BMC Sports Sci Med Rehabil. 2013 May 31;5:12. doi: 10.1186/2052-1847-5-12.
Complex regional pain syndrome of the knee - a case report.
BMC sports science, medicine & rehabilitation
Munmun Pandita, Umer Arfath
PMID: 23725372
PMCID: PMC3673900 DOI: 10.1186/2052-1847-5-12
Abstract
BACKGROUND: Persistent unexplained pain around the knee can be a perplexing problem. Reports of complex regional pain syndrome involving primarily knee have been published, yet complex regional pain syndrome of the knee is infrequently included in differential diagnosis of pain out of proportion.
CASE PRESENTATION: A 54 year old female presented to the physiotherapy outpatient department with complains of severe anterior knee pain and stiffness, persisting for more than 2 months post arthroscopic medial plical excision. The patient met the criteria for establishing a probable diagnosis of complex regional pain syndrome (CRPS) knee. Pressure algometre, goniometric measurements and knee outcome survey activities of daily living scale were used to document any changes. This patient was managed for a period of four sessions using graded desensitization therapy, TENS and mobilisation with feedback. Patient showed marked improvement in range of movement (ROM), hypersensitivity, pain and function.
CONCLUSION: Meticulous examination, early diagnosis and prompt treatment resulted in a quick improvement in the patient's condition.
References
- J Orthop Surg (Hong Kong). 2006 Dec;14(3):280-3 - PubMed
- Vasc Med. 1998;3(3):207-14 - PubMed
- Joint Bone Spine. 2011 Mar;78(2):194-9 - PubMed
- J Arthroplasty. 1986;1(2):117-24 - PubMed
- J Bone Joint Surg Br. 1956 Feb;38-B(1):195-203 - PubMed
- J Bone Joint Surg Br. 2007 Mar;89(3):285-90 - PubMed
- Clin J Pain. 1998 Mar;14(1):48-54 - PubMed
- Clin Orthop Relat Res. 1986 Aug;(209):234-43 - PubMed
- Anesthesiol Clin North Am. 2003 Dec;21(4):733-44 - PubMed
- Pain. 2003 Dec;106(3):393-400 - PubMed
- West J Med. 1987 Sep;147(3):342-5 - PubMed
- J Bone Joint Surg Am. 1984 Apr;66(4):625-9 - PubMed
- Mayo Clin Proc. 1977 Apr;52(4):228-32 - PubMed
- J Am Acad Orthop Surg. 1994 Mar;2(2):79-86 - PubMed
- N Y State J Med. 1971 Mar 1;71(5):559-62 - PubMed
- J Bone Joint Surg Am. 1998 Aug;80(8):1132-45 - PubMed
- Pain. 2010 Aug;150(2):268-274 - PubMed
- Rheumatol Rehabil. 1973 May;12(2):84-8 - PubMed
- Ann Rheum Dis. 1991 Oct;50(10):727-30 - PubMed
Publication Types