title: Complex Regional Pain Syndrome in Children: a Multidisciplinary Approach and Invasive Techniques for the Management of Nonresponders.
abstract: 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.
authors.affiliation: Pain Treatment Unit of Hospital Regional Universitario de Malaga, Malaga, Spain.
authors.forename: Manuel J
authors.initials: MJ
authors.lastname: Rodriguez-Lopez
authors.affiliation: Pain Treatment Unit of Hospital Regional Universitario de Malaga, Malaga, Spain.
authors.forename: Mariano
authors.initials: M
authors.lastname: Fernandez-Baena
authors.affiliation: Pain Treatment Unit of Hospital Regional Universitario de Malaga, Malaga, Spain.
authors.forename: Alex
authors.initials: A
authors.lastname: Barroso
authors.affiliation: Pain Treatment Unit of Hospital Regional Universitario de Malaga, Malaga, Spain.
authors.forename: Jose A
authors.initials: JA
authors.lastname: Yáñez-Santos
mesh_terms: D002648:Child; D003131:Combined Modality Therapy; D020918:Complex Regional Pain Syndromes / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D059408:Pain Management / Q000379:methods*; D012189:Retrospective Studies
keywords: CRPS; capsaicin; clinical case series; complex regional pain syndrome; epidural analgesia; infusion pumps, implantable; multidisciplinary pain management; neuropathic pain; pediatric pain