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Multimodal physical therapy management of a 48-year-old female with post-stroke complex regional pain syndrome

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.

Langue : ANGLAIS

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