Complex regional pain syndrome: diagnosis and treatment.
This article discusses the diagnostic criteria, clinical course, and complications of complex regional pain syndrome. Multidisciplinary treatment including physical and occupational therapy, psychological evaluation and treatment, pharmacologic management, and more aggressive options including sympathetic blocks, sympathectomy, and spinal cord stimulation are also reviewed.
Department of Rehabilitation Medicine, Jefferson Medical College, Thomas Jefferson University, 9th and Chestnut Street, Philadelphia, PA 19107, USA; Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address: mitchell.freedman@rothmaninstitute.com.
Mitchell
M
Freedman
Department of Rehabilitation Medicine, Jefferson Medical College, Thomas Jefferson University, 9th and Chestnut Street, Philadelphia, PA 19107, USA; Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA.
Ari C
AC
Greis
Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA.
Lisa
L
Marino
Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA.
Anupam N
AN
Sinha
Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA.
Jeffrey
J
Henstenburg
D000700:Analgesics / Q000627:therapeutic use*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003131:Combined Modality Therapy; D020918:Complex Regional Pain Syndromes / Q000175:diagnosis* / Q000628:therapy*; D004599:Electric Stimulation Therapy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods; D009638:Norepinephrine / Q000627:therapeutic use; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal; D009638:Norepinephrine
Complex regional pain syndrome; Neuropathic pain syndromes; Reflex sympathetic dystrophy sympathetic nerve block; Spinal cord stimulation