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Anesth Analg 2007;104:1557-1560
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000264087.93163.bf

PAIN MEDICINE

Ten Consecutive Cases of Complex Regional Pain Syndrome of Less than 12 Months Duration in Active Duty United States Military Personnel Treated with Spinal Cord Stimulation

Michael H. Verdolin, MD, LCDR, USN, MC, Eric T. Stedje-Larsen, MD, LCDR, USN, MC, and Anita H. Hickey, MD, CAPT, USN

From the Department of Anesthesiology, Naval Medical Center San Diego, San Diego, California.

Address correspondence and reprint requests to Michael H. Verdolin, MD, LCDR, USN, MC, Clinical Investigation Department (KCA), Naval Medical Center San Diego, 34800 Bob Wilson Drive, Ste. 5, San Diego, CA 92134-1005. Address e-mail to mhverdolin{at}nmcsd.med.navy.mil.

Complex regional pain syndrome describes a constellation of symptoms that may involve the sympathetic nervous system. Emerging consensus recommends early intervention with spinal cord stimulation to facilitate physical therapy. Isolated case reports suggest this may be an effective treatment. Ten consecutive active duty United States military personnel with newly diagnosed complex regional pain syndrome underwent early intervention with spinal cord stimulation with favorable results, including decreased pain scores and decreased opioid intake. Six received injuries directly as a result of service in Iraq or Afghanistan. These patients also had posttraumatic stress disorder, but it did not interfere with successful pain control. Additionally, 6 of 10 patients continued on active duty.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2007 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.