2004
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique