Complex regional pain syndrome
Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy, is a regional, posttraumatic, neuropathic pain problem that most often affects 1 or more limbs. Like most medical conditions, early diagnosis and treatment increase the likelihood of a successful outcome. Accordin...
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| Veröffentlicht in: | Mayo Clinic proceedings 2002-02, Vol.77 (2), p.174-180 |
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| creator | RHO, Richard H BREWER, Randall P LAMER, Tim J WILSON, Peter R |
| description | Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy, is a regional, posttraumatic, neuropathic pain problem that most often affects 1 or more limbs. Like most medical conditions, early diagnosis and treatment increase the likelihood of a successful outcome. Accordingly, patients with clinical signs and symptoms of CRPS after an injury should be referred immediately to a physician with expertise in evaluating and treating this condition. Physical therapy is the cornerstone and first-line treatment for CRPS. Mild cases respond to physical therapy and physical modalities. Mild to moderate cases may require adjuvant analgesics, such as anticonvulsants and/or antidepressants. An opioid should be added to the treatment regimen if these medications do not provide sufficient analgesia to allow the patient to participate in physical therapy. Patients with moderate to severe pain and/or sympathetic dysfunction require regional anesthetic blockade to participate in physical therapy. A small percentage of patients develop refractory, chronic pain and require long-term multidisciplinary treatment, including physical therapy, psychological support, and pain-relieving measures. Pain-relieving measures include medications, sympathetic/somatic blockade, spinal cord stimulation, and spinal analgesia. |
| doi_str_mv | 10.1016/S0025-6196(11)62332-X |
| format | Article |
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Like most medical conditions, early diagnosis and treatment increase the likelihood of a successful outcome. Accordingly, patients with clinical signs and symptoms of CRPS after an injury should be referred immediately to a physician with expertise in evaluating and treating this condition. Physical therapy is the cornerstone and first-line treatment for CRPS. Mild cases respond to physical therapy and physical modalities. Mild to moderate cases may require adjuvant analgesics, such as anticonvulsants and/or antidepressants. An opioid should be added to the treatment regimen if these medications do not provide sufficient analgesia to allow the patient to participate in physical therapy. Patients with moderate to severe pain and/or sympathetic dysfunction require regional anesthetic blockade to participate in physical therapy. A small percentage of patients develop refractory, chronic pain and require long-term multidisciplinary treatment, including physical therapy, psychological support, and pain-relieving measures. Pain-relieving measures include medications, sympathetic/somatic blockade, spinal cord stimulation, and spinal analgesia.</description><identifier>ISSN: 0025-6196</identifier><identifier>EISSN: 1942-5546</identifier><identifier>DOI: 10.1016/S0025-6196(11)62332-X</identifier><identifier>PMID: 11838651</identifier><identifier>CODEN: MACPAJ</identifier><language>eng</language><publisher>Rochester, MN: Mayo Medical Ventures</publisher><subject>Acetates - therapeutic use ; Algorithms ; Amines ; Anesthesia, Conduction - methods ; Anesthetics, Local - therapeutic use ; Anti-Inflammatory Agents - therapeutic use ; Antidepressive Agents - therapeutic use ; Autonomic Nerve Block - methods ; Biological and medical sciences ; Complex Regional Pain Syndromes - classification ; Complex Regional Pain Syndromes - diagnosis ; Complex Regional Pain Syndromes - etiology ; Complex Regional Pain Syndromes - therapy ; Cyclohexanecarboxylic Acids ; Decision Trees ; Electromyography ; gamma-Aminobutyric Acid ; Humans ; Medical sciences ; Nervous system involvement in other diseases. Miscellaneous ; Neurology ; Patient Care Team ; Patient Selection ; Physical Therapy Modalities ; Referral and Consultation ; Thermography ; Treatment Outcome</subject><ispartof>Mayo Clinic