PMID- 33761551
OWN - NLM
STAT- MEDLINE
DCOM- 20210326
LR  - 20220401
IS  - 1833-3516 (Print)
IS  - 2209-1491 (Electronic)
IS  - 1833-3516 (Linking)
VI  - 51
IP  - 1
DP  - 2021 Mar 31
TI  - Hyperbaric oxygen treatment in recurrent development of complex regional pain 
      syndrome: A case report.
PG  - 107-110
LID - 10.28920/dhm51.1.107-110 [doi]
AB  - A broad spectrum of conditions including neuropathic pain, complex regional pain 
      syndrome (CRPS) and fibromyalgia, have been implicated as causes of chronic pain. 
      There is a need for new and effective treatments that patients can tolerate 
      without significant adverse effects. One potential intervention is hyperbaric 
      oxygen treatment (HBOT). The case reported here is unique in describing repeated 
      HBOT in a patient who developed recurrent post-traumatic CRPS of the lower as 
      well as the upper limbs. In the first event, two months after distortion and 
      abruption of the external right ankle, the patient suffered leg pain, oedema 
      formation, mild hyperaemia, limited mobility of the ankle and CRPS Type 1. In the 
      second event, the same patient suffered fracture-dislocation of the distal radius 
      1.5 years after the first injury. After the plaster cast was removed the patient 
      developed pain, warmth, colour changes, oedema formation and limited wrist 
      mobility with CRPS Type 1. Pharmacological treatment as well as HBOT were used 
      with significant improvement of functional outcome in both cases. Some studies 
      suggest that patients with a history of CRPS are more likely to develop secondary 
      CRPS compared to the rates reported in the literature among the general 
      population. Patients with a history of CRPS should be counselled that they may be 
      at risk for developing secondary CRPS if they undergo surgery or sustain trauma 
      to another extremity.
CI  - Copyright: This article is the copyright of the authors who grant Diving and 
      Hyperbaric Medicine a non-exclusive licence to publish the article in electronic 
      and other forms.
FAU - Hajek, Michal
AU  - Hajek M
AD  - Centre of Hyperbaric Medicine, Ostrava City Hospital, Ostrava, Czech Republic.
AD  - Department of Biomedical Sciences, Institute of Microbiology and Immunology, 
      Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
AD  - Corresponding author: Dr Michal Hajek, Center of Hyperbaric Medicine, Ostrava 
      City Hospital, Nemocnicni 20, 728 80 Ostrava, Czech Republic, 
      michalhajek@email.cz.
FAU - Chmelar, Dittmar
AU  - Chmelar D
AD  - Department of Biomedical Sciences, Institute of Microbiology and Immunology, 
      Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
AD  - Czech Anaerobic Bacteria Reference Laboratory, Faculty of Medicine, University of 
      Ostrava, Ostrava, Czech Republic.
FAU - Tlapak, Jakub
AU  - Tlapak J
AD  - The Institute of Aviation Medicine, Prague, Czech Republic.
AD  - Department of Military Surgery, Faculty of Military Health Sciences, University 
      of Defence, Hradec Kralove, Czech Republic.
FAU - Novomesky, Frantisek
AU  - Novomesky F
AD  - Department of Forensic Medicine and Medicolegal Expertises, Jessenius Faculty of 
      Medicine, Comenius University, University Hospital, Martin, Slovak Republic.
FAU - Rybarova, Veronika
AU  - Rybarova V
AD  - Department of Forensic Medicine and Medicolegal Expertises, Jessenius Faculty of 
      Medicine, Comenius University, University Hospital, Martin, Slovak Republic.
FAU - Klugar, Miloslav
AU  - Klugar M
AD  - Czech National Centre for Evidence-Based Healthcare and Knowledge Translation 
      (Cochrane Czech Republic, Czech EBHC; JBI Centre of Excellence, Masaryk 
      University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of 
      Medicine, Masaryk University, Brno, Czech Republic.
LA  - eng
PT  - Case Reports
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
RN  - S88TT14065 (Oxygen)
SB  - IM
MH  - *Complex Regional Pain Syndromes/etiology/therapy
MH  - Humans
MH  - *Hyperbaric Oxygenation
MH  - Oxygen
MH  - Pain
MH  - *Reflex Sympathetic Dystrophy/therapy
PMC - PMC8313786
OTO - NOTNLM
OT  - CRPS
OT  - Case reports
OT  - Hyperbaric oxygen therapy
OT  - Pain
OT  - Risk factors
COIS- Conflict of interest and funding: nil
EDAT- 2021/03/25 06:00
MHDA- 2021/03/27 06:00
PMCR- 2022/03/31
CRDT- 2021/03/24 20:25
PHST- 2020/07/01 00:00 [received]
PHST- 2020/10/10 00:00 [accepted]
PHST- 2021/03/24 20:25 [entrez]
PHST- 2021/03/25 06:00 [pubmed]
PHST- 2021/03/27 06:00 [medline]
PHST- 2022/03/31 00:00 [pmc-release]
AID - 10.28920/dhm51.1.107-110 [doi]
PST - ppublish
SO  - Diving Hyperb Med. 2021 Mar 31;51(1):107-110. doi: 10.28920/dhm51.1.107-110.