Shearer Heather M, Trim Astrid
Graduate Education and Research, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada.
J Can Chiropr Assoc. 2006 Mar;50(1):20-6.
A 44 year-old woman presented to a chiropractic clinic with swelling and point tenderness over the right metacarpals and right shoulder and elbow pain of insidious onset. Examination revealed right wrist and hand swelling, diminished grip strength, and reduced wrist and cervical ranges of motion. A bone scan, radiographs, and clinical examination led to the diagnosis of complex regional pain syndrome (CRPS). Following chiropractic care, the patient had improved grip strength, functional abilities, and pain reduction. The primary characteristics of CRPS include motor, trophic and sensory changes, usually in a peripheral limb following some form of trauma. Due to the varied symptom presentation, it may be unclear which conservative therapies will be most beneficial in the treatment of CRPS. A multidisciplinary approach to treatment should be pursued with these patients. More investigation of therapies such as chiropractic care as it relates to the pathophysiology of CRPS is needed.
一名44岁女性前往一家整脊诊所就诊，其右手掌骨出现肿胀和压痛点，右肩和肘部疼痛，起病隐匿。检查发现右手腕和手部肿胀、握力减弱，手腕和颈椎活动范围减小。骨扫描、X光片和临床检查确诊为复杂性区域疼痛综合征（CRPS）。经过整脊治疗后，患者握力增强、功能能力改善且疼痛减轻。CRPS的主要特征包括运动、营养和感觉变化，通常发生在某种形式的创伤后的外周肢体。由于症状表现多样，可能不清楚哪种保守疗法对CRPS的治疗最有益。对于这些患者应采用多学科治疗方法。需要对诸如整脊治疗等与CRPS病理生理学相关的疗法进行更多研究。