proceedings, 2002-02, Vol.77 (2), p.174-180</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright Mayo Foundation for Medical Education and Research Feb 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c341t-6b1cfff28619b5bab1360cea74b29fe837793146d18ffe30c89d7854bf1f67933</citedby><cites>FETCH-LOGICAL-c341t-6b1cfff28619b5bab1360cea74b29fe837793146d18ffe30c89d7854bf1f67933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13470338$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11838651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RHO, Richard H</creatorcontrib><creatorcontrib>BREWER, Randall P</creatorcontrib><creatorcontrib>LAMER, Tim J</creatorcontrib><creatorcontrib>WILSON, Peter R</creatorcontrib><title>Complex regional pain syndrome</title><title>Mayo Clinic proceedings</title><addtitle>Mayo Clin Proc</addtitle><description>Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy, is a regional, posttraumatic, neuropathic pain problem that most often affects 1 or more limbs. Like most medical conditions, early diagnosis and treatment increase the likelihood of a successful outcome. Accordingly, patients with clinical signs and symptoms of CRPS after an injury should be referred immediately to a physician with expertise in evaluating and treating this condition. Physical therapy is the cornerstone and first-line treatment for CRPS. Mild cases respond to physical therapy and physical modalities. Mild to moderate cases may require adjuvant analgesics, such as anticonvulsants and/or antidepressants. An opioid should be added to the treatment regimen if these medications do not provide sufficient analgesia to allow the patient to participate in physical therapy. Patients with moderate to severe pain and/or sympathetic dysfunction require regional anesthetic blockade to participate in physical therapy. A small percentage of patients develop refractory, chronic pain and require long-term multidisciplinary treatment, including physical therapy, psychological support, and pain-relieving measures. Pain-relieving measures include medications, sympathetic/somatic blockade, spinal cord stimulation, and spinal analgesia.</description><subject>Acetates - therapeutic use</subject><subject>Algorithms</subject><subject>Amines</subject><subject>Anesthesia, Conduction - methods</subject><subject>Anesthetics, Local - therapeutic use</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Autonomic Nerve Block - methods</subject><subject>Biological and medical sciences</subject><subject>Complex Regional Pain Syndromes - classification</subject><subject>Complex Regional Pain Syndromes - diagnosis</subject><subject>Complex Regional Pain Syndromes - etiology</subject><subject>Complex Regional Pain Syndromes - therapy</subject><subject>Cyclohexanecarboxylic Acids</subject><subject>Decision Trees</subject><subject>Electromyography</subject><subject>gamma-Aminobutyric Acid</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Nervous system involvement in other diseases. Miscellaneous</subject><subject>Neurology</subject><subject>Patient Care Team</subject><subject>Patient Selection</subject><subject>Physical Therapy Modalities</subject><subject>Referral and Consultation</subject><subject>Thermography</subject><subject>Treatment Outcome</subject><issn>0025-6196</issn><issn>1942-5546</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkMtKAzEUhoMoWquPYCmCoovRnNxnKcUbFFyo0F3IZBKZMjeTDti3d9oOFlydxfn-_xw-hC4A3wEGcf-OMeGJgFTcANwKQilJFgdoBCkjCedMHKLRH3KCTmNcYoxlmrJjdAKgqBIcRmgya6q2dD_T4L6KpjbltDVFPY3rOg9N5c7QkTdldOfDHKPPp8eP2Usyf3t-nT3ME0sZrBKRgfXeE9Ufy3hmMqACW2cky0jqnaJSphSYyEF57yi2Ks2l4izz4EW_omN0vettQ_PdubjSVRGtK0tTu6aLWgLjQlDRg5f_wGXThf7vqAkIJYikmza-g2xoYgzO6zYUlQlrDVhv7OmtPb1RowH01p5e9LnJUN5llcv3qUFXD1wNgInWlD6Y2hZxz1EmMaWK_gJ8ZHVW</recordid><startdate>20020201</startdate><enddate>20020201</enddate><creator>RHO, Richard H</creator><creator>BREWER, Randall P</creator><creator>LAMER, Tim J</creator><creator>WILSON, Peter R</creator><general>Mayo Medical Ventures</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4U-</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20020201</creationdate><title>Complex regional pain syndrome</title><author>RHO, Richard H ; BREWER, Randall P ; LAMER, Tim J ; WILSON, Peter