Skip to Content


You are viewing the 1st of the 2 courses UPMC Physician Resources permits you to view without registering. To have full access to our FREE courses on our website, please register or log in now.

AR is a 31-year-old male without significant past medical history who sustained a left ankle injury while performing vertical jumps during a workout. He developed left posterior tibial tendinitis that failed conservative treatment. He underwent elective left posterior tibial tendon repair with excision of an accessory bone and was non-weight-bearing for six weeks. Postoperatively, he complained of worsening foot pain that resulted in multiple emergency department visits. A workup included an x-ray of the left foot that demonstrated diffuse osteopenia and demineralization; left lower extremity arterial Doppler that demonstrated patent vessels; and an MRI of the lumbar spine that demonstrated no significant central or foraminal stenosis.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Improve their diagnostic skills for identifying Complex Regional Pain Syndrome
  • Identify different types of motor disorders associated with Complex Regional Pain Syndrome
  • Improve their management in treating patients with Complex Regional Pain Syndrome

Reading Resources:

  1. Price DD, et al. Analysis of Peak Magnitude and Duration of Analgesia Produced by Local Anesthetics Injected Into Sympathetic Ganglia of Complex Regional Pain Syndrome Patients. Clin J Pain. 1998; 14(3): 216?226.
  2. Sherry DD, et al. Short- and Long-term Outcomes of Children With Complex Regional Pain Syndrome Type I Treated With Exercise Therapy. Clin J Pain. 1999; 15(3): 218?223.
  3. Lebel A, Becerra AL, Wallin D, Moulton EA, Morris S, Pendse G, Jasciewicz J, Stein M, Aiello-Lammens M, Grant E, Berde C, Borsook D. fMRI Reveals Distinct CNS Processing During Symptomatic and Recovered Complex Regional Pain Syndrome in Children. Brain. 2008; 131: 1854?1879.


Drs. Ho, Drakeley, and Kandt have reported no relevant relationships with any entities producing health care goods or services

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits?. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 8/21/2017 | Last Modified On: 8/21/2017 | Expires: 8/21/2018

This course has been expired.