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Related Concept Videos

Regional Terms01:12

Regional Terms

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Regional terms describe anatomy by dividing the body parts into different regions that contain structures involved in contributing similar functions. Using these terms helps increase the accurate description and identification of the particular region of interest or region affected by the disease.
Primarily, the human body has two major regions, the axial and appendicular regions. The axial region comprises regions from the head to the abdomen and makes up the central body axis. In contrast,...
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Pain01:20

Pain

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Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Analgesia and Pain Management01:25

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
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Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

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Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
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Updated: Dec 27, 2025

Chronic Post-Ischemia Pain Model for Complex Regional Pain Syndrome Type-I in Rats
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Chronic Post-Ischemia Pain Model for Complex Regional Pain Syndrome Type-I in Rats

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Complex Regional Pain Syndrome.

Michael W Neumeister1, Michael R Romanelli2

  • 1Department of Surgery, Institute for Plastic Surgery, Southern Illinois University School of Medicine, Southern Illinois University, 747 North Rutledge Street, Suite 357, Baylis Building, Springfield, IL 62702, USA.

Clinics in Plastic Surgery
|March 3, 2020
PubMed
Summary
This summary is machine-generated.

Complex regional pain syndrome (CRPS) is a hyperalgesic condition causing disproportionate pain and autonomic dysfunction. This review covers the diagnosis and treatment of CRPS, a complex pain disorder.

Keywords:
CRPSCausalgiaComplex regional painRSD

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Area of Science:

  • Pain Medicine
  • Neurology
  • Rehabilitation Medicine

Background:

  • Complex regional pain syndrome (CRPS) is characterized by pain disproportionate to the inciting event.
  • It involves autonomic dysfunction, swelling, skin changes, stiffness, and functional impairment, primarily affecting the upper extremities.
  • The underlying pathophysiology involves a sensitized and overactive pain pathway from peripheral to central nervous system, disrupting autonomic responses.

Purpose of the Study:

  • To review the current understanding of Complex regional pain syndrome (CRPS).
  • To outline the diagnostic criteria and approaches for CRPS.
  • To discuss the available treatment strategies for managing CRPS.

Main Methods:

  • Literature review of existing studies on CRPS.
  • Synthesis of information regarding CRPS pathophysiology, diagnosis, and treatment.
  • Analysis of clinical manifestations and diagnostic challenges.

Main Results:

  • CRPS presents with a distinct set of symptoms including severe pain, edema, and altered skin characteristics.
  • Diagnosis relies on clinical presentation and exclusion of other conditions, as objective biomarkers are limited.
  • Treatment is multimodal, often involving pharmacotherapy, physical therapy, and psychological support.

Conclusions:

  • CRPS is a complex, debilitating pain syndrome requiring a comprehensive diagnostic and therapeutic approach.
  • Further research into the etiology and pathophysiology of CRPS is needed to develop more targeted treatments.
  • Early diagnosis and intervention are crucial for improving functional outcomes in patients with CRPS.