An 8-year-old girl who has a left ankle sprain.
CRPS of the ankle and left foot is diagnosed and remits completely within a couple of weeks with medical treatment.
Two months later, without any previous trauma, the patient developed ankle and right foot pain, which was also diagnosed with CRPS.
He was referred to the Pain Unit by the Pediatric Traumatology Service two months after diagnosis.
Pregabalin plus tramadol was started, plus capsaicin 8 % patch application due to severe allodynia, without adequate pain relief or other accompanying symptoms.
Therefore, it was decided to remove (after paterno consent) the implantation, in the operating room and under general anesthesia, of a lumbar epidural catheter and its connection to an external pump for the administration of continuous infusion of bupivacaine for two weeks.
Complete remission of symptoms that continues
