Krämer H H, Tanislav C, Birklein F
University Giessen, Department of Neurology, Giessen.
Handchir Mikrochir Plast Chir. 2012 Jun;44(3):142-6. doi: 10.1055/s-0032-1321774. Epub 2012 Jul 25.
State of the art CRPS therapy comprises medication, interventional therapies and non-pharmaceutical treatments like physiotherapy (PT), occupational therapy, PT with cognitive behavioural elements (mirror therapy, 'motor imagery', and 'graded exposure'), psychotherapeutic methods, local therapies and neurostimulation. These treatments are mostly as successful as medical or interventional treatment. These effects have been demonstrated in small but randomised controlled studies. Adjuvant therapies were shown to reduce pain and the severity of dysfunction in CRPS. Therefore, these non-drug therapies should be an essential part of any multimodal CRPS treatment.