title: Multimodal physical therapy management of a 48-year-old female with post-stroke complex regional pain syndrome.
abstract: This case report describes a 48-year-old female who presented with complaints of right shoulder pain, hyperesthesias and swelling of the hand along with added symptoms of pain centralization following a cerebrovascular accident. On clinical evaluation, the patient satisfied the Budapest diagnostic criteria for Complex Regional Pain Syndrome (CRPS) type-1. Physical therapy management (1st three sessions) was initially focused on pain neurophysiology education with an aim to reduce kinesiophobia and reconceptualise her pain perception. The patient had an immediate significant improvement in her pain and functional status. Following this, pain modulation in the form of transcutaneous electrical nerve stimulation, kinesio tape application, "pain exposure" physical therapy and exercise therapy was carried out for a period of 7 weeks. The patient had complete resolution of her symptoms which was maintained at a six-month follow-up.
authors.affiliation: Coventry University, International School of Physiotherapy, Gokula Education Foundation , Bangalore , India and.
authors.forename: Sudarshan
authors.initials: S
authors.lastname: Anandkumar
authors.forename: Murugavel
authors.initials: M
authors.lastname: Manivasagam
mesh_terms: D055052:Athletic Tape; D001696:Biomechanical Phenomena; D003131:Combined Modality Therapy; D005081:Exercise Therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006941:Hyperesthesia / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D059408:Pain Management; D010147:Pain Measurement; D058748:Pain Perception; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities / Q000295:instrumentation; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D020069:Shoulder Pain / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D020521:Stroke / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D000071939:Stroke Rehabilitation; D013997:Time Factors; D004561:Transcutaneous Electric Nerve Stimulation; D016896:Treatment Outcome