Published in:
Open Access
01-12-2013 | Case report
Complex regional pain syndrome of the knee – a case report
Authors:
Munmun Pandita, Umer Arfath
Published in:
BMC Sports Science, Medicine and Rehabilitation
|
Issue 1/2013
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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.