Complex Regional Pain Syndromes
Conditions
Keywords
CPRS, stellate ganglion block, pregabalin, pain, Type I
Brief summary
The purpose of this study is to assess the efficacy of pregabalin in patients with complex regional pain syndrome Type I and to determine whether it provides clinically significant pain relief and whether it improves functioning of the upper limb.
Interventions
Dose of 150mg/day divided in two doses. Increased to 300mg/day then to 600mg/day, always divided in two doses for the day.
Sugar pill
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients diagnosed with CRPS Type I as per the IASP (International Association for the Study of Pain) criteria which states presence of an initiating noxious event, or cause for immobilization * Evidence at some point of swelling, color change, hot/cold/sweaty sensation and no other condition which can account for the pain and dysfunction of the upper limb * Men or women between ages 18-65 year old * Women should not be pregnant or breast feeding * No change in treatment for 4 weeks prior to recruitment * Pain scores of 4/10 on a verbal analogue scale
Exclusion criteria
* Patients with a neurologic disorder unrelated to CRPS * Patients who are already on pregabalin * Patients with renal impairment whose creatinine clearance is less than 60 ml/min * Patients with congestive heart failure who are also diabetic and taking thiazolidinedione medication like rivoglitazone * Unstable psychiatric history * Patients with another problem with equal or worse pain * Unstable medical condition
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain relief assessed by an observer blinded to group allocation with daily pain scores and assessed weekly. | Three months |
Secondary
| Measure | Time frame |
|---|---|
| Functional disability assessed by an observer blinded to group allocation. Patient rated wrist and hand evaluation form. | Three months |
Countries
Canada
Contacts
Hamilton Health Sciences Corporation