Complex regional pain syndrome - case report
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25759/spmfr.45 |
Resumo: | The complex regional pain syndrome (CRPS) is characterized by disproportionate pain concerning noxious stimuli,as well as sensory, vasomotor, trophic or motor disorders in the affected limb. It´s related to major trauma andsoft tissue minor injury, clinically presenting from joint stiffness and pain, to loss of function.The Physical Medicine and Rehabilitation (PRM) approach is crucial in functional recovery.The authors describe the case of a 32-year-old male with a knee pain that began 4 years ago. He was sent a yearago, after several knee arthroscopies without significant diagnostic findings, presenting quadriceps atrophy, kneeoedema and hyperesthesia, which lead to walking with crutches and professional inability. The patient wassubmitted to a program including joint mobilization and muscle strengthening as well as analgesicelectrotheraphy. After the contribution of bone scintigraphy for the diagnosis of CRPS, calcitonin was introducedand a reinforcement of the program was made through additional muscle strengthening, physical agents andpsychological support. An increase in muscle strength, pain relief in walking (VAS) and professional reintegrationwere accomplished.In CRPS, early intervention of PRM is decisive in keeping functional use of the affected limb through pain relief,range of movement and muscle strength preservation, as shown in this case.Keywords: Complex Regional Pain Syndromes; physical therapy; knee; pain. |
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Complex regional pain syndrome - case reportSíndrome Doloroso Regional Complexo do joelho - a propósito de um caso clínicoThe complex regional pain syndrome (CRPS) is characterized by disproportionate pain concerning noxious stimuli,as well as sensory, vasomotor, trophic or motor disorders in the affected limb. It´s related to major trauma andsoft tissue minor injury, clinically presenting from joint stiffness and pain, to loss of function.The Physical Medicine and Rehabilitation (PRM) approach is crucial in functional recovery.The authors describe the case of a 32-year-old male with a knee pain that began 4 years ago. He was sent a yearago, after several knee arthroscopies without significant diagnostic findings, presenting quadriceps atrophy, kneeoedema and hyperesthesia, which lead to walking with crutches and professional inability. The patient wassubmitted to a program including joint mobilization and muscle strengthening as well as analgesicelectrotheraphy. After the contribution of bone scintigraphy for the diagnosis of CRPS, calcitonin was introducedand a reinforcement of the program was made through additional muscle strengthening, physical agents andpsychological support. An increase in muscle strength, pain relief in walking (VAS) and professional reintegrationwere accomplished.In CRPS, early intervention of PRM is decisive in keeping functional use of the affected limb through pain relief,range of movement and muscle strength preservation, as shown in this case.Keywords: Complex Regional Pain Syndromes; physical therapy; knee; pain.O Síndrome Doloroso Regional Complexo (SDRC) caracteriza-se por dor desproporcional ao estímulo nóxicodesencadeante, alterações sensitivas, vasomotoras, tróficas ou motoras no membro afectado. Associa-se atraumatismos major e lesões dos tecidos moles de menor gravidade, apresentando um espectro que varia desdea rigidez e dor articulares à perda de função.A abordagem da Medicina Física e Reabilitação é fulcral na recuperação funcional no SDRC.Descreve-se o caso de um homem de 32 anos que iniciou há 4 anos gonalgia esquerda refractária. Enviado aonosso centro há 1 ano, após várias artroscopias sem achados diagnósticos de relevo, apresentando atrofiamuscular do quadricípete, edema e hiperestesia do joelho, motivando recurso a auxiliares de marcha eincapacidade para o exercício profissional. Iniciou programa de mobilização articular, fortalecimento muscular eelectroterapia analgésica. Após o contributo da cintigrafia óssea para o diagnóstico de SDRC do joelho foiinstituída calcitonina e reforçado programa com agentes físicos, fortalecimento muscular e apoio psicológico.Conseguido aumento da força muscular, alívio das queixas álgicas durante a marcha e retoma profissional.No SDRC a intervenção precoce de MFR é decisiva para a manutenção da capacidade funcional da extremidadeafectada, conseguida com atenuação da dor, manutenção das amplitudes articulares e da força muscular, comoevidenciado neste exemplo.Palavras-chave: Dor; Joelho; Reabilitação; Síndrome Doloroso Regional ComplexoSociedade Portuguesa de Medicina Física e de Reabilitação2013-03-04T00:00:00Zjournal articlejournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.25759/spmfr.45oai:ojs.spmfrjournal.org:article/45Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 19, n. 2 (2010): Ano 18; 