J 2021

Hyperbaric oxygen treatment in recurrent development of complex regional pain syndrome: A case report.

HÁJEK, Michal, Dittmar CHMELAŘ, Jakub TLAPÁK, František NOVOMESKÝ, Veronika RYBÁROVÁ et. al.

Basic information

Original name

Hyperbaric oxygen treatment in recurrent development of complex regional pain syndrome: A case report.

Authors

HÁJEK, Michal (203 Czech Republic), Dittmar CHMELAŘ (203 Czech Republic), Jakub TLAPÁK (203 Czech Republic), František NOVOMESKÝ (203 Czech Republic), Veronika RYBÁROVÁ (203 Czech Republic) and Miloslav KLUGAR (203 Czech Republic, belonging to the institution)

Edition

Diving and Hyperbaric Medicine, New Zealand, Department of anaesthesiology, University of Auckland, 2021, 1833-3516

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30230 Other clinical medicine subjects

Country of publisher

New Zealand

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.228

RIV identification code

RIV/00216224:14110/21:00121993

Organization unit

Faculty of Medicine

DOI

UT WoS

000678175100018

Keywords in English

Case reports; CRPS; Hyperbaric oxygen therapy; Pain; Risk factors

Tags

Tags

International impact, Reviewed
Změněno: 24/8/2021 10:42, Mgr. Tereza Miškechová

Abstract

V originále

A broad spectrum of conditions including neuropathic pain, complex regional pain syndrome (CRPS) and fibromyalgia, have been implicated as causes of chronic pain. There is a need for new and effective treatments that patients can tolerate without significant adverse effects. One potential intervention is hyperbaric oxygen treatment (HBOT). The case reported here is unique in describing repeated HBOT in a patient who developed recurrent post-traumatic CRPS of the lower as well as the upper limbs. In the first event, two months after distortion and abruption of the external right ankle, the patient suffered leg pain, oedema formation, mild hyperaemia, limited mobility of the ankle and CRPS Type 1. In the second event, the same patient suffered fracture-dislocation of the distal radius 1.5 years after the first injury. After the plaster cast was removed the patient developed pain, warmth, colour changes, oedema formation and limited wrist mobility with CRPS Type 1. Pharmacological treatment as well as HBOT were used with significant improvement of functional outcome in both cases. Some studies suggest that patients with a history of CRPS are more likely to develop secondary CRPS compared to the rates reported in the literature among the general population. Patients with a history of CRPS should be counselled that they may be at risk for developing secondary CRPS if they undergo surgery or sustain trauma to another extremity.