Complex regional pain syndrome (CPRS) is a chronic
heterogeneous disease with sympathetic neuropathic and
inflammatory characteristics, highly disabling, that makes its
diagnostic coding and optimal therapeutic approach difficult.
Then we present the diagnostic and therapeutic approach in a
Colombian retrospective descriptive cohort study.
Results: 63 clinical records were reviewed, in a period between
January 2016 and December 2018 at Instituto Colombiano del
Dolor (Incodol) in Medellin, Colombia. Demographic data is
presented in table 1. Mean follow-up in years was 2 (1-6 years)
The mean pain intensity score at diagnostic time was 8,4. Only 7
patients (11%) receive bisphosphonates. The most frequent
opioid was hydrocodone (52,4%) mean dose 17,5 mg/dia (10-35
mg/dia). 51 patients receive pregabalin and 8 patients
gabapentin.
Interventional pain management favors sympathetic plexus block
over other nerve blocks. 6 patients completed spinal cord
stimulation trial with a significant clinical improvement.
Conclusion: The diagnostic and management of patients with
CPRS are challenging and requieres a multidisciplinary
approach.

COMPLEX REGIONAL PAIN SYNDROME: A COLOMBIAN EXPERIENCE