DOI QR코드

DOI QR Code

하지 피부색의 변화를 동반한 골절 후 발생 복합부위 통증 증후군(CRPS) 치험 1례

A Case Report of a Patient with Complex Regional Pain Syndrome accompanied with Changes in the Color of the Lower Limbs after a Fracture

  • 김경준 (가천대학교 한의과대학 안이비인후피부과)
  • Kyung-Jun Kim (Dept. of Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Gachon University)
  • 투고 : 2024.04.08
  • 심사 : 2024.05.02
  • 발행 : 2024.05.25

초록

Objectives : To report the R/O CRPS patient after Korean medicine treatment, suffering severe buring pain and insomnia. Methods : The patient was a 56-year-old female patient and treated with herbal medicines and acupuncture in 32 days. The treatment effect was evaluated by measuring VNRS of pain, sleeping time and change in mood status. Results : The Korean Medical therapy had good effect on the patient. Especially, relaxing mental treatment is effective in improving and maintaining symptoms. Conclusions : The Korean medical treatments appeared to be effective in reducing R/O CRPS symptoms. Further clinical research of patients with CRPS is needed.

키워드

참고문헌

  1. Merskey H, Bagdug N. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. 2nd ed. Seattle:IASP Press. 1994:40-4.
  2. Stanton Hicks M, Jang W, Hassen JD, Boas R, Wilson P. Reflex sympathetic dystrophy: changing concepts and taxonomy. Pain. 1995;63(1):127-33. https://doi.org/10.1016/0304-3959(95)00110-E
  3. Birlein F. Complex regional pain syndrome. J Neurol. 2005;252:131-8. https://doi.org/10.1007/s00415-005-0737-8
  4. Wasner G, Schattschneider J, Binder A, Baron R. Complex regional pain syndrome-diagnostic, mechanisms, CNS involvement and therapy. Spinal Cord. 2003;41(2):61-75. https://doi.org/10.1038/sj.sc.3101404
  5. Baron R, Janig W. Complex regional pain syndrome-how do we escape the diagnostic trap?. Lancet. 2004;364(9447):1739-41. https://doi.org/10.1016/S0140-6736(04)17416-3
  6. De Mos M. The incidence of complex regional pain syndrome : a population-based study. Pain. 2007;129(1-2):12-20. https://doi.org/10.1016/j.pain.2006.09.008
  7. Kim YS. Complex regional pain syndrome treated with Bee-venom herbal acupuncture : A case report. Journal of Acupuncture Research. 2006;23(2):191-5.
  8. Cho HW, Shin BC, Hwang ZH, Sul JU. Moxibustion Therapy for the Pain Relief in Patient with Type I CRPS : A case report. J Oriental Rehab Med. 2011;21(3):79-87.
  9. Jeong HJ, Jung SY, Yim JM, Ahn SY, Hwang WD. A case report of a patient with R/O CRPS with Korean medical treatment. The J of Internal Korean Medicine. 2013:218-24.
  10. Department of Meridian and Acupoint., College of Korean Medicine. Meridianology Chart. Seoul:Jungmunkag. 2008:81,2,104,116,128,134,160,167.
  11. Shin SS, Kim TS, Yang IS. A case of CRPS treated with Implantable Port system. J Korean Pain soc. 1997;10(2):274-7.
  12. Pertolidi S, Di benedetto P. Shoulder-hand syndrome after stroke. A complex regional pain syndrome. Eura medicophys. 2005;41(4):283-92.
  13. Feldman F. Thermography of the hand and wrist: practical applications. Hand Clin. 1991;7(1):99-112. https://doi.org/10.1016/S0749-0712(21)01313-5
  14. Rommed O, Malin JP, Zenz M, Janig W. Quantitive sensory testing, neurophysiological and psychological examination in patients with complex regional pain syndrome and hemisensory deficits. Pain. 2001;93(3):279-93. https://doi.org/10.1016/S0304-3959(01)00332-3