Online ISSN: 2149-3189
2015
Monthly
Nicaea Medical Publishing
Türkiye

Foot-ankle involvement of complex regional pain syndrome associated with pregnancy

Rabia Aydoğan Baykara, Göksel Tuzcu, Pınar Karabacak, Adem Küçük
DOI
https://doi.org/10.18621/eurj.384891
Abstract
Complex regional pain syndrome (CRPS) is a condition which develops after a painful incident and characterized by allodynia/hyperalgesia, edema, skin anomalies and anomaly in blood flow and abnormal sudomotor activities independent of the precipitating incident. It is a rare condition in pregnancy and difficult to distinguish from pelvis and lower extremity pains which are inherent in pregnancy. Hips are typically involved, symmetrical involvement of feet and ankles are rarely reported; has a benign course however it is important to diagnose and treat due to fracture risk. Herein, we have presented a 28-year-old patient who came to us in week 32 of her pregnancy and gave birth in week 36 and diagnosed CRPS with bilateral involvement of foot and ankle. 
Keywords
Pregnancy, complex regional pain syndrome, symmetrical foot-ankle involvement
References

[1] Baron R, Schattschneider J, Binder A, Siebrecht D, Wasner G. Relation between sympathetic vasoconstrictor activity and pain and hyperalgesia in complex regional pain syndromes: a case-control study. Lancet 2002;359:1655-60.

[2] Gorodkin R, Herrick AL. Complex regional pain syndrome (reflex sympathetic dystrophy). In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 5th ed., Philadelphia: Mosby Elsevier: 2011:797-804.

[3] Wilsey B, Teicheira D, Caneris OA, Fishman SM. A review of sympathetically maintained pain syndromes in the cancer pain population: the spectrum of ambiguous entities of RSD, CRPS, SMP and other pain states related to the sympathetic nervous system. Pain Pract 2001;1:307-23.

[4] Tunç H, Dülgeroğlu Erdoğdu D, Çulha C, Özel S. [Complex Regional Pain Syndrome of the Foot-Ankle in Pregnancy: A Case Report]. Türk Fiz Tıp Rehab Derg 2011;57:51-3. [Article in Turkish]

[5] Curtis PH Jr, Kincaid WE. Transitory demineralization of the hip in pregnancy: a report of three cases. J Bone Joint Surg Am 1959;41-A:1327-33.

[6] Lequesne M. Transient osteoporosis of the hip. A nontraumatic variety of Südeck's atrophy. Ann Rheum Dis 1968;27:463-71.

[7] Merskey H, Bogduk N, eds. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. 2nd ed. Seattle: Wash; IASP Press, 1994.

[8] Poncelet C, Perdu M, Levy-Weil F, Philippe HJ, Nisand I. Reflex sympathetic dystrophy in pregnancy: nine cases and a review of the literature. Eur J Obstet Gynecol Reprod Biol 1999;86:55-63.

[9] Brocq O, Simon E, Bongain A, Gillet JY, Euller-Ziegler L. [Femoral neck fracture complicating algodystrophy in pregnancy]. Presse Med 1999;28:1165-6. [Article in French]

[10] Veldman PH, Reynen HM, Arnzt IE, Goris RJ. Sign and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients. Lancet 1993;342:1012-6.

[11] Acquaviva P, Schiano A, Harnden P, Cros D, Serratrice G. [Algodystrophy: predisposition and pathogenic factors. Results of a multicentric survey concerning 765 cases]. Rev Rhum Mal Osteoartic 1982;49:761-6. [Article in French]

[12] Karakoç M, Altındağ Ö, Soran N. Reflex sympathetic dystrophy syndrome of the ankle in pregnancy. Rheumatism 2007;22:76-9.

[13] Wurnig C, Kotz R. [Algodystrophy in pregnancy]. Z Orthop Ihre Grenzgeb 1991;129:146-50. [Article in German]

[14] Ofluoğlu D, Akyüz G. [Complex Regional Pain Syndrome Type 1: General Clinical Approach]. Türk Fiz Tıp Rehab Derg 2007;54:112-5. [Article in Turkish]

[15] Stanton-Hicks M, Baron R, Boas R, Gordh T, Harden N, Hendler N, et al. Complex regional pain syndromes: guidelines for therapy. Clin J Pain 1998;14:155-66.

[16] Ghai B, Dureja GP. Complex regional pain syndrome: a review. J Postgrad Med 2004;50:300-7.

[17] Siminoski K, Fitzgerald AA, Flesch G, Gross MS. Intravenous pamidronate for treatment of reflex sympathetic dystrophy during breast feeding. J Bone Miner Res 2000;15:2052-5.

There are 17 references in total.
How to Cite
1.
Aydoğan Baykara R, Tuzcu G, Karabacak P, Küçük A. Foot-ankle involvement of complex regional pain syndrome associated with pregnancy. Eur Res J. 2019;5(2):428-432. doi:10.18621/eurj.384891
License
Creative Commons License

Copyright (c) 2019 The European Research Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

View Vol. 5 No. 2 (2019)

Vol. 5 No. 2 (2019)

Article Information

  • Article Type Case Report
  • Submitted February 21, 2026
  • Published March 3, 2019
  • Issue Vol. 5 No. 2 (2019)
  • Section Case Report
  • File Downloads 2310
  • Abstract Views 290
  • Altmetrics
  • Share
Download data is not yet available.