PMID- 26752490
OWN - NLM
STAT- MEDLINE
DCOM- 20160830
LR  - 20220408
IS  - 2150-1149 (Electronic)
IS  - 1533-3159 (Linking)
VI  - 19
IP  - 1
DP  - 2016 Jan
TI  - Complex Regional Pain Syndrome-Type 1 Presenting as deQuervain's Stenosing 
      Tenosynovitis.
PG  - E227-34
AB  - AIM: To report the presentation of complex regional pain syndrome-1 (CRPS-1) as 
      deQuervain's stenosing tenosynovitis (DQST). CASE REPORT: A 24-year-old woman 
      presented with 3-year history of clinical diagnostic criteria (CDC) of CRPS-1. 
      Conservative and surgical treatment for this as DQST had failed to relieve her. 
      We diagnosed the problem as CRPS-1with CDC as inflammatory manifestations of a 
      mechanical tendinoses of all her 5 digital tendons caused by movement of the 
      fingers and hand tethered by agonist (flexor)/ antagonist (extensor) muscles in 
      co-contraction. Ultrasound guided dry needling (USGDN) relaxed the muscles, 
      replacing the abnormal agonist/antagonist co-contraction with normal 
      agonist/antagonist coordination. Resolution of tendinoses reversed the 
      inflammation causing the CDC. Six months later she leads normal personal and 
      professional life, with reduction of scores of painDetect (from 21 to 5), Patient 
      Health Questionnaire (from 13 to 4), Disability of arm, shoulder and hand from 
      70.8 to 25 and reversal of muscle abnormality characteristic of CRPS-1 on 
      Musculoskeletal Ultrasonography (MSKUSG). CONCLUSION: We believe the primary 
      pathology of CRPS-1 to be co-contraction of agonist (flexor)/antagonist(extensor) 
      muscles of digits resulting in tendinoses akin to DQST. CDC of CRPS are actually 
      inflammatory manifestations of tendinoses amenable to reversal by USGDN which 
      also addresses the disability, a hallmark of CRPS.
FAU - Vas, Lakshmi
AU  - Vas L
AD  - Ashirvad Institute for Pain Management and Research, Mumbai, India.
FAU - Pai, Renuka
AU  - Pai R
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Pain Physician
JT  - Pain physician
JID - 100954394
SB  - IM
MH  - Complex Regional Pain Syndromes/*diagnosis/therapy
MH  - De Quervain Disease/*diagnosis/therapy
MH  - Diagnosis, Differential
MH  - Female
MH  - Hand
MH  - Humans
MH  - Young Adult
EDAT- 2016/01/12 06:00
MHDA- 2016/08/31 06:00
CRDT- 2016/01/12 06:00
PHST- 2016/01/12 06:00 [entrez]
PHST- 2016/01/12 06:00 [pubmed]
PHST- 2016/08/31 06:00 [medline]
PST - ppublish
SO  - Pain Physician. 2016 Jan;19(1):E227-34.