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Related Concept Videos

Regional Terms01:12

Regional Terms

9.5K
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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Analgesia and Pain Management01:25

Analgesia and Pain Management

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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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Nociception01:44

Nociception

27.8K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
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Related Experiment Video

Updated: Jun 13, 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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10. Complex regional pain syndrome.

Daniël P C van der Spek1, Maaike Dirckx1, Thomas J P Mangnus1

  • 1Department of Anesthesiology, Center for Pain Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Pain Practice : the Official Journal of World Institute of Pain
|September 11, 2024
PubMed
Summary

Complex regional pain syndrome (CRPS) treatment depends on the subtype. Invasive therapies like bisphosphonates, ketamine, sympathetic blocks, neurostimulation, and intrathecal baclofen offer options when conservative care fails.

Keywords:
complex regional pain syndromeevidence‐based medicineinterventional treatmentintrathecal treatmentintravenous treatmentneurostimulationsympathetic blockade

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Area of Science:

  • Pain Medicine
  • Neurology
  • Anesthesiology

Background:

  • Complex regional pain syndrome (CRPS) is a debilitating disorder following trauma or surgery.
  • CRPS presents with distinct subtypes: inflammatory, nociplastic/neuropathic, vasomotor, and motor.
  • Personalized treatment strategies are crucial for managing CRPS effectively.

Purpose of the Study:

  • To review recent advancements in understanding CRPS.
  • To discuss common invasive treatment modalities for CRPS.
  • To provide an overview of subtype-specific interventions.

Main Methods:

  • Systematic literature review of interventional treatments for CRPS.
  • Summarization of findings on the efficacy of various invasive therapies.

Main Results:

  • Bisphosphonates are effective for the inflammatory subtype of CRPS.
  • Ketamine offers pain relief for the nociplastic/neuropathic subtype.
  • Sympathetic blocks target vasomotor disturbances; neurostimulation is a versatile option for refractory symptoms across all subtypes.
  • Intrathecal baclofen may benefit motor disturbances.

Conclusions:

  • CRPS is characterized by an unpredictable course and variable treatment response.
  • Invasive treatments should be considered sequentially when conservative measures are inadequate.
  • Tailoring invasive therapies to the specific CRPS subtype optimizes patient outcomes.