Physical management in algodystrophy syndrome

Abstract

Aim: Complex regional pain syndrome (CRPS) is characterised by chronic pain, swelling, and vasomotor dysfunction. The disorder often gradually leads to muscle dystrophy, bone defects, and decreased limb function. The etiology of this condition has not been fully established. Aim. To analyse the physical therapy in CRPS patients treated at the Division of Physical Medicine of the Department of Rehabilitation in 2012-2022. Materials and Methods: The study involved a group of 58 patients after distal epiphyseal fractures of the forearm and crus. Testing concerned the following: hand or foot skin temperature, hand grip strength, pain intensity, bone radiographs, and psychosomatic profile according to Zung’s scale. Physical therapy included whirlpool massage, lidocaine and calcium iontophoresis, variable low frequency magnetic fields, and kinesiotherapy. Results: After 6-week treatment, we achieved full clinical improvement in 82% of the patients and partial improvement in 18% (these were patients in whom the treatment was introduced at an advanced stage of the disorder). Conclusions: 1. Complex regional pain syndrome is a difficult clinical problem. 2. Early diagnosis and introduction of focused physical therapy allow for full restoration of limb function.