Society for Pediatric Pain Medicine
Better Care for Children in Pain

The Society for Pediatric Pain Medicine (SPPM) aims to advance the quality of anesthesia care and the alleviation of pain-related conditions in children.

Society for Pediatric
Pain Medicine

Better Care for Children in Pain

Member Menu

  • Member Login
  • Forgot Password?
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
  • Home
  • About
    • Vision Statement
    • Board of Directors
    • Committees
      • Advocacy Committee
      • Communications Committee
      • Education Committee
      • Finance & Membership Committee
      • Research Committee
    • Special Interests Groups (SIGs)
      • Special Interest Group: Creating, Maintaining, and Supporting New Inpatient Pediatric Pain Services
      • Interdisciplinary Chronic Pain Treatment (ICPT) SIG
    • SPPM Bylaws
    • FAQs
    • Contact
  • Meetings
    • Upcoming Meetings
    • Past Meetings
    • Other Meetings
    • Exhibitor Information
  • Education
    • Questions of the Month
    • SPPM Visual Pearls
    • Case Reports
    • Books for Clinicians
  • Membership
    • Member Benefits
    • Membership Classifications
    • New Member Spotlight
    • Renew Your Dues
    • Join Now
  • Resources
    • Latest News
    • Newsletters
    • COVID-19 Resources
    • Publications
    • Job Postings
    • Links of Interest
  • Patients & Families
    • Useful Links
    • Books for Patients and Families
    • Mobile Apps
    • FAQs
  • Trainees
    • Pediatric Chronic Pain Fellowship Programs
    • Pediatric Acute Pain/Regional Anesthesia Fellowship Programs

Question of the Month – October 2018

This question was submitted by Deepa Kattail and Anjana Kundu. If you would like to submit a future question, please send it to Franklin Chiao at [email protected].

A previously healthy 16 year old, 60 kg female with a diagnosis of CRPS type I after a right ankle sprain while skiing 6 months ago presents to your pain clinic. Although the edema, purplish discoloration and cold foot and ankle seen 1-2 weeks after the injury have subsided, allodynia and intense pain of the entire right lower extremity persist. She is unable to bear weight on that leg and has been wheelchair bound at this point. All imaging studies were normal after the initial injury. Despite regular physical therapy and compliance with her oral medication regimen (gabapentin, amitriptyline, acetaminophen, ibuprofen and hydromorphone as needed) she continues to have severe excruciating pain interfering with school attendance, sleep, ambulation and is limiting progress with PT. An assessment by the pediatric pain psychologist did not reveal any major mental health concerns except some reactive depression. A lumbar sympathetic block performed during earlier phase, failed to provide any analgesia despite obvious signs of sympathetic blockade. She and her family are desperate to get some pain relief, want help with being able to participate in PT more aggressively and seek other options for pain control.

Which option, supported by current guidelines, would be most appropriate at this time?

clock.png

Time's up

Upcoming Meeting Information

SPPM 11th Annual Meeting
April 11, 2024
Anaheim Marriott
Anaheim, CA

 

Join SPPM
Renew
Donate
Get Involved
Upcoming
Job Postings
Return to top of page
2209 Dickens Road, Richmond, VA 23230 • 804-282-9780 • [email protected]
Copyright © 2023 Society for Pediatric Pain Medicine | View Privacy Policy