A Case of Complex Regional Pain Syndrome-like Painful State Associated with Herpes Zoster Infection

Abstract

A 70-year-old male developed complex regional pain syndrome-like painful state of the upper extremity after an attack of varicella zoster involving C4, C5, C6, C7, and C8, on the left. He was successfully treated with oral mexiletine and laser early in the course, but symptoms recurred. A series of left stellate ganglion blocks was helpful in relief of discomfort in the fingers, but wrist pain and edema continued. He needed aggressive physical therapy daily for improvement of his wrist symptoms. Physical therapy seemed to be absolutely necessary in his treatment.