Complex regional pain syndrome and gestation: case report

Abstract

BACKGROUND AND OBJECTIVES: Complex regional pain syndrome I (CRPSI) is characterized by pain, neurovegetative disorders, sub-motor and vascular function abnormalities in the absence of nervous injury. In this case, drug limitations due to gestation and lactation have made even more difficult the therapeutic management. CASE REPORT: Female patient, 26 years old with CRPS for 5 years. She presented twinge pain and shock on left fingers and forearm, followed by weakness, edema, hair loss, cyanosis and temperature decrease. Pain intensity was from 9 to 10 by the verbal analog scale. Worsening factors were: cold, movements, touch and night period. Additional tests included normal cervical MRI and electroneuromyography. The treatment was multidisciplinary with unsatisfactory results. She was followed during gestation and lactation, with adaptation of drugs, physical therapy, psychotherapy and anesthetic blocks. Currently, pain is controlled. CONCLUSION: Complex regional pain syndrome I treatment, which is very complicated, becomes even more difficult during gestation and lactation to offer analgesia with less risk for mother and fetus.

Keywords

• amamentação
• analgésico
• bloqueio nervoso
• dor
• gestação