Abstract
A chronic pain syndrome, similar to the complex regional pain syndrome (CRPS) described
in human beings, was diagnosed in a cow with persisting severe pelvic limb lameness.
Diagnosis was based on the disproportionate relationship between the severity and
duration of pain and the lesion, the failure of conventional analgesic and surgical
therapy and the presence of characteristic clinical features. Multimodal therapy,
i.e. a mixture of methadone, ketamine and bupivacaine was administered continuously
for 17 days via an extradural catheter to counteract nociceptive hypersensitization.
Doses were adjusted daily after assessing the effect, using a composite pain score.
Physiotherapy was also performed. The diagnosis of CRPS in cattle is unusual. In this
case, treatment was successful and the cow was discharged mildly lame and in improving
physical condition. Long-term extradural analgesia proved to be safe and effective
in the treatment of this syndrome, which was nonresponsive to conventional therapy.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Veterinary Anaesthesia and AnalgesiaAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Quantitative sensory examination of epidural anaesthesia and analgesia in human beings: combination of morphine and bupivacaine.Pain. 1994; 56: 327-337
- Neuropathic pain.Curr Opin Neurol. 2001; 14: 641-647
- Intrathecal morphine and bupivacaine in advanced cancer pain patients implanted at home.J Pain Symptom Manage. 1994; 9: 201-207
- Methadone in the intrathecal treatment of chronic nonmalignant pain resistant to other neuroaxial agents: the first experience.Neuromodulation. 2001; 4: 25-31
- Long-term intrathecal infusion of drug combinations for chronic back and leg pain.J Pain Symptom Manage. 2001; 22: 862-871
- Complex regional pain syndrome I (reflex sympathetic dystrophy).Anesthesiology. 2002; 96: 1254-1260
- Epidural and spinal agents for postoperative analgesia.Surg Clin North Am. 1999; 79: 313-344
- Can we conquer pain.Nat Neurosci Suppl. 2002; 5: 1062-1067
- Histological findings after long-term infusion of intrathecal ketamine for chronic pain: a case report.J Pain Symptom Manage. 1999; 18: 223-228
- Practice guidelines for chronic pain management. A report by the American Society of Anesthesiologists Task Force on Pain Management, Chronic Pain Section.Anesthesiology. 1997; 86: 995-1004
- Neuronal plasticity: increasing the gain in pain.Science. 2000; 288: 1765-1769
Article Info
Publication History
Accepted:
February 8,
2005
Received:
July 10,
2004
Footnotes
Present address: Yves Moens, Department of Small Animals and Horses, Clinic of Anaesthesiology and Perioperative Intensive Care, Veterinärplatz 1, A-1210 Wien, Austria
Identification
Copyright
© 2006 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Inc. All rights reserved.
