Improved symptoms of complex regional pain syndrome after novel lymphatic treatment and interdisciplinary pain management. (February 2022)

• Record Type: Journal Article
• Authors: Zafereo, Jason; Jones, Stephanie; Jarrett, Robin B.; Frost, Samantha; Noe, Carl
• Is Part Of: Complementary therapies in clinical practice. Volume 46(2022)
• Publication Date: 2022-02
• Subjects: Autonomic nervous system -- Complex regional pain syndrome -- Type i -- Electrotherapy -- Lymphatic system -- Rehabilitation; Integrative medicine -- Periodicals; Integrative medicine -- Research -- Periodicals; Alternative medicine -- Periodicals; 615.5
• DOI: 10.1016/j.ctcp.2021.101512
• Languages: English
• ISSNs: 1744-3881

Abstract

Abstract: Introduction: Complex regional pain syndrome (CRPS) is a pain syndrome with no singular mechanism and no specific cure. The aim of this case report is to study the impact of Lymphatic Enhancement Technology (LET) treatment on CRPS-related symptoms. Methods: A 51 year-old female presented with a chief complaint of severe, refractory ankle pain and CRPS related to a tibial and fibular fracture sustained three years earlier. The patient completed twelve cognitive behavioral therapy sessions over a 4-week period, and eleven physical therapy sessions over a four-month period, six of which utilized LET. Results: Pain and swelling were largely unchanged with interdisciplinary treatment before the introduction of LET. A within-session change of 37.5% in pain intensity and 87.5% in ankle girth was observed immediately after the first application of LET. Three months after beginning LET treatment, the patient maintained a 43.8% improvement in pain intensity and 100% improvement in measurements of lower extremity girth and ankle range of motion. No side effects or adverse events were associated with the LET treatment. Conclusion: Swelling, pain, and mobility loss are common symptoms and features of CRPS. LET is a novel, non-invasive treatment that appears to be quite safe and effective for improving pain, swelling, and mobility loss related to CRPS. Highlights: Complex Regional Pain Syndrome (CRPS) is a multifaceted disorder involving the lymphatic and autonomic nervous systems. Common features of CRPS include severe pain and functional loss with unique vasomotor, sudomotor, and trophic changes. Lymphatic Enhancement Technology (LET) is a novel, electrotherapeutic modality anecdotally reported to improve lymphedema. This case report suggests that LET may improve pain, swelling, and mobility loss in patients with refractory CRPS.