Symptom reduction and improved function in chronic CRPS type 1 after 12-week integrated, interdisciplinary therapy.

Scandinavian Journal of Pain
Minna ElomaaHanno Harno

Abstract

Background and aims Complex Regional Pain Syndrome (CRPS) often recovers spontaneously within the first year, but when it becomes chronic, available rehabilitative therapies (pharmacological management, physiotherapy, and psychological intervention) have limited effectiveness. This study examined the effect of a 12-week intensive outpatient rehabilitation on pain relief and function in chronic CRPS patients. Rehabilitation program included memantine and morphine treatment (added to patient's prior pain medication) and concurrent psychological and physiotherapeutic intervention. Primary outcome measure was a change in CRPS symptom count and secondary outcomes were motor performance, psychological factors, pain intensity, and quality of life. Methods Ten patients with chronic upper limb CRPS I (median 2.9 years, range 8 months to 12 years) were recruited to the study and were assessed before and after the intervention. Hand motor function of the patients was evaluated by an independent physiotherapist. There were standardized questionnaires for depression, pain anxiety, pain acceptance, quality of life, and CRPS symptom count. In addition, psychological factors were evaluated by a semi-structured interview. Severity of experience...Continue Reading

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Citations

Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Indubala MauryaRaju Vaishya
Sep 17, 2021·Pain Practice : the Official Journal of World Institute of Pain·Despoina SarridouEvmorfia Stavropoulou
Nov 9, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Nils BeckerPhilipp Lichte

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