The "Kick-Off" Position: A New Sign For Early Diagnosis Of RSD/CRPS In The Leg

July 27, 2011 | Posted in , | 13

Accidents resulting in even mild trauma can cause unanticipated adverse reactions to patients due to the unique physical composition of each person.

A retrospective review was conducted of 39 consecutive patients with CRPS type I or II seen in a foot and ankle clinic with this diagnosis based on those clinical findings. Complex regional pain syndrome (CRPS) is a clinical entity that develops after a precipitating injury and involves dysfunction of the sensory, autonomic, and motor systems, which is frequently missed initially. This report described a simple clinical sign that can aid in diagnosing RSD/CRPS.

Twenty-six patients had type I and 13 patients had type II  CRPS with the most common nerve involved in type II being the superficial peroneal nerve. Each patient, while sitting on the exam table, held the affected extremity with the knee extended against gravity. When the leg was pushed back to a relaxed and suspended position, the patient eventually involuntarily resumed the extended position. This position in which the patients held their legs was termed the “kick-off” position sign. Nine patients were seen at the foot and ankle clinic within 6 weeks of the initial inciting event and had an established “kick-off” position sign within 3 months from the time of injury. Upon the disappearance of the “kick-off” position sign the patient began experiencing pain.

Patients with CRPS have variable clinical presentations, so the awareness of this simple observation in the right clinical setting should raise the index of suspicion of CRPS in the differential diagnosis. Allowing for early treatment of this syndrome, which is associated with better outcome long term for the patient.

About Belt Law Firm, P.C.

Belt Law Firm, P.C., is an Alabama law firm with extensive national experience in representing RSD/CRPS afflicted persons and handling RSD/CRPS cases with a focus on regional litigation in Alabama, Tennessee, Georgia, Florida, Arkansas, Mississippi, Texas, New Mexico, Colorado and Delaware. To learn more, call the firm toll-free at 205-933-1500 or use its online form.


  • says:

    July 4, 2013 at 3:16 pm

    I am really enjoying the theme/design of your weblog. Do you ever run into any internet browser compatibility problems?

    A small number of my blog audience have complained about
    my website not operating correctly in Explorer but looks great in Opera.

    Do you have any tips to help fix this problem?

  • seoquake not working says:

    June 13, 2012 at 4:56 am

    Wonderful beat ! I would like to apprentice at the same time as you amend your website, how can i subscribe for a blog web site? The account helped me a applicable deal. I had been a little bit acquainted of this your broadcast offered bright clear concept

  • buick company review says:

    May 6, 2012 at 12:59 am

    Great goods from you, man. I’ve understand your stuff previous to and you are just extremely great. I actually like what you’ve acquired here, certainly like what you’re saying and the way in which you say it. You make it entertaining and you still take care of to keep it sensible. I can not wait to read far more from you. This is actually a great web site.

  • junior graduation dresses says:

    April 7, 2012 at 9:29 pm

    Thank you for the auspicious writeup. It if truth be told used to be a enjoyment account it. Look advanced to far brought agreeable from you! By the way, how can we keep in touch?

  • Rachel Bilson Interview says:

    March 29, 2012 at 11:17 am

    It’s the best time to make some plans for the future and it is time to be happy. I have read this post and if I could I desire to suggest you few interesting things or tips. Maybe you could write next articles referring to this article. I wish to read even more things about it!

  • Vince Nanka says:

    February 9, 2012 at 3:38 am

    Have you ever thought about writing an ebook or guest authoring on other websites? I have a blog based on the same topics you discuss and would love to have you share some stories/information. I know my audience would appreciate your work. If you are even remotely interested, feel free to shoot me an e mail.

  • Isadora Halk says:

    February 8, 2012 at 11:57 pm

    Great site, determined a couple of something completely! Subscribed RSS for later, wish to see more updates exactly like it.

  • colon cleanse health plus says:

    January 29, 2012 at 11:35 am

    My friend encouraged I would this way internet site. They has been totally proper. This kind of submit really produced my personal morning. Anyone cann’t envision what amount period I needed invested because of this info! Thank you!

  • Morton Chaiken says:

    January 12, 2012 at 12:27 am

    Interesting blog! Is your theme custom made or did you download it from somewhere? A theme like yours with a few simple tweeks would really make my blog jump out. Please let me know where you got your design. Kudos

  • horoscopo del amor says:

    December 18, 2011 at 5:33 pm

    I wish to show appreciation to you just for rescuing me from this matter. Right after looking out throughout the world wide web and getting principles that were not powerful, I was thinking my entire life was done. Being alive minus the solutions to the problems you’ve solved by means of your site is a serious case, and the ones which might have badly damaged my career if I hadn’t discovered your web blog. The training and kindness in dealing with every part was very helpful. I’m not sure what I would’ve done if I hadn’t come upon such a step like this. I can also at this time look ahead to my future. Thanks a lot so much for your expert and results-oriented guide. I will not think twice to refer your blog post to anyone who wants and needs assistance about this subject.

  • Inell Owston says:

    November 14, 2011 at 10:54 pm

    This is a interesting post by the way. I am going to go ahead and bookmark this article for my sister to read later on tomorrow. Keep up the excellent work.

  • Andrew Smith says:

    September 5, 2011 at 6:21 pm

    Extraordinarily challenging many thanks, I do think your current followers could perhaps want significantly more blog posts like this maintain the excellent content.

  • Chronic Pain Management Fort Lauderdale says:

    August 4, 2011 at 3:46 am

    I’ve recently started my own unique journey into stopping pain. Your blog not only shows that a person who is commited to getting rid of pain can do it, but they can also do it this way. I also practice Chronic Pain Management In Fort Lauderdale.I appreciate all the hard work put into this blog and I will check back periodically.

Leave a Reply

Your email address will not be published. Required fields are marked *

About Belt Law Firm

We work as a team to bring results.


The personal injury attorneys at Belt Law Firm have successfully represented RSD/CRPS clients in Alabama, Florida, Georgia, and Tennessee. These cases involved injuries from automobile accidents (shoulder injury, ankle fracture), product malfunctions (hand crush, wrist fracture), slip and falls (knee contusion, wrist fracture), poorly performed blood draws (antecubital pain), and crush injuries (ankle, Achilles tendon).

Among the settlements we have achieved in RSD/CRPS cases are: $2,500,000 for a (AL) slip and fall case involving a woman who developed RSD after suffering a broken wrist, $1,300,000 for a (FL) case where a woman developed RSD after an improperly performed blood draw, and $800,000 for a (TN) woman who developed RSD after suffering a bruised knee due to a slip and fall in a grocery store. ...Read More

Contact Us Today

Required field *