Abstract
A 39-year-old man sustained a distal tibio-fibular fracture while vacationing in Mexico. The patient was taken emergently to the nearby hospital where he underwent an open reduction internal fixation of his left tibia and fibula. The surgery was uneventful, and the patient was released 5 days later. After returning home, he saw an orthopedic surgeon for follow-up. The surgical site was found to be well-healed, and the patient was referred to physical therapy for mobility and strengthening exercises of his left lower extremity. Letter to the EditorThe Journal of PainVol. 9Issue 1PreviewI read with interest the case study by Mogilevsky et al1 discussing complex regional pain syndrome (CRPS). Jänig and Baron support the hypothesis that CRPS is primarily a disease of the central nervous system. They correctly point out that “in CRPS patients with sympathetically maintained pain, a few temporary blocks (and sometimes only 1 block) of the sympathetic supply to the affected extremity may lead to long-lasting (even permanent) pain relief as well as resolution of the other changes present in CRPS.” Full-Text PDF
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