52-560872-9204reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://spmfrjournal.org/index.php/spmfr/article/view/45https://doi.org/10.25759/spmfr.45https://spmfrjournal.org/index.php/spmfr/article/view/45/47Rito, Carla; Interna do Internato Médico de Medicina Física e Reabilitação - Centro de Medicina de Reabilitação de Alcoitão, Cascais, PortugalSousa, Ana Cristina; Assistente hospitalar graduada de Medicina Física e Reabilitação - Serviço de Reabilitação de Adultos, Centro de Medicina de Reabilitação de Alcoitão, Cascais, Portugalinfo:eu-repo/semantics/openAccess2022-09-20T15:28:46Zoai:ojs.spmfrjournal.org:article/45Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:51:20.975747Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Complex regional pain syndrome - case report Síndrome Doloroso Regional Complexo do joelho - a propósito de um caso clínico |
title |
Complex regional pain syndrome - case report |
spellingShingle |
Complex regional pain syndrome - case report Rito, Carla; Interna do Internato Médico de Medicina Física e Reabilitação - Centro de Medicina de Reabilitação de Alcoitão, Cascais, Portugal |
title_short |
Complex regional pain syndrome - case report |
title_full |
Complex regional pain syndrome - case report |
title_fullStr |
Complex regional pain syndrome - case report |
title_full_unstemmed |
Complex regional pain syndrome - case report |
title_sort |
Complex regional pain syndrome - case report |
author |
Rito, Carla; Interna do Internato Médico de Medicina Física e Reabilitação - Centro de Medicina de Reabilitação de Alcoitão, Cascais, Portugal |
author_facet |
Rito, Carla; Interna do Internato Médico de Medicina Física e Reabilitação - Centro de Medicina de Reabilitação de Alcoitão, Cascais, Portugal Sousa, Ana Cristina; Assistente hospitalar graduada de Medicina Física e Reabilitação - Serviço de Reabilitação de Adultos, Centro de Medicina de Reabilitação de Alcoitão, Cascais, Portugal |
author_role |
author |
author2 |
Sousa, Ana Cristina; Assistente hospitalar graduada de Medicina Física e Reabilitação - Serviço de Reabilitação de Adultos, Centro de Medicina de Reabilitação de Alcoitão, Cascais, Portugal |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Rito, Carla; Interna do Internato Médico de Medicina Física e Reabilitação - Centro de Medicina de Reabilitação de Alcoitão, Cascais, Portugal Sousa, Ana Cristina; Assistente hospitalar graduada de Medicina Física e Reabilitação - Serviço de Reabilitação de Adultos, Centro de Medicina de Reabilitação de Alcoitão, Cascais, Portugal |
description |
The complex regional pain syndrome (CRPS) is characterized by disproportionate pain concerning noxious stimuli,as well as sensory, vasomotor, trophic or motor disorders in the affected limb. It´s related to major trauma andsoft tissue minor injury, clinically presenting from joint stiffness and pain, to loss of function.The Physical Medicine and Rehabilitation (PRM) approach is crucial in functional recovery.The authors describe the case of a 32-year-old male with a knee pain that began 4 years ago. He was sent a yearago, after several knee arthroscopies without significant diagnostic findings, presenting quadriceps atrophy, kneeoedema and hyperesthesia, which lead to walking with crutches and professional inability. The patient wassubmitted to a program including joint mobilization and muscle strengthening as well as analgesicelectrotheraphy. After the contribution of bone scintigraphy for the diagnosis of CRPS, calcitonin was introducedand a reinforcement of the program was made through additional muscle strengthening, physical agents andpsychological support. An increase in muscle strength, pain relief in walking (VAS) and professional reintegrationwere accomplished.In CRPS, early intervention of PRM is decisive in keeping functional use of the affected limb through pain relief,range of movement and muscle strength preservation, as shown in this case.Keywords: Complex Regional Pain Syndromes; physical therapy; knee; pain. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-03-04T00:00:00Z |
dc.type.driver.fl_str_mv |
journal article journal article info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25759/spmfr.45 oai:ojs.spmfrjournal.org:article/45 |
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https://doi.org/10.25759/spmfr.45 |
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oai:ojs.spmfrjournal.org:article/45 |
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por |
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https://spmfrjournal.org/index.php/spmfr/article/view/45 https://doi.org/10.25759/spmfr.45 https://spmfrjournal.org/index.php/spmfr/article/view/45/47 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Sociedade Portuguesa de Medicina Física e de Reabilitação |
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Sociedade Portuguesa de Medicina Física e de Reabilitação |
dc.source.none.fl_str_mv |
Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 19, n. 2 (2010): Ano 18; 52-56 0872-9204 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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