Management of Complex Regional Pain Syndrome Type 1 With Total Spinal Block

Ok, Se Jin; Yang, Jong Yeun; Son, Ju Hyung; Jeong, Won Ju; Lee, Yoon Sook; Kim, Woon Young; Park, Young Cheol

doi:10.3344/kjp.2010.23.1.70

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…Early diagnosis and management are important if positive CRPS patient outcomes are to be achieved (15-17). In our study, the average time taken for CRPS to be diagnosed was 406.7 ± 566.0 days, which is longer than the period reported by a previous study (123.0 days) (15).…”

Section: Discussionmentioning

confidence: 99%

“…In our study, good prognostic factors for employment retention were a younger age, a lower pain score after treatment, fewer days per week spent at work, a diagnosis within 8 months of onset, a higher level of education, and a white-collar occupation of the patient. Early diagnosis and management are important if positive CRPS patient outcomes are to be achieved ( 15 - 17 ). In our study, the average time taken for CRPS to be diagnosed was 406.7 ± 566.0 days, which is longer than the period reported by a previous study (123.0 days) ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

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Relationship between Complex Regional Pain Syndrome and Working Life: A Korean Study

et al. 2012

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Complex regional pain syndrome affects the quality of life of the patient. The aim of this study was to investigate the epidemiological features of this syndrome and evaluate its effect on the patient's working life. We demonstrated that the disease has a male preponderance and is 3 times more likely to affect the lower extremities. In this study, 11 participants (20%) retained their employment, whereas 44 (80%) became unemployed. Mean age and pain score were lower in the employment group than in the unemployment group (29.1 ± 16.8 yr vs 40.1 ± 12.6 yr, P = 0.021, and 4.5 ± 2.9 vs 7.0 ± 2.0, P = 0.002, respectively). Subjects diagnosed within 8 months (P = 0.044), those who had achieved higher levels of education (P = 0.028), and those working in white-collar jobs (P = 0.011) had higher employment-retention rates. Therefore, patients must manage their jobs (lower physical demand and decrease the number of working hours) if they are to improve their occupational life. To achieve satisfactory outcomes and a high employment-retention rate, clinicians must be aware of the importance of an early diagnosis (within 8 months), appropriate treatment, and a reduction in the patient's pain score.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Relationship between Complex Regional Pain Syndrome and Working Life: A Korean Study

et al. 2012

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“…This could have been due to a combination of various factors; however, the fact that early diagnosis and treatment were not carried out is also important. Early diagnosis and treatment are known to play an important role in therapeutic outcomes [16][17][18][19][20][21][22]. The prolonged period of pain caused by delayed diagnosis changes the sensitivity of the peripheral and central nociceptive pathways.…”

Section: Discussionmentioning

confidence: 99%

Multicenter survey of symptoms, work life, economic status, and quality of life of complex regional pain syndrome patients

et al. 2021

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Background: Complex regional pain syndrome (CRPS) is an intractable pain disease with various symptoms. Here, we investigated the disease status, work life, sleep problems, medical insurance, economic status, psychological problems, and quality of life (QOL) of CRPS patients. Methods: CRPS patients from 37 university hospitals in South Korea were surveyed. The survey questionnaire consisted of 24 questions on the following aspects of CRPS patients: sex, age, occupation, cause of injury, activities of daily living (ADL), pain severity, sleep disturbance, level of education, economic status, therapeutic effect, and suicidal ideation. Additionally, the abbreviated World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, consisting of 26 questions, was used to identify the status of QOL. Results: A total of 251 patients completed the questionnaire. According to the survey, 54.2% patients could not perform ADL on their own. Over the previous week, the mean pain score was 7.15 ± 1.78 (out of a total of 10 points); 92.1% of patients had sleep disorders and 80.5% had suicidal ideation, with most patients suffering from psychological problems. The average for each domain of WHOQOL-BREF was as follows: 21.74 ± 14.77 for physical, 25.22 ± 17.66 for psychological, 32.02 ± 22.36 for social relationship, and 30.69 ± 15.83 for environmental (out of a total of 100 points each). Occupation, ADL, sleep time, therapeutic effect, and suicidal ideation were statistically correlated with multiple domains. Conclusions: Most patients had moderate to severe pain, economic problems, limitations of their ADL, sleep problems, psychological problems, and a low QOL score.

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“…Thus, medical providers must recognize the various states of CRPS and use a multidimensional treatment approach without preconceptions; otherwise, failure to accurately recognize CRPS jeopardizes the validity of patients’ symptomatology [ 6 ]. There is limited knowledge about the mechanisms involved in CRPS, and current treatments rely mainly on the efficacy observed in other common neuropathic pain conditions [ 7 ]. Treatment options for CRPS include physical and occupational therapy; administration of bisphosphonates, calcitonin, subanesthetic intravenous ketamine, free radical scavengers, and oral corticosteroids; and spinal cord stimulation [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Experiences of Adults with Complex Regional Pain Syndrome

Kwon

Kim

2021

Healthcare

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Complex regional pain syndrome is a rare, intractable disease causing chronic pain. For improved subjective and personal experience, an individualized treatment approach based on a thorough understanding of the patient’s perceptions is required for pain management. In this study, we examined the experiences and challenges of 11 Korean patients diagnosed with complex regional pain syndrome. The patients described their experiences during in-depth, face-to-face interviews, and data were subjected to a thematic analysis. We identified the following three main themes: “my own non-stereotyped pain,” “complex emotions caused by pain,” and “a careful life endured alone.” Enduring pain alone was difficult, and the lack of support from family members, caregivers, or society amplified the patients’ hardships. As these patients often felt alone when coping with internal difficulties, including pain, they frequently coped through self-management of the condition. The importance of offering realistic support to complex regional pain syndrome patients is underscored via a multifaceted approach and may aid in the development of educational programs for medical personnel, families, and caregivers of these patients.

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Management of Complex Regional Pain Syndrome Type 1 With Total Spinal Block

Cited by 5 publications

References 8 publications

Relationship between Complex Regional Pain Syndrome and Working Life: A Korean Study

Relationship between Complex Regional Pain Syndrome and Working Life: A Korean Study

Multicenter survey of symptoms, work life, economic status, and quality of life of complex regional pain syndrome patients

Analysis of the Experiences of Adults with Complex Regional Pain Syndrome

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