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Different Types of Pain in Complex Regional Pain Syndrome Require a Personalized Treatment Strategy.

作者信息

Mangnus Thomas J P, Dirckx Maaike, Huygen Frank J P M

机构信息

Department of Anesthesiology, Center for Pain Medicine, Erasmus MC University Medical Center, Rotterdam, the Netherlands.

出版信息

J Pain Res. 2023 Dec 27;16:4379-4391. doi: 10.2147/JPR.S432209. eCollection 2023.


DOI:10.2147/JPR.S432209
PMID:38162406
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10757771/
Abstract

Complex regional pain syndrome (CRPS) is a debilitating painful state of an extremity that can develop after trauma. CRPS is diagnosed by the new International Association for the Study of Pain (IASP) diagnostic criteria for CRPS. The syndrome is characterized by continuing regional pain with abnormal sensory, motor, sudomotor, vasomotor, edema, and/or trophic signs. The clinical presentation of CRPS can be very heterogeneous because CRPS is a multi-mechanism syndrome. Therefore, mechanism-based subgroups have been suggested to personalize treatment for CRPS. Additionally, the presentation of symptom pain may also be able to identify different subgroups of CRPS. In this review, the types of pain recognized by the IASP-nociceptive, neuropathic, and nociplastic pain-will be discussed as possible subgroups for CRPS. Each pain type should be identified in CRPS patients, with a thorough history taking, physical examination, and diagnostic tests or (novel) biomarkers to optimize treatment effectiveness. Over the course of the syndrome, patients with CRPS probably experience more than one distinct pain type. Therefore, pain specialists should be alert to not only adjust their treatment if underlying pathophysiologic mechanisms tend to change but also to personalize the treatment of the associated type of pain in the CRPS patient.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba8/10757771/17d825e237ff/JPR-16-4379-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba8/10757771/17d825e237ff/JPR-16-4379-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dba8/10757771/17d825e237ff/JPR-16-4379-g0001.jpg

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本文引用的文献

[1]
Is there an association between serum soluble interleukin-2 receptor levels and syndrome severity in persistent Complex Regional Pain Syndrome?

Pain Med. 2023-11-2

[2]
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Cochrane Database Syst Rev. 2023-6-12

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