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Little consensus exists, concerning cause, diagnose and treatment about Complex Regional Pain Syndrome type 1 (CRPS-1), which is also known as post traumatic dystrophy or reflex sympathetic dystrophy syndrome, a chronic pain condition. In an attempt to go out of the current concept of “with pain no gain” in which the pain limits are not overloaded, a new treatment approach was applied on a patient at Heliomare Rehabilitation Centre (Wijk aan Zee, The Netherlands). One of the manual therapist tackled movement restricted joints with mobilizations and manipulations to restore the Range of Motion (ROM). Once that was achieved active exercise took place focusing on gait patterns. After three months of treatment the patient no longer presented complaints and reached full recovery. Even though this new approach has reached good results, this was just a case study. High quality Randomized Controlled trials involving larger sample sizes and a more scientific methodology are essential before definitive conclusions can be drawn about the benefit of this therapy technique over traditional approaches or no treatment.
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