痛みと緩和のジャーナル

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Complex Regional Pain Syndrome: A Systemic Review Of The Literature. The Past, Present And Future Management

Salibi A, Searle AE and Lindau TR

Complex Regional Pain Syndrome (CRPS) remains one of the most challenging conditions in the field of pain management in general and in the upper extremity in particular. The varied manifestations of phases, symptoms and signs of CRPS have created florid grounds for trials of a number of treatment modalities. While some of these have proven partially effective, many others have not been successful to date. It is very important therefore to establish a multidisciplinary approach based on the best available literature in order to optimise the treatment outcome. We present an evidence based comprehensive review of the management of CRPS stemming from its past, current and most recent practises. It is essential to have guidelines that set an algorithm for the management of patients with CRPS. However, what is more important is to emphasise that CRPS is only the correct diagnosis if all other structural causes have been investigated and ruled out. Over-diagnosis of this condition has led some to question its existence. Therefore, we present an independent opinion on the management of CRPS, with reference to collaborative guidelines within the remits of the current literature.