Indian Journal of Physical Medicine and Rehabilitation

Register      Login

VOLUME 27 , ISSUE 1 ( March, 2016 ) > List of Articles


CRPS of Lower Extremity– A Case Report and Review

Mahima Agrawal

Citation Information : Agrawal M. CRPS of Lower Extremity– A Case Report and Review. Indian J Phy Med Rehab 2016; 27 (1):22-28.

DOI: 10.5005/ijopmr-27-1-22

Published Online: 01-03-2016

Copyright Statement:  Copyright © 2016; The Author(s).


Complex regional pain syndrome (CRPS) of the lower limb is a relatively uncommon entity as compared to CRPS of the upper extremity. Literature search has revealed only 2 retrospective case series and a single case report of lower extremity CRPS type I from 1975 to 2014 on Pubmed, isolated cases of CRPS type I of lower extremity have also been reported following knee surgeries and arthroscopies. This report presents a case of lower limb CRPS type I following blunt trauma to right foot, treatment of which was directed towards management of allodynia, vasomotor symptoms and surgical correction of deformity which had developed because of the disease, coping mechanisms were also reinforced through counselling and relaxation training. The individual responded well to treatment with a reported 75% reduction in the disabling symptoms and improvement in ambulatory status.

PDF Share
  1. Complex regional pain syndromes: symptoms, signs and differential diagnosis. In: Janig W, Stanton-Hicks M, editors. Reflex Sympathetic Dystrophy: A Reappraisal. Seattle, WA: IASP Press, 1996:79-92.
  2. Refl ex sympathetic dystrophy: changing concepts and taxonomy. Pain 1995;63:127-33.
  3. Classifi cation of Chronic Pain: Descriptions of Chronic Pain Syndromes and Defi nitions of Pain Terms. Seattle, WA: IASP Press, 1994.
  4. Reflex sympathetic dystrophy involving multiple extremities. J Rheumat 1993;20:165-9.
  5. Reflex sympathetic dystrophy involving three limbs: a case study. Arch Phys Med Rehabil 1994;75:1008-10.
  6. Complex regional pain syndrome: a review. Ann Vasc Surg 2008;22:297-306.
  7. The incidence of complex regional pain syndrome: a populationbased study. Pain 2007;129:12-20.
  8. Complex regional pain syndrome type I: incidence and prevalence in Olmsted county, a population-based study. Pain 2003;103:199-207.
  9. Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients. Lancet 1993;342:1012-6.
  10. Sympathetic blocks for reflex sympathetic dystrophy. Pain 1985;23:13-7.
  11. Clin Nucl med 1996;21:426-8.
  12. Anesthesiology 1988;68:137-40.
  13. Post traumatic reflex sympathetic dystrophy syndrome (Sudecks atrophy): wffects of regional guanethidine infusion and salmon calcitonin. BMJ 1977;1:1575-6.
  14. A comparison of regional intravenous guanethidine and reserpine in reflex sympathetic dystrophy: a controlled, randomized, double blind crossover study. Clin J Pain 1989;5:205-9.
  15. Post traumatic dystrophy of the extremities. J Bone Joint Surg Am 1983;65:642-55.
  16. J Bone Joint Surg Br 1987;69:797-803.
  17. Refl ex sympathetic dystrophy of the knee: causes, diagnosis and treatment. Am J Sports Med 1995;23:655-9.
  18. Reflex sympathetic dystrophy of the knee after sensory nerve injury. Arthroscopy 1988;4:31-5.
  19. Refl ex sympathetic dystrophy of the knee following arthroscopic surgery: successful treatment with neural blockade utilizing local anesthetics. J Pain Symptom Manage 1992; 7:243-5.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.