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MULTIDISCIPLINARY PAIN ABSTRACTS: 27
. Neurology (27)
Publication year - 2004
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1530-7085.2004.4007_27.x
Subject(s) - medicine , complex regional pain syndrome , spinal cord stimulation , anesthesia , neuromodulation , myocardial infarction , pain medicine , chronic pain , medical history , diabetes mellitus , clinical trial , stimulation , physical therapy , surgery , anesthesiology , endocrinology
In this report a 44‐year‐old man was evaluated with left upper extremity burning pain after myocardial infarction (MI). His past medical history included insulin‐dependent diabetes mellitus, oxygen‐dependent idiopathic pulmonary fibrosis, and recent coronary revascularization surgery. His pain was presumed to be related to MI and a clinical diagnosis of complex regional pain syndrome type I (CRPS‐I) (or reflex sympathetic dystrophy) was made. Facing limited medical and less invasive options for his pain relief, he underwent a spinal cord stimulation trial with excellent response. He had more than 70% pain relief from the spinal cord stimulation at the last follow‐up, 2 years later. It was concluded that CRPS‐I after MI can be difficult to treat because of other comorbid illnesses. Spinal cord stimulation can be a safe and effective mode of therapy for patients facing limited treatment options.