Complex regional pain syndrome

摘要: As suggested by this article, considerable advances in clinical management and research have taken place during the past 20 years. Although mechanisms underlying pain syndrome CRPS I II remain far from one's understanding, glimpses of pathophysiology are beginning to take shape. There is now strong evidence that these syndromes exemplify a complex neurologic disease involving brain at several integrated levels. The changes occur patients involve somatosensory, sympathetic, somatomotor systems. diagnostic criteria helped focus on aspects foregoing systems whereas there no specific laboratory test for CRPS, enough known about use following tests: quantitative sensory testing (QST), autonomic include sudomotor axon reflex (QSART) sweating abnormalities, cold pressor conjunction with thermographic imaging observe vasoconstrictor response, laser Doppler flowmetry monitor background vasomotor control. Recognition motor disorder requires accurate documentation may be component future. Until better understanding mechanistic overtones would help put mechanism-based therapeutic strategies, current built around rehabilitation model. For successful, as described pages, different non-interventional interventional modalities applied time-restricted manner facilitate those favor progress treatment algorithm. has been described, it important when using physiotherapeutic maneuvers minimize joint movement affected region reduce mechanorecpetor barrage its increase perceived encourage maintain patient's compliance their rehabilitation. Finally, greater significance sympatholysis per se not "diagnostic" but rather useful procedure sympathetically maintained.