Complex regional pain syndrome: a review

Complex regional pain syndrome (CRPS) is a challenging neuropathic pain state, quite difficult to comprehend and treat. Its pathophysiological mechanisms are unclear and its treatment is difficult. Multiple factors play a role in the generation and maintenance of CRPS. A close interdisciplinary coll...

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Bibliographic Details
Published inJournal of postgraduate medicine (Bombay) Vol. 50; no. 4; pp. 300 - 307
Main Authors Ghai, B, Dureja, G P
Format Journal Article
LanguageEnglish
Published India Medknow Publications & Media Pvt. Ltd 01.10.2004
Subjects
Algorithms
Complex Regional Pain Syndromes - classification
Complex Regional Pain Syndromes - diagnosis
Complex Regional Pain Syndromes - physiopathology
Complex Regional Pain Syndromes - therapy
Humans
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Summary:Complex regional pain syndrome (CRPS) is a challenging neuropathic pain state, quite difficult to comprehend and treat. Its pathophysiological mechanisms are unclear and its treatment is difficult. Multiple factors play a role in the generation and maintenance of CRPS. A close interdisciplinary collaboration amongst the psychologist, physical and occupational therapists, neurologist and pain medicine consultants is necessary to achieve optimal treatment effects. The primary goals of managing patients with this syndrome are to: 1) perform a comprehensive diagnostic evaluation, 2) be prompt and aggressive in treatment interventions, 3) assess and reassess the patient's clinical and psychological status, 4) be consistently supportive, and 5) strive for the maximal amount of pain relief and functional improvement. This article reviews the different aspects of CRPS including definition, classification, epidemiology and natural history, clinical presentation, pathophysiology and management.
Bibliography:ObjectType-Article-2
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ISSN:0022-3859
0972-2823