Kraft Eduard, Storz Claudia, Ranker Alexander
Muskuloskelettales Universitätszentrum München, LMU Klinikum, München, Deutschland.
Interdisziplinäre Schmerzambulanz, Campus Großhadern, LMU Klinikum, München, Deutschland.
Schmerz. 2021 Oct;35(5):363-372. doi: 10.1007/s00482-021-00577-y. Epub 2021 Sep 16.
The treatment of patients with complex regional pain syndrome (CRPS) takes place in an interdisciplinary and multimodal setting. Physical therapies represent a major treatment focus along with physiotherapy, occupational therapy, and analgetic treatments. This review explains their importance in current clinical practice and gives an impression of the evidence on different treatments including electrotherapy, neuromodulating procedures, manual lymphatic drainage, CO applications and paraffin wax baths. As far as ascertainable from clinical experience and the scientific literature, treatment recommendations are presented in accordance with current guidelines.
复杂区域疼痛综合征(CRPS)患者的治疗是在多学科和多模式的环境中进行的。物理治疗与物理疗法、职业疗法和镇痛治疗一样,是主要的治疗重点。本综述解释了它们在当前临床实践中的重要性,并介绍了包括电疗法、神经调节程序、手动淋巴引流、二氧化碳应用和石蜡浴在内的不同治疗方法的证据。根据临床经验和科学文献,尽可能按照当前指南提出治疗建议。