• Wien. Klin. Wochenschr. · Jan 2024

    Intramuscular botulinum toxin-A in complex regional pain syndrome resistant to standard treatment: a case report.

    • Yasemin Tombak, Ozgur Zeliha Karaahmet, and Ece Unlu Akyuz.
    • Physical Medicine and Rehabilitation, Ankara Etlik City Hospital, Ankara, Turkey. yasemintombak@hotmail.com.
    • Wien. Klin. Wochenschr. 2024 Jan 19.

    ObjectiveTo present a patient with complex regional pain syndrome type 1 (CRPS-I) and improvement of contracture of hand muscles and grip strength after successful treatment with botulinum neurotoxin‑A (BoNT-A).CaseA 53-year-old woman with CRPS‑I experienced severe allodynia, swelling and autonomic changes in the left hand after a distal radius fracture. Over the succeeding months, she developed contracture of the left hand muscles which was treated with injection of BoNT‑A into the hand muscles (10 points).ResultsIn the patient treatment with BoNT‑A an improvement was seen in the hand range of motion (ROM) and grip strength.ConclusionSuccessful results can be obtained with BoNT‑A injection in treatment-resistant CRPS‑I cases which may develop joint contracture.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.

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