Ultrasound-Guided Peripheral Nerve Pulsed Radiofrequency Combined With Platelet-Rich Plasma Injection for Complex Regional Pain Syndrome:Report of One Case

Qing YUAN, Jin WANG, Yi ZHANG, Xulei CUI

Acta Academiae Medicinae Sinicae ›› 2026, Vol. 48 ›› Issue (4) : 767-770.

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Acta Academiae Medicinae Sinicae

Abbreviation (ISO4): Acta Academiae Medicinae Sinicae      Editor in chief: Xuetao CAO

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Acta Academiae Medicinae Sinicae ›› 2026, Vol. 48 ›› Issue (4) : 767-770. DOI: 10.3881/j.issn.1000-503X.17212
Case Reports

Ultrasound-Guided Peripheral Nerve Pulsed Radiofrequency Combined With Platelet-Rich Plasma Injection for Complex Regional Pain Syndrome:Report of One Case

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Abstract

Complex regional pain syndrome is a refractory disease characterized by complex pathogenesis,severe chronic pain,and autonomic nervous system dysfunction.This article reports a 26-year-old female patient who presented with severe,electric shock-like pain and hyperalgesia in the first toes of both feet following an ankle sprain.In addition,her symptoms included localized redness,swelling,burning sensation,and hyperhidrosis.She was clinically diagnosed with complex regional pain syndrome.After oral pharmacotherapy for neuropathic pain proved ineffective,she was treated with ultrasound-guided pulsed radiofrequency of the medial plantar nerve combined with platelet-rich plasma injection.Postoperative follow-up showed progressive symptom alleviation.One month after the procedure,the pain score decreased to 0,and autonomic symptoms such as local redness,swelling,and abnormal sweating were completely resolved.No recurrence was observed during the six-month postoperative follow-up period.

Key words

pulsed radiofrequency / platelet-rich plasma / complex regional pain syndrome

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Qing YUAN , Jin WANG , Yi ZHANG , et al. Ultrasound-Guided Peripheral Nerve Pulsed Radiofrequency Combined With Platelet-Rich Plasma Injection for Complex Regional Pain Syndrome:Report of One Case[J]. Acta Academiae Medicinae Sinicae. 2026, 48(4): 767-770 https://doi.org/10.3881/j.issn.1000-503X.17212

References

[1]
Melf-Marzi A, Böhringer B, Wiehle M, et al. Modern principles of diagnosis and treatment in complex regional pain syndrome[J]. Dtsch Arztebl Int, 2022, 119(51-52):879-886. DOI:10.3238/arztebl.m2022.0358.
[2]
Ferraro MC, O’Connell NE, Sommer C, et al. Complex regional pain syndrome:advances in epidemiology,pathophysiology,diagnosis,and treatment[J]. Lancet Neurol, 2024, 23(5):522-533.DOI:10.1016/S1474-4422(24)00076-0.
[3]
Abd-Elsayed A, Stark CW, Topoluk N, et al. A brief review of complex regional pain syndrome and current management[J]. Ann Med, 2024, 56(1):2334398.DOI:10.1080/07853890.2024.2334398.
[4]
Le Corroller T, Santiago E, Deniel A, et al. Anatomical study of the medial plantar proper digital nerve using ultrasound[J]. Eur Radiol, 2019, 29(1):40-45.DOI:10.1007/s00330-018-5536-6.
[5]
Shim H, Rose J, Halle S, et al. Complex regional pain syndrome:a narrative review for the practising clinician[J]. Br J Anaesth, 2019, 123(2):e424-e433.DOI:10.1016/j.bja.2019.03.030.
[6]
Devarajan J, Mena S, Cheng J. Mechanisms of complex regional pain syndrome[J]. Front Pain Res (Lausanne), 2024, 5:1385889.DOI:10.3389/fpain.2024.1385889.
[7]
Hoikkanen T, Nissen M, Ikäheimo TM, et al. Long-term outcome of spinal cord stimulation in complex regional pain syndrome[J]. Neurosurgery, 2021, 89(4):597-609.DOI:10.1093/neuros/nyab239.
[8]
Sam J, Catapano M, Sahni S, et al. Pulsed radiofrequency in interventional pain management:cellular and molecular mechanisms of action - an update and review[J]. Pain Physician, 2021, 24(8):525-532.
[9]
Eldufani J, Elahmer N, Blaise G. A medical mystery of complex regional pain syndrome[J]. Heliyon, 2020, 6(2):e03329. DOI:10.1016/j.heliyon.2020.e03329.
[10]
Burke CJ, Sanchez J, Walter WR, et al. Ultrasound-guided therapeutic injection and cryoablation of the medial plantar proper digital nerve (Joplin’s nerve):sonographic findings,technique,and clinical outcomes[J]. Acad Radiol, 2020, 27(4):518-527.DOI:10.1016/j.acra.2019.05.014.
[11]
Everts P, Onishi K, Jayaram P, et al. Platelet-rich plasma:new performance understandings and therapeutic considerations in 2020[J]. Int J Mol Sci, 2020, 21(20):7794.DOI:10.3390/ijms21207794.
[12]
Michno A, Kirkor Z, Gojtowska E, et al. Pulsed radiofrequency neuromodulation contributes to activation of platelet-rich plasma in in vitro conditions[J]. Neuromodulation, 2021, 24(8):1451-1457.DOI:10.1111/ner.13105.
[13]
Elsamadicy AA, Yang S, Sergesketter AR, et al. Prevalence and cost analysis of complex regional pain syndrome (CRPS):a role for neuromodulation[J]. Neuromodulation, 2018, 21(5):423-430.DOI:10.1111/ner.12691.

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