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BackgroundComplex regional pain syndrome [CRPS] has been reported and studied in adults. However, it is a less acknowledged disorder in children and adolescents. The presentation and response to treatment differs in children and adolescents than in adults.FindingsWe present a rare case of CRPS in an adolescent having bilateral lower limb involvement along with its physiotherapy management.ConclusionThis case report gives an insight about early diagnosis, treatment in the form of aggressive physiotherapy, and improvement that can be achieved in an adolescent CRPS case.

Objectives: The trigger points [TrPs] of the myofascial pain syndromes [MPS] and the tender points [TePs] of fibromyalgia syndrome [FS] are essential to the diagnosis of these chronic musculoskeletal pain syndromes. However, the relationship between these two syndromes, if any, remains unclear. This study was intended to determine the incidence of trigger points in painful muscles of patients with either fibromyalgia syndrome or a regional pain syndrome [RPS]. In addition specific assessment of all the predesignated tender point sites was performed in order to further assess the relationship between these two clinical signs which characterize FS and MPS respectively. Methods: Sixty well characterized patients with FS, sixty with RPS and sixty control subjects were assessed for the presence of the clinical features of TrPs in all painful muscles and all tender point areas. Results: At least one trigger point was found in forty-one [68.3%] FS patients, thirty-four [56.6%] RPS patients, and twelve controls [...