Complex regional pain syndrome. A current review

被引:0
作者
Maihoefner, C. [1 ]
机构
[1] Klinikum Furth, Neurol Klin, D-90766 Furth, Germany
来源
SCHMERZ | 2014年 / 28卷 / 03期
关键词
Neuropathic pain; Cortical reorganization; Multimodal treatment; Physical therapy modalities; Glucocorticoids; REFLEX SYMPATHETIC DYSTROPHY; SPINAL-CORD STIMULATION; GRADED MOTOR IMAGERY; SYNDROME TYPE-I; SYNDROME TYPE-1; CORTICAL REORGANIZATION; MECHANICAL HYPERALGESIA; BONE-SCINTIGRAPHY; NERVE-STIMULATION; PHYSICAL-THERAPY;
D O I
10.1007/s00482-014-1421-7
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Complex regional pain syndrome (CRPS) may develop following fractures, limb trauma, or lesions of the peripheral or central nervous system. The clinical picture consists of a triad of symptoms including autonomic, sensory, and motor dysfunction. Diagnosis is based on clinical signs and symptoms according to the Budapest criteria. Therapy is based on an individual and multidisciplinary approach. Distinct methods of physical therapy and pharmacological strategies are the mainstay of therapy. Pharmacotherapy is based on individual symptoms and includes steroids, free radical scavengers, treatment of neuropathic pain, and agents interfering with bone metabolism. In some cases invasive methods may be considered.
引用
收藏
页码:319 / 338
页数:20
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