ANALYSIS OF PATIENT WITH CRPS2A 43-year-old Caucasian male presents at the office with a chief complaint of pain to theright hip that radiates down the right lower extremity(RLE). He reports that the pain startedseven years ago, a result of a fall at work. He reports symptoms of cooling and severe crampingof the RLE, mostly from the knee to the toes. He ambulates with crutches and is optimistic,stating, "I know I can beat this." Pain is currently being managed with hydrocodone, asprescribed by his family doctor. The patient is A&O-x4, coherent, makes good eye contact, andclearly articulates his pain concerns, including previous medical diagnosis.The previous medical diagnosis from the family doctor suggests a psychiatric componentto his chronic pain, but a neurologist diagnosed him with complex regional pain syndrome(CRPS). Diagnostic studies conducted four years-ago include x-rays, CT scans, and MRI, all ofwhich indicate tissue/cartilage damage around the right hip joint. Exacerbation of pain occurredduring today's office visit. Observation of the patient's right leg revealed his leg turning purplefrom the knee down, and his foot cramping as the toes are curled inward, and the foot folding inon itself, lasting approximately two minutes.Complex regional pain disorder is a chronic neuropathic pain typically associated withinjury of an arm or a leg as a result of trauma or surgery. According to McCance and Huether(2019), complex regional pain syndrome I (CRPS-I) (previously termed reflex sympatheticdystrophy syndrome) associated with injury but no apparent nerve injury; and complex regionalpain syndrome-II (CPRS-II) (previously termed causalgia) with evidence of nerve injury. The
