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Case studies are posted regularly and the moderators response follows a few days after a case is posted. Please feel free to post your ideas we may find you have a better answer than the moderator!

Return to list of case studies.
Shiny Stiff Surprise - 3/28/2017
This patient presents to you in the clinic with order to eval and treat for hand pain. She is in extreme pain and unable to move the right hand without great effort. She reports she was bit by a cat on her index finger 6 months prior and has had difficulty using her hand for anything since. She reports that she has trouble sleeping and that even the a/c in her car makes her hand hurt. What might you think is going on with this patient and what treatment interventions will you do?

Moderators Response:
This patient appears to have CRPS. You need to be careful not to exacerbate her symptoms and cause an even greater increase in pain and swelling. You might consider working on the other arm first using mirror therapy. As you progress to the involve are use caution and firm touch vs light touch. Desensitization is also helpful early in ttherapy intervention.
 
Name:
Comment:
 
3/28/2017
Anonymous
Cellulitis
3/28/2017
Anonymous
Cellulitis with hand pain secondary to cat bite, treatment includes the following pain management ( Hot compress/ paraffin wax) retrograde massage, gentle ROM and fine motor activities and with the presence of edema use icing.
3/28/2017
Anonymous
CRPS
3/28/2017
Anonymous
CRPS
3/28/2017
Anonymous
CRPS - initiate protocol
3/28/2017
Anonymous
CRPS
3/28/2017
Anonymous
CRPS
3/28/2017
C. Williams
CRPS. Patient may benefit from kinesio taping, contrast baths,and gentile stress loading.
3/28/2017
C. Williams
CRPS. Patient may benefit from kinesio taping, contrast baths,and gentile stress loading.
3/29/2017
Anonymous
CRPS-1
3/29/2017
Anonymous
CRPS AND CELLULITIS; EDEMA CONTROL, DESENSITIZATION, CRPS PROTOCOL; REQUEST SCRIPT TO TRY MEDROL DOSE PACK TO BREAK THE CYCLE
3/30/2017
Anonymous
CPRS
3/31/2017
Anonymous
CRPS
 
     
   
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