R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-6b1cfff28619b5bab1360cea74b29fe837793146d18ffe30c89d7854bf1f67933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Acetates - therapeutic use</topic><topic>Algorithms</topic><topic>Amines</topic><topic>Anesthesia, Conduction - methods</topic><topic>Anesthetics, Local - therapeutic use</topic><topic>Anti-Inflammatory Agents - therapeutic use</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Autonomic Nerve Block - methods</topic><topic>Biological and medical sciences</topic><topic>Complex Regional Pain Syndromes - classification</topic><topic>Complex Regional Pain Syndromes - diagnosis</topic><topic>Complex Regional Pain Syndromes - etiology</topic><topic>Complex Regional Pain Syndromes - therapy</topic><topic>Cyclohexanecarboxylic Acids</topic><topic>Decision Trees</topic><topic>Electromyography</topic><topic>gamma-Aminobutyric Acid</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Nervous system involvement in other diseases. Miscellaneous</topic><topic>Neurology</topic><topic>Patient Care Team</topic><topic>Patient Selection</topic><topic>Physical Therapy Modalities</topic><topic>Referral and Consultation</topic><topic>Thermography</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RHO, Richard H</creatorcontrib><creatorcontrib>BREWER, Randall P</creatorcontrib><creatorcontrib>LAMER, Tim J</creatorcontrib><creatorcontrib>WILSON, Peter R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Mayo Clinic proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RHO, Richard H</au><au>BREWER, Randall P</au><au>LAMER, Tim J</au><au>WILSON, Peter R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complex regional pain syndrome</atitle><jtitle>Mayo Clinic proceedings</jtitle><addtitle>Mayo Clin Proc</addtitle><date>2002-02-01</date><risdate>2002</risdate><volume>77</volume><issue>2</issue><spage>174</spage><epage>180</epage><pages>174-180</pages><issn>0025-6196</issn><eissn>1942-5546</eissn><coden>MACPAJ</coden><abstract>Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy, is a regional, posttraumatic, neuropathic pain problem that most often affects 1 or more limbs. Like most medical conditions, early diagnosis and treatment increase the likelihood of a successful outcome. Accordingly, patients with clinical signs and symptoms of CRPS after an injury should be referred immediately to a physician with expertise in evaluating and treating this condition. Physical therapy is the cornerstone and first-line treatment for CRPS. Mild cases respond to physical therapy and physical modalities. Mild to moderate cases may require adjuvant analgesics, such as anticonvulsants and/or antidepressants. An opioid should be added to the treatment regimen if these medications do not provide sufficient analgesia to allow the patient to participate in physical therapy. Patients with moderate to severe pain and/or sympathetic dysfunction require regional anesthetic blockade to participate in physical therapy. A small percentage of patients develop refractory, chronic pain and require long-term multidisciplinary treatment, including physical therapy, psychological support, and pain-relieving measures. Pain-relieving measures include medications, sympathetic/somatic blockade, spinal cord stimulation, and spinal analgesia.</abstract><cop>Rochester, MN</cop><pub>Mayo Medical Ventures</pub><pmid>11838651</pmid><doi>10.1016/S0025-6196(11)62332-X</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acetates - therapeutic use Algorithms Amines Anesthesia, Conduction - methods Anesthetics, Local - therapeutic use Anti-Inflammatory Agents - therapeutic use Antidepressive Agents - therapeutic use Autonomic Nerve Block - methods Biological and medical sciences Complex Regional Pain Syndromes - classification Complex Regional Pain Syndromes - diagnosis Complex Regional Pain Syndromes - etiology Complex Regional Pain Syndromes - therapy Cyclohexanecarboxylic Acids Decision Trees Electromyography gamma-Aminobutyric Acid Humans Medical sciences Nervous system involvement in other diseases. Miscellaneous Neurology Patient Care Team Patient Selection Physical Therapy Modalities Referral and Consultation Thermography Treatment Outcome |
| title | Complex regional pain syndrome |
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