Amputation for Complex Regional Pain Syndrome Type 1

Background: Complex regional pain syndrome (CRPS) is a chronic condition involving severe pain that can be resistant to many treatment modalities.Therapeutic amputation of the affected limb is unusual and controversial.Case Report: A 33-year-old female with a 4-year history of CRPS associated with intractable foot and calf pain underwent elective transtibial amputation after conservative treatments failed.The patient's outcomes were favorable: resolution of pain and improved mobility sustained at 18 months postoperatively.Conclusion: Amputation may be a viable last resort treatment option for selected patients with CRPS who are unresponsive to conventional treatments.

Authors

Publication Details

Journal
Ochsner Journal
Published
2026-06-24
DOI
https://doi.org/10.31486/toj.25.0107
Primary Topic
Pain Management and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Amputation for Complex Regional Pain Syndrome Type 1

Siang Naik, Kathy Stiller, Kimberley Teo
Ochsner Journal
Pain Management and Treatment
article

Amputation for Complex Regional Pain Syndrome Type 1

Siang Naik, Kathy Stiller, Kimberley Teo
article en

Abstract

Background: Complex regional pain syndrome (CRPS) is a chronic condition involving severe pain that can be resistant to many treatment modalities.Therapeutic amputation of the affected limb is unusual and controversial.Case Report: A 33-year-old female with a 4-year history of CRPS associated with intractable foot and calf pain underwent elective transtibial amputation after conservative treatments failed.The patient's outcomes were favorable: resolution of pain and improved mobility sustained at 18 months postoperatively.Conclusion: Amputation may be a viable last resort treatment option for selected patients with CRPS who are unresponsive to conventional treatments.

Ochsner Journal
Good health and well-being
Openalex Percentile: Top 6%
Pain Management and Treatment
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Amputation for Complex Regional Pain Syndrome Type 1 — Siang Naik, Kathy Stiller, et al. · Ochsner Journal (2026) | TGRS Research Map | TGRS