Preview

The Clinician

Advanced search

COMPLEX REGIONAL PAIN SYNDROME – CLINIC, DIAGNOSTICS, TREATMENT

https://doi.org/10.17650/1818-8338-2013-1-41-47

Abstract

The problem of pain today remains one of the fundamental issues of medical care. It is known that the pain is the leading cause of treatment
to the doctor. Among pain syndromes, a special place belongs to the complex regional pain syndromes. They are distinguished by the multidisciplinary problem, the presence of explicit nature of the pain, difficulty of diagnosis and nature of the treatment. The article presents
modern data on the diagnosis and treatment of the complex regional pain syndromes.

About the Authors

N. A. Shostak
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Acad. A.I. Nesterov Department of Faculty Therapy


N. G. Pravdyuk
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Acad. A.I. Nesterov Department of Faculty Therapy


A. A. Klimenko
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Acad. A.I. Nesterov Department of Faculty Therapy


References

1. Bruehl S., Harden R.N., Galer B.S. et al. External validation of IASP diagnostic criteria for Complex Regional Pain Syndrome and proposed research diagnostic criteria. International Association for the

2. Study of Pain. Pain 1999;81(1–2):147–54.

3. Reflex Sympathetic Dystrophy Syndrome Association. Complex regional pain syndrome: treatment guidelines. June 2006. Available from: http://www.rsds.org/3/pdf/Txguide_chap1.pdf.

4. Baron R., Janig W. Complex regional pain syndromes – how do we escape the diagnostic trap? Lancet

5. ;364(9447):1739–41.

6. Maihofnera C., Seiferta F., Markovic K. Complex regional pain syndromes: new pathophysiological concepts and therapies. Eur J Neurol 2010;17(5):649–60.

7. Opree A., Kress M. Involvement of the proinflammatory cytokines tumor necrosis factor-alpha, IL-1 beta, and IL-6 but not IL-8 in the development of heat hyperalgesia: effects on heat-evoked calcitonin gene-related peptide release from rat skin. J Neurosci 2000;20(16):6289–93.

8. Uceyler N., Eberle T., Rolke R. et al. Differential expression patterns of cytokines in complex regional pain syndrome. Pain 2007;132(1–2):195–205.

9. Herbert M.K., Holzer P. Neurogenic inflammation. I. Basic mechanisms, physiology and pharmacology. Anasthesiol Intensivmed Notfallmed Schmerzther 2002;37(6):314–25.

10. Maihofner C., Forster C., Birklein F. et al. Brain processing during mechanical hyperalgesia in complex regional pain syndrome: a functional MRI study. Pain 2005;114(1–2):93–103.

11. Wasner G., Baron R. Factor II: vasomotor changes-pathophysiology and measurement. In: Wilson P., Stanton-Hicks M., Harden R., eds. CRPS: Current Diagnosis and Therapy. Seattle, Wash: IASP

12. Press, 2005. Pp. 81–106.

13. Swart C.M., Stins J.F., Beek P.J. Cortical changes in complex regional pain syndrome (CRPS). Eur J Pain 2008;13(9):902–7.

14. Steinbrocker O. The shoulder-hand syndrome; associated painful homolateral disability of the shoulder and hand with swelling and atrophy of the hand. Am J Med 1947;3(4):402–7.

15. Merskey H., Bogduk N. Classification of chronic pain. In: Descriptions of Chronic Pain Syndromes and Definition of Pain Terms. 2nd edition. Eds. by H. Merskey, N. Bogduk. Seattle: IASP Press, 1994. Pр. 180–1.

16. Бунчук Н.В. Альгонейродистрофия. В кн.: Ревматические болезни. Руководство для врачей. Под ред. В.А. Насоновой, Н.В. Бунчук. М.: Медицина, 1997. С. 495–500.

17. Hsu E.S. Practical management of complex regional pain syndrome. Am J Ther 2009;16(2):147–54.

18. Harden R.N., Bruehl S., Stanton Hicks M., Wilson P.R. Proposed new diagnostic criteria for complex regional pain syndrome. Pain Med 2007;8(4):326–31.

19. Franca D.S., Souza A.L., Almeida K.R. et al. В vitamins induce an antinociceptive effect in the acetic acid and formaldehyde models of nociception in mice. Eur J Pharmacol 2001;421(3):157–64.

20. Fu Q.G., Carstens E., Stelzer В., Zimmermann M. В vitamins suppress spinal dorsal horn nociceptive neurons in the cat. Neurosci Lett 1988;95(1–3):192–7.

21. Jurna I., Carlsson К.Н., Komen W., Bonke D. Acute effects of vitamin B6 and fixed combinations of vitamin Bp B6 and B12 on nociceptive activity evoked in the rat thalamus: dose-response relationship and combinations with morphine and paracetamol. Klin Wochenschr 1990;68(2):129–35.

22. Rocha-Gonzalez H.I., Teran-Rosales F., Reyes-Garcia G. et al. В vitamins increase the analgesic effect of diclofenac in the rat. Proc West Pharmacol Soc 2004;47:84–7.

23. Perez R.S., Zollinger P.E., Dijkstra P.U. et al. Evidence based guidelines for complex regional pain syndrome type 1. BMC Neurology 2010;10:20. Available at: http://www.biomedcentral.com/1471-2377/10/20.


Review

For citations:


Shostak N.A., Pravdyuk N.G., Klimenko A.A. COMPLEX REGIONAL PAIN SYNDROME – CLINIC, DIAGNOSTICS, TREATMENT. The Clinician. 2013;7(1):41-47. (In Russ.) https://doi.org/10.17650/1818-8338-2013-1-41-47

Views: 1144


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1818-8338 (Print)
ISSN 2412-8775 (Online)