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Complex regional pain syndrome

A E Aprile1

  • 1William Beaumont Hospital, Royal Oak, USA.

AANA Journal
|February 17, 1998
PubMed
Summary
This summary is machine-generated.

Complex Regional Pain Syndrome (CRPS) remains poorly understood, often following trauma. Despite treatment, most patients experience persistent pain and disability, highlighting the need for better management strategies.

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Area of Science:

  • Pain Medicine
  • Neurology
  • Rehabilitation Medicine

Background:

  • Complex Regional Pain Syndrome (CRPS) is a chronic, progressive condition with unknown pathogenesis.
  • Synonymous terms include reflex sympathetic dystrophy and causalgia.
  • CRPS diagnosis involves acute, dystrophic, and atrophic stages, often triggered by peripheral trauma.

Purpose of the Study:

  • To review the current understanding of Complex Regional Pain Syndrome (CRPS).
  • To highlight the diagnostic criteria and stages of CRPS.
  • To discuss the impact of CRPS on patient function and current treatment approaches.

Main Methods:

  • Literature review of CRPS pathogenesis, diagnosis, and treatment.
  • Analysis of a longitudinal study involving 1,348 CRPS patients.

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Main Results:

  • The precise mechanisms causing CRPS are undetermined.
  • Peripheral trauma is a common precipitating factor for CRPS.
  • A longitudinal study showed 96% of patients experienced ongoing pain and disability.

Conclusions:

  • CRPS pathogenesis requires further investigation.
  • Effective psychological and therapeutic plans are crucial post-diagnosis.
  • Despite treatment, long-term pain and disability persist in most CRPS patients.