Welcome to the Online Physio Forum.
Results 1 to 2 of 2
  1. #1
    Forum Member Array
    Join Date
    Apr 2016
    Country
    Flag of United Kingdom
    Current Location
    France
    Member Type
    Physiotherapist
    View Full Profile
    Posts
    2
    Thanks given to others
    1
    Thanked 0 Times in 0 Posts
    Rep Power
    0

    CRPS in 8yo post ankle sprain

    Taping
    Hello, I am a physiotherapist working in the french countryside with a patient list similar to an outpatient setting so I see a lot of backs, knees and shoulders etc!

    I have recently taken on an 8yo girl who 2 months ago sprained her ankle (no swelling or bruising after) and has developed an algodystrophy in her ankle and foot.

    She is non-WB, mobilising with 2xEC and has been since the accident. Diagnosis of cold stage algodysptrophy by Scintigraphie (is it the same word in english?!). There is slight sswelling of the foot and ankle and can have discolouration but no abnormal sweating or hair growth.

    Assessment of pain is quite tricky to get an accurate idea, but sole of the foot and toes are extremely painful to light touch/tissue(10!) with heel/ankle and top of foot slightly less painful. She does tolerate wearing a sock and has been wearing a medial/lateral splint since the sprain. She is able to tolerate tepid water baths and apparently has been to the swimming pool with the injury.

    ROM is pretty poor but again difficult to accurately assess due to pain on touch. Minimal AROM in IP jt of big toe and some PROM DF/PF at the ankle, some reflex movement in toes and ankle when stroked across sole of foot.

    I have very little experience with CRPS let alone in children so if anybody has any bright ideas or treatment options I would be extremely grateful!

    Similar Threads:

  2. #2
    Forum Member Array
    Join Date
    Feb 2015
    Country
    Flag of Canada
    Current Location
    Regina
    Member Type
    Dr or General Practitioner (GP)
    View Full Profile
    Posts
    38
    Thanks given to others
    0
    Thanked 4 Times in 4 Posts
    Rep Power
    23

    Re: CRPS in 8yo post ankle sprain

    Must have Kinesiology Taping DVD
    Kineari,
    There's a recent free summary of treatments for CRPS in children here:
    Weissmann R, Uziel Y. Pediatric complex regional pain syndrome: a review. Pediatric Rheumatology Online Journal. 2016;14:29. doi:10.1186/s12969-016-0090-8.
    Pediatric complex regional pain syndrome: a review

    However, physio by itself apparently works well and a recent program just used home based physio:
    Iowa Orthop J. 2015; 35: 175–180.Outcomes of a Simple Treatment for Complex Regional Pain Syndrome Type I in Children. Frederick R. Dietz, MD and Stephen P. Compton, MD
    http://www.ncbi.nlm.nih.gov/pmc/arti...J_2015_175.pdf

    Their instructions included take home plan:
    Treatment Plan for Reflex Sympathetic Dystrophy
    1) Massage 3-5 times/day
    2 minutes firmly
    1 minute lightly
    2 minutes firmly
    2) Focus on the body part that is causing you pain and talk to it while massaging.
    3) Always keep it moving, never let it be still.
    4) Use it! Walk, run, jump and play as soon as possible.
    **Remember, it will hurt worse at first but it will get better!
    ---
    It is important to take vitamin C in CRPS:
    Vitamin C Strikes Again – ?Prevents Post Surgical Wrist Complex Regional Pain and Obviously Post Foot/Ankle Surgery CRPS
    Vitamin C Strikes Again – ?Prevents Post Surgical Wrist Complex Regional Pain and Obviously Post Foot/Ankle Surgery CRPS | Pain Medical MusingSoaks in Dimethylsulfoxide (DMSO) 50% (diluted horse linament) could help:
    Pain. 2003 Apr;102(3):297-307. The treatment of complex regional pain syndrome type I with free radical scavengers: a randomized controlled study. Perez RS1, Zuurmond WW, Bezemer PD, Kuik DJ, van Loenen AC, de Lange JJ, Zuidhof AJ.
    The treatment of complex regional pain syndrome type I with free radical scavengers: a randomized controlled study. - PubMed - NCBI

    Good luck
    Mikem MD
    painmuse.org


  3. The Following User Says Thank You to mmwr715 For This Useful Post:

    CRPS in 8yo post ankle sprain

    Kineari (17-05-2016)


 

Tags for this Thread

Back to top