Intramuscular botulinum toxin-A in complex regional pain syndrome resistant to standard treatment: a case report
Wiener Klinische Wochenschrift, cilt.136, sa.13-14, ss.419-422, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 136 Sayı: 13-14
- Basım Tarihi: 2024
- Doi Numarası: 10.1007/s00508-023-02317-x
- Dergi Adı: Wiener Klinische Wochenschrift
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.419-422
- Anahtar Kelimeler: Complex regional pain syndrome, Refractor pain, Range of motion, Rehabilitation, Joint contracture
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To present a patient with complex regional pain syndrome type 1 (CRPS-I) and improvement of contracture of hand muscles and grip strength after successful treatment with botulinum neurotoxin‑A (BoNT-A). Case: A 53-year-old woman with CRPS‑I experienced severe allodynia, swelling and autonomic changes in the left hand after a distal radius fracture. Over the succeeding months, she developed contracture of the left hand muscles which was treated with injection of BoNT‑A into the hand muscles (10 points). Results: In the patient treatment with BoNT‑A an improvement was seen in the hand range of motion (ROM) and grip strength. Conclusion: Successful results can be obtained with BoNT‑A injection in treatment-resistant CRPS‑I cases which may develop joint contracture.