title: 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.
abstract: 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.
authors.affiliation: Department of Anesthesiology, Naval Medical Center San Diego, San Diego, California 92134-1005, USA. mhverdolin@nmcsd.med.navy.mil
authors.forename: Michael H
authors.initials: MH
authors.lastname: Verdolin
authors.forename: Eric T
authors.initials: ET
authors.lastname: Stedje-Larsen
authors.forename: Anita H
authors.initials: AH
authors.lastname: Hickey
mesh_terms: D000328:Adult; D020918:Complex Regional Pain Syndromes / Q000503:physiopathology / Q000628:therapy*; D004599:Electric Stimulation Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D012189:Retrospective Studies; D013116:Spinal Cord / Q000502:physiology; D014481:United States; D014857:Warfare