Diffuse Complex Regional Pain Syndrome in an Adolescent

Cucchiaro, Giovanni; Craig, Kevin; Marks, K.; Middleton, Meghan

doi:10.1097/ajp.0b013e31829d676a

Cited by 8 publications

(6 citation statements)

References 26 publications

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“…Group and peer support, as well as family involvement, were additional behavioural components of many programs [ 21 , 22 , 28 – 30 , 33 – 35 , 37 , 38 , 40 , 42 , 44 – 48 , 50 – 53 , 56 – 61 , 65 – 70 , 73 – 75 , 79 – 81 , 83 , 85 , 87 , 89 , 90 , 92 – 94 , 96 , 103 , 104 , 106 , 108 – 112 ]. One program listed “agreement to family member or significant other involvement in treatment” as one of just five treatment inclusion criteria [ 61 ], another encouraged spouses to participate weekly in the inpatient program [ 22 ], and another included group psychotherapy for all patients [ 69 , 70 ].…”

Section: Resultsmentioning

confidence: 99%

“…Another pain relieving mechanism was anesthetic interventional therapy. This was utilized prominently in the two sole studies which showed opioid dose reduction without any return to opioid use at 12 months following program completion [44,101]. One study followed 103 Australian patients on long-term opioid therapy who received MDC together with a spinal cord stimulator (SCS) to help manage complex chronic pain [101].…”

Section: Plos Onementioning

confidence: 99%

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Multidisciplinary care for opioid dose reduction in patients with chronic non-cancer pain: A systematic realist review

et al. 2020

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Context Opioid related deaths are at epidemic levels in many developed nations globally. Concerns about the contribution of prescribed opioids, and particularly high-dose opioids, continue to mount as do initiatives to reduce prescribing. Evidence around opioid tapering, which can be challenging and potentially hazardous, is not well developed. A recent national guideline has recognized this and recommended referral to multidisciplinary care for challenging cases of opioid tapering. However, multidisciplinary care for opioid tapering is not well understood or defined. Objective Identify the existing literature on any multidisciplinary care programs that evaluate impact on opioid use, synthesize how these programs work and clarify whom they benefit. Study design Systematic rapid realist review.

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Section: Resultsmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Multidisciplinary care for opioid dose reduction in patients with chronic non-cancer pain: A systematic realist review

et al. 2020

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“…In epidural catheter with anesthetical agents for upper and inferior limb pain, an epidural catheter and two infraclavicular catheters are used to infuse the local anesthesia continually. A solution with 0.1% ropivacaine, preservative-free morphine (20 µg/mL) at 8 mL/h and ropivacaine 0.1% 6 mL/h is used in each infraclavicular catheter 49 .…”

Section: Invasive Therapiesmentioning

confidence: 99%

“…The emotional status (denial, anger and frustration) is a problem during the treatment and appropriated management may be used for that with psychiatry protocols and psychotherapy in our opinion. After the discharge from the hospital, psychological support is also needed 47,49 .…”

Section: Invasive Therapiesmentioning

confidence: 99%

Updates in Complex Regional Pain Syndrome

Aguiar¹,

Camporeze²,

Zapelini³

et al. 2019

jbnc

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Background: The Complex Regional Pain Syndrome (CRPS), known as reflex sympathetic dystrophy, Sudeck atrophy, causalgy or posttraumatic pain has been described as an important cause of chronic morbidity, which acknowledge of clinical limits, pathophysiology and implications of pathogenesis is still little elucidated. Therefore a great dissatisfaction for patients and health professionals has been described regarding to the currently available therapeutic methods. Objectives: The goal of this paper is to discuss the current perspectives of physiopathology, diagnosis and treatment in CRPS. Methods: A review of the literature was carried out using the MEDLINE, LILACS, and SciELO databases, with preference to articles in English, Portuguese and Spanish. Results: The diagnosis is predominantly based in clinical evidences of signs and symptoms. Although it has been described in the literature in many studies and guidelines about the treatment of CRPS, there is no consensus of procedure indications. Between the surgical methods, the use of spinal cord stimulation and others neuromodulators approaches has been described associated to significant rates of success in the management of CRPS. Conclusion: According to the literature and authors experience, the successful treatment of CRPS is based in early diagnosis associated to experienced interdisciplinary team aiming the functional restoration and psychological aspect monitoring.

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“…In biofeedback, to learn to become more aware of your body so that it is possible to make the patient relax his body and relieve pain. • Epidural Catheter with anesthetical agents for upper and inferior limb pain -placed an epidural catheter and 2 infraclavicular catheters under general anesthesia and ran continuous infusions of local anesthetic and morphin the epidural catheter (ropivacaine 0.1% and preservative-free morphine [20 μg/mL] at 8 mL/h) and ropivacaine 0.1% 6 mL/h in each infraclavicular catheter 10 . • Spinal cord stimulation.…”

Section: Medicationsmentioning

confidence: 99%

Síndrome de dolor regional complejo: Nuevos conceptos sobre diagnóstico y tratamiento

et al. 2019

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Antecedentes: Los autores presentan una revisión crítica sobre el cuadro clínico, el diagnóstico, clasificación y tratamiento del síndrome de dolor regional complejo, discutiendo todos los métodos de tratamiento y haciendo hincapié en que la reabilitación debe ser empleada con el fin de obtener un mejor resultado. Aspecto psicológico debe ser discutido en el tratamiento y también se anima equipo multidisciplinario para participar en él.

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Diffuse Complex Regional Pain Syndrome in an Adolescent

Cited by 8 publications

References 26 publications

Multidisciplinary care for opioid dose reduction in patients with chronic non-cancer pain: A systematic realist review

Multidisciplinary care for opioid dose reduction in patients with chronic non-cancer pain: A systematic realist review

Updates in Complex Regional Pain Syndrome

Síndrome de dolor regional complejo: Nuevos conceptos sobre diagnóstico y tratamiento

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