Complex Regional Pain Syndrome (CRPS) and the Value of Early Detection

被引:7
作者
Harnik, Michael Alexander [1 ]
Kesselring, Pascal [1 ]
Ott, Alexander [2 ]
Urman, Richard D. [3 ]
Luedi, Markus M. [1 ,2 ]
机构
[1] Univ Bern, Bern Univ Hosp, Dept Anaesthesiol & Pain Med, Inselspital, Bern, Switzerland
[2] Cantonal Hosp St Gallen, Dept Anaesthesiol & Pain Med, St Gallen, Switzerland
[3] Ohio State Univ, Coll Med, Dept Anaesthesiol, Columbus, OH 43210 USA
关键词
CRPS; Treatment; Diagnosis; Recognition; Prevention; Awareness; SYNDROME TYPE-I; REFLEX SYMPATHETIC DYSTROPHY; SPINAL-CORD STIMULATION; RANDOMIZED CONTROLLED-TRIAL; ADJUVANT PHYSICAL-THERAPY; PERIOPERATIVE VITAMIN-C; DOUBLE-BLIND; DELAYED DIAGNOSIS; SYNDROME TYPE-1; WRIST FRACTURE;
D O I
10.1007/s11916-023-01124-3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of ReviewThe goal of this narrative review is to describe the current understanding of the pathology of Complex Regional Pain Syndrome (CRPS), as well as diagnostic standards and therapeutic options. We will then make the case for early recognition and management.Recent FindingsCRPS remains an enigmatic pain syndrome, comprising several subtypes. Recent recommendations clarify diagnostic ambiguities and emphasize the importance of standardized assessment and therapy.Awareness of CRPS should be raised to promote prevention, early detection, and rapid escalation of therapy in refractory cases. Comorbidities and health costs (i.e., the socioeconomic impact) must also be addressed early to prevent negative consequences for patients.
引用
收藏
页码:417 / 427
页数:11
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