Interventional therapies in the management of complex regional pain syndrome.
Invasive procedures have long held a place in the therapeutic armamentarium for the management of complex regional pain syndrome (CRPS). However, this has evolved considerably, particularly as research into the mechanisms of CRPS has called into question long-held presumptions about the key role of sympathetic dysfunction in the syndrome. This review summarizes some of the key information currently available about interventional treatments, including nerve blocks, spinal cord and peripheral nerve stimulation, chemical and surgical sympathectomies, and deep brain stimulation. The potential roles for these procedures in facilitating functional rehabilitation goals that are primary to the treatment of CRPS are emphasized.
Nelson
David V
DV
Department of Anesthesiology & Peri-Operative Medicine, Oregon Health & Science University, Portland, OR, USA.
Stacey
Brett R
BR
D020918:Complex Regional Pain Syndromes / Q000503:physiopathology* / Q000628:therapy*; D046690:Deep Brain Stimulation / Q000379:methods; D004558:Electric Stimulation / Q000379:methods; D006801:Humans; D015918:Infusion Pumps, Implantable; D009407:Nerve Block / Q000379:methods; D017933:Peripheral Nervous System / Q000528:radiation effects; D013116:Spinal Cord / Q000528:radiation effects; D013562:Sympathectomy / Q000379:methods