Complex regional pain syndrome in adultsreview
Аннотация: Complex regional pain syndrome (CRPS) is a highly painful, limb-confined condition, which arises usually after trauma. It is associated with a particularly poor quality of life, and large health-care and societal costs. The causes of CRPS remain unknown. The condition's distinct combination of abnormalities includes limb-confined inflammation and tissue hypoxia, sympathetic dysregulation, small fibre damage, serum autoantibodies, central sensitization and cortical reorganization. These features place CRPS at a crossroads of interests of several disciplines including rheumatology, pain medicine and neurology. Significant scientific and clinical advances over the past 10 years hold promise both for an improved understanding of the causes of CRPS, and for more effective treatments. This review summarizes current concepts of our understanding of CRPS in adults. Based on the results from systematic reviews, treatment approaches are discussed within the context of these concepts. The treatment of CRPS is multidisciplinary and aims to educate about the condition, sustain or restore limb function, reduce pain and provide psychological intervention. Results from recent randomized controlled trials suggest that it is possible that some patients whose condition was considered refractory in the past can now be effectively treated, but confirmatory trials are required. The review concludes with a discussion of the need for additional research.
Год издания: 2011
Авторы: Andreas Göebel
Издательство: Oxford University Press
Источник: Lara D. Veeken
Ключевые слова: Pain Management and Treatment, Pain Mechanisms and Treatments, Musculoskeletal pain and rehabilitation
Другие ссылки: Lara D. Veeken (HTML)
PubMed (HTML)
PubMed (HTML)
Открытый доступ: closed
Том: 50
Выпуск: 10
Страницы: 1739–1750