Complex regional pain syndrome (type I) after electrical injury: A case report of treatment with continuous epidural block


      Kim C-T, Bryant P. Complex regional pain syndrome (type I) after electrical injury: a case report of treatment with continuous epidural block. Arch Phys Med Rehabil 2001;82:993-5. A 26-year-old man presented with severe complex regional pain syndrome type I of the affected limb after a work-related electrical injury. He suffered causalgia-like pain with no electrodiagnostic evidence of nerve injury. Early steroid and analgesic regimens did not adequately relieve these symptoms. His symptoms were temporarily relieved several times with stellate ganglion blocks. The patient underwent a cervical epidural block with a local anesthetic as well as a narcotic agonist over a 4-day period, which resulted in prompt, remarkable pain relief. Vocational rehabilitation was instituted as the pain subsided. © 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Amadio PC
        • Makinnon SE
        • Merrit WH
        • Brody GS
        • Terzis JK
        Reflex sympathetic dystrophy syndrome: consensus report of an ad hoc committee of the American Association for Hand Surgery on the definition of reflex sympathetic dystrophy syndrome.
        Plast Reconstr Surg. 1991; 87: 371-375
        • Blumberg H
        • Griesser HJ
        • Hornyak M
        Neurologic aspects of clinical manifestations, pathophysiology, and therapy of reflex sympathetic dystrophy (causalgia, Sudeck's disease)] [German.
        Nervenartz. 1991; 62: 205-211
        • Bacz GB
        • Browne T
        • Lewis R
        Peripheral stimulator implant for treatment of causalgia caused by electrical burns.
        Tex Med. 1988; 84: 4549
        • Brechner V
        Reflex sympathetic dystrophy.
        in: Innovations in pain management, a practical guide for clinicians. Vol 1. PM Deutsch, Orlando (FL)1990: 14-1-14-9 (American Academy of Pain Management)
        • Hooshmand H
        Chronic pain: reflex sympathetic dystrophy prevention and management.
        CRC, Boca Raton (FL)1993
        • Roberts WJ
        Hypothesis on the physiological basis for causalgia and related pain.
        Pain. 1986; 24: 297-311
        • Bennett GJ
        The role of the sympathetic nervous system in painful peripheral neuropathy.
        Pain. 1991; 45: 221-223
        • Grube BJ
        • Heimbach DM
        • Engrav LH
        • Copass MK
        Neurologic consequences of electrical burns.
        J Trauma. 1990; 30: 254-258
        • Butler ED
        • Gant TD
        Electrical injuries, with special reference to the upper extremities.
        Am J Surg. 1977; 134: 95-99
        • Cohen JA
        Autonomic nervous system disorders and reflex sympathetic dystrophy in lightning and electrical injuries.
        Semin Neurol. 1995; 15: 387-390
        • Demun EM
        • Redd JL
        • Buchanan KA
        • Brennan TJ
        • Rowlingson JC
        • Himel HN
        • et al.
        Reflex sympathetic dystrophy after a minor electrical shock.
        J Emerg Med. 1993; 11: 393-396
        • Muller A
        • Farcot JM
        Sympathetic nervous system, pain and epidural administration of morphine.
        Agressologie. 1991; 32: 283-286
        • Finsterbuch A
        • Frankl U
        • Mann G
        • Lowe J
        Reflex sympathetic dystrophy of the patellofemoral joint.
        Orthop Rev. 1991; 20: 877-885
        • Hussman J
        • Kucan JO
        • Russell RC
        • Bradley T
        • Zamboni WA
        Electrical injuries: morbidity, outcome, and treatment rationale.
        Burns. 1995; 21: 530-535