Babak K Kashy1, Alaa A Abd-Elsayed2, Ehab Farag3, Maria Yared3, Roya Vakili4, Wael Ali Sakr Esa3. 1. Department of Outcomes Research, Cleveland Clinic, Cleveland, OH. 2. Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI. 3. Department of General Anesthesiology, Cleveland Clinic, Cleveland, OH. 4. Center for Regional Neurosciences, Cleveland Clinic, Cleveland, OH.
Abstract
BACKGROUND: Complex regional pain syndrome, type 1 (CRPS-1) causes severe pain that can be resistant to multiple treatment modalities. Amputation as a form of long-term treatment for therapy-resistant CRPS-1 is controversial. CASE REPORT: We report the case of a 38-year-old man who failed all treatment modalities for CRPS-1, including medication, steroid injections, and spinal cord stimulator implantation. Below-the-knee amputation to relieve intractable foot and ankle pain resulted in a favorable outcome for this patient. CONCLUSION: Select patients with severe CRPS-1 who are unresponsive to all forms of treatment for pain may benefit from amputation as a last option for relief of suffering. Larger studies are needed to prove the efficacy of amputation.
BACKGROUND: Complex regional pain syndrome, type 1 (CRPS-1) causes severe pain that can be resistant to multiple treatment modalities. Amputation as a form of long-term treatment for therapy-resistant CRPS-1 is controversial. CASE REPORT: We report the case of a 38-year-old man who failed all treatment modalities for CRPS-1, including medication, steroid injections, and spinal cord stimulator implantation. Below-the-knee amputation to relieve intractable foot and ankle pain resulted in a favorable outcome for this patient. CONCLUSION: Select patients with severe CRPS-1 who are unresponsive to all forms of treatment for pain may benefit from amputation as a last option for relief of suffering. Larger studies are needed to prove the efficacy of amputation.
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