Chronic regional pain syndrome after subtalar arthrodesis is not prevented by early hyperbaric oxygen. | Canada Hyperbarics Skip to main content
Clinical Study Pain physician 2009

Chronic regional pain syndrome after subtalar arthrodesis is not prevented by early hyperbaric oxygen.

Williams ST, Davies A, Bryson P — Pain physician, 2009

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers documented the case of a 48-year-old diabetic patient who developed chronic regional pain syndrome (CRPS) Type 1 despite receiving early hyperbaric oxygen (HBO) therapy after subtalar arthrodesis and infection.

What They Found

The patient received 19 hyperbaric oxygen sessions at 2.2 ATA following subtalar arthrodesis and infection. Despite wound healing by 7 weeks, hyperesthesia persisted, and a CT scan at 5.5 months confirmed satisfactory joint fusion but also symptoms consistent with chronic regional pain syndrome Type 1. This suggests early HBO therapy did not prevent CRPS development.

What This Means for Canadian Patients

Canadian patients undergoing surgery and receiving hyperbaric oxygen therapy for wound healing should still be closely monitored for the development of chronic regional pain syndrome. This case suggests that early HBO therapy may not offer protection against CRPS onset.

Canadian Relevance

This study has no direct Canadian connection.

Study Limitations

The primary limitation of this study is that it is a single case report, which limits the generalizability of its findings.

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Study Details

Study Type Clinical Study
Category Wound Care
Source Pubmed
PubMed ID 19787019
Year Published 2009
Journal Pain physician
MeSH Terms Arthrodesis; Complex Regional Pain Syndromes; Diabetes Complications; Foot; Humans; Hyperbaric Oxygenation; Hyperesthesia; Joint Instability; Male; Middle Aged; Postoperative Pain; Subtalar Joint; Surgical Wound Infection; Tomography, X-Ray Computed; Treatment Failure

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.