The Treatment of Chronic Complex Regional Pain Syndrome with Novel Neuromodulatory Sound Waves: A Case Report
Abstract
:1. Introduction
2. Case Presentation
2.1. Physical Examination and Diagnosis
2.2. Treatment Plan
2.3. Outcomes
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Tx | Shoulder/Pelvis | LLD | Coordination | ROM | Tender Spots |
---|---|---|---|---|---|
1 Wk1-T | S-Rt 1.5/P-Rt 2 | Rt 0.5 | Upper Lt 4 Rt 3 | Lt mild | 29 red |
Lower Lt 4 Rt 3 | Rt mild | 11 yellow | |||
2 Wk1-W | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 1 red |
Lower Lt 5 Rt 5 | Rt normal | 7 yellow | |||
3 Wk1-Th | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 8 yellow | |||
4 Wk1-F | S-Rt 1/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt mild | 5 red |
Lower Lt 5 Rt 5 | Rt normal | 8 yellow | |||
5 Wk2-Su | S-Rt 1/P-neutral | Rt 0.5 | Upper Lt 5 Rt 5 | Lt normal | 2 red |
Lower Lt 5 Rt 5 | Rt normal | 3 yellow | |||
6 Wk2-Th | S-Neutral/P-neutral | Rt 0.25 | Upper Lt 4 Rt 3 | Lt mild | 12 red |
Lower Lt 4 Rt 3 | Rt mild | 0 yellow | |||
7 Wk2-F | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow | |||
8 Wk2-Sa | S-Rt 1/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow | |||
9 Wk3-W | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow | |||
10 Wk3-Th | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 5 red |
Lower Lt 5 Rt 5 | Rt normal | 2 yellow | |||
11 Wk3-F | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow | |||
12 Wk4-F | S-Rt 2/P-Rt 2 | Rt 0.25 | Upper Lt 3 Rt 3 | Lt normal | 0 red |
Lower Lt 3 Rt 3 | Rt normal | 0 yellow | |||
13 Wk5-M | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 4 yellow | |||
14 Wk5-T | S-Rt 2/P-Rt 1 | Rt 0.25 | Upper Lt 5 Rt 5 | Lt normal | 2 red |
Lower Lt 5 Rt 3 | Rt normal | 5 yellow | |||
15 Wk5-W | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 1 red |
Lower Lt 5 Rt 5 | Rt normal | 3 yellow | |||
16 Wk5-Th | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow | |||
17 Wk5-F | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow | |||
18 Wk7-M | S-Rt 0.5/P-Rt 1 | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow | |||
19 Wk8-T | S-Rt 1/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow | |||
20 Wk8-W | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 0 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow | |||
21 Wk8-F | S-Neutral/P-neutral | neutral | Upper Lt 5 Rt 5 | Lt normal | 1 red |
Lower Lt 5 Rt 5 | Rt normal | 0 yellow |
Leg | Hip | Knee | Ankle | Shoulder | Arm | Elbow | Wrist | Low Back | |
---|---|---|---|---|---|---|---|---|---|
Before treatment began | 10.0 | 4.25 | 8.25 | 8.25 | 4.75 | 4.75 | 3.75 | 5.5 | 7.5 |
Before 3rd treatment | 4.75 | 3.25 | 5.75 | 3.25 | 2.0 | 1.75 | 5.5 | 2.5 | 2.5 |
Before 8th treatment | 2.75 | 0.25 | 2.75 | 1.5 | 1.5 | 1.5 | 0.5 | 0.5 | 0.5 |
Percent reduction | 72.5 | 94.1 | 66.7 | 81.8 | 68.4 | 68.4 | 86.7 | 90.9 | 93.3 |
Pain at 6-month follow-up ** | 5.0 | 5.0 | 6.0 | 3.0 | 1.0 |
Treatment | Skull | Cervical | Lumbar | Sacrum/Iliac | Other |
---|---|---|---|---|---|
1 Wk1-T | Lft C1 80 | ||||
2 Wk1-W | Cz40 | ||||
3 Wk1-Th | L5 † 60 | Rt S1 60 | |||
4 Wk1-F | Lft C1 80 | ||||
5 Wk2-Su | Lft C1 80 | ||||
6 Wk2-Th | Cz 40 | ||||
7 Wk2-F | Cz 40 | ||||
8 Wk2-Sa | Epigastrium 40 | ||||
9 Wk3-W | Cz 40 | ||||
10 Wk3-Th | Lft C1 80 | ||||
11 Wk3-F | Cz 40 | L5 † 60 | |||
12 Wk4-F | Lft C1 80 | ||||
13 Wk5-M | Cz 40 | Lft C1 80 | |||
14 Wk5-T | Cz 40 | Lft C1 80 | S1 † 60 | Abdomen RLQ 40 | |
15 Wk5-W | Cz 40 | Lft C1 80 | |||
16 Wk5-Th | S3 † 60 | ||||
17 Wk5-F | Rt S4 60 | ||||
18 Wk7-M | Lft C1 80 | ||||
19 Wk8-T | Cz 40 | Rt knee lateral 80 | |||
20 Wk8-W | Cz 40 | ||||
21 Wk8-F | Cz 40 |
Symptom | Past Experience | Present at 6-Month Follow-Up |
---|---|---|
Burning pain | 4 | 2 |
Increased skin sensitivity to touch | 4 | 3 |
Changes in skin temperature: warmer or cooler compared to the opposite extremity | 4 | 1 |
Changes in skin color: often blotchy, purple, pale, or red | 4 | 2 |
Changes in skin texture: shiny and thin, sometimes excessively sweaty | 4 | 4 |
Changes in nail and hair growth patterns | 4 | 4 |
Swelling and stiffness in affected joints | 4 | 3 |
Motor disability, with decreased ability to move affected body parts | 4 | 4 |
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Bartel, L.; Dyback, P.; Khan, A. The Treatment of Chronic Complex Regional Pain Syndrome with Novel Neuromodulatory Sound Waves: A Case Report. Healthcare 2024, 12, 1640. https://doi.org/10.3390/healthcare12161640
Bartel L, Dyback P, Khan A. The Treatment of Chronic Complex Regional Pain Syndrome with Novel Neuromodulatory Sound Waves: A Case Report. Healthcare. 2024; 12(16):1640. https://doi.org/10.3390/healthcare12161640
Chicago/Turabian StyleBartel, Lee, Peter Dyback, and Aslam Khan. 2024. "The Treatment of Chronic Complex Regional Pain Syndrome with Novel Neuromodulatory Sound Waves: A Case Report" Healthcare 12, no. 16: 1640. https://doi.org/10.3390/healthcare12161640