Complex Regional Pain Syndrome in Children: a Multidisciplinary Approach and Invasive Techniques for the Management of Nonresponders

• Published in: Pain practice Vol. 15; no. 8; pp. E81 - E89
• Main Authors: Rodriguez- Lopez, Manuel J., Fernandez-Baena, Mariano, Barroso, Alex, Yáñez-Santos, Jose A.
• Format: Journal Article
• Language: English
• Published: United States Blackwell Publishing Ltd 01.11.2015
• Subjects: capsaicin; Child; clinical case series; Combined Modality Therapy; complex regional pain syndrome; Complex Regional Pain Syndromes - therapy; CRPS; epidural analgesia; Female; Humans; implantable; infusion pumps; infusion pumps, implantable; Male; multidisciplinary pain management; neuropathic pain; Pain Management - methods; pediatric pain; Retrospective Studies; neuropathic pain; infusion pumps, implantable; multidisciplinary pain management; capsaicin; epidural analgesia; clinical case series; pediatric pain; complex regional pain syndrome; CRPS
• ISSN: 1530-7085; 1533-2500
• DOI: 10.1111/papr.12317

Complex regional pain syndrome (CRPS) is multifactorial condition with complex pathogenesis characterized by spontaneous or stimulus‐induced pain that is disproportionate to the inciting event. It is also commonly accompanied by a myriad of autonomic and motor disturbances in highly variable combinations. This condition has been underreported in children until recently. Consequently, the management of CRPS in the pediatric population presents an even greater challenge than in adults, partly because there is a lack of clinical data concerning the efficacy of the diverse treatment methods available, and partly because successful treatment of CRPS involves a multidisciplinary approach. In this retrospective case series, a multidisciplinary management plan is presented in 10 children for whom the standard noninvasive treatment was unsuccessful. Within this management plan, novel drugs were included such as the capsaicin 8% patch, in addition to invasive techniques in patients who did not respond to noninvasive therapies.