Complex Regional Pain Syndrome

摘要: Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy, is a regional, posttraumatic, neuropathic problem that most often affects 1 or more limbs. Like medical conditions, early diagnosis and treatment increase the likelihood of successful outcome. Accordingly, patients with clinical signs symptoms CRPS after an injury should be referred immediately to physician expertise in evaluating treating this condition. Physical therapy cornerstone first-line for CRPS. Mild cases respond physical modalities. moderate may require adjuvant analgesics, such anticonvulsants and/or antidepressants. An opioid added regimen if these medications do not provide sufficient analgesia allow patient participate therapy. Patients severe dysfunction anesthetic blockade A small percentage develop refractory, chronic long-term multidisciplinary treatment, including therapy, psychological support, pain-relieving measures. Pain-relieving measures include medications, sympathetic/somatic blockade, spinal cord stimulation, analgesia.