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Complex regional pain syndrome.

Rhichard H Rho1, Randall P Brewer, Tim J Lamer

  • 1Division of Pain Medicine, Mayo Clinic, Rochester, MN 55905, USA.

Mayo Clinic Proceedings
|February 13, 2002
PubMed
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Early diagnosis and treatment of Complex Regional Pain Syndrome (CRPS) are crucial for better outcomes. Physical therapy is the primary treatment, with medications and advanced interventions used for persistent or severe neuropathic pain.

Area of Science:

  • Neurology
  • Pain Medicine
  • Physical Therapy

Background:

  • Complex Regional Pain Syndrome (CRPS) is a regional neuropathic pain condition often affecting limbs post-injury.
  • Formerly known as reflex sympathetic dystrophy, CRPS requires prompt medical attention for optimal results.

Purpose of the Study:

  • To outline the diagnostic and treatment strategies for Complex Regional Pain Syndrome.
  • To emphasize the importance of early intervention and multidisciplinary care in managing CRPS.

Main Methods:

  • Review of current clinical practices and treatment guidelines for CRPS.
  • Discussion of physical therapy as the cornerstone of CRPS management.
  • Exploration of pharmacological and interventional pain relief methods.

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Main Results:

  • Early diagnosis and referral to specialists improve CRPS outcomes.
  • Physical therapy is the first-line treatment, with varying modalities based on severity.
  • Adjuvant analgesics, regional blocks, and advanced pain management techniques are employed for moderate to severe cases.

Conclusions:

  • Prompt diagnosis and initiation of physical therapy are vital for managing CRPS.
  • A stepwise approach, from physical therapy to multidisciplinary care including pain-relieving measures, is effective.
  • Long-term management may involve psychological support and advanced interventions for refractory chronic pain.