Short-Term Functional, Emotional, and Pain Outcomes of Patients with Complex Regional Pain Syndrome Treated in a Comprehensive Interdisciplinary Pain Management Program

Abstract

This study demonstrates short-term improvements in physical and emotional functioning, pain coping, and medication usage. These findings are consistent with the rehabilitation philosophy of improving functioning and sense of well-being as of equal value and relevance to pain reduction.

Sex matters in complex regional pain syndrome

“…This effect was even larger in comparison with pain or CRPS severity (Marinus et al., ). In addition, CRPS patients using active, instead of passive pain coping strategies do better in overall functioning, physical functioning, mood and the ability to cope with pain and pain flare‐ups (Mccormick, Gagnon, Caldwell, Patel, & Kornfeld, ). Female pain patients generally use a wider range of coping mechanisms than male patients, seek more social support and are more prone to pain‐related catastrophizing (Keogh & Denford, ).…”

Multidimensional Patient Impression of Change Following Interdisciplinary Pain Management

“…The Medication Quantification Scale was developed and validated as a means of quantifying medication usage. In prior studies, there has been use of the Medication Quantification Scale Version III (MQS‐III), but it did not seem to be sensitive to measuring the changes in stopping or tapering opioids vs. incorporating adjunctive medications such as antidepressants or anticonvulsants in the short term (at discharge) . Future studies will also investigate the change in total daily morphine milligram equivalents (MME) as a program outcome.…”

Efectos del tratamiento multimodal en pacientes con Síndrome de Dolor Regional Complejo tipo 1 con al menos 6 meses de evolución: Un estudio descriptivo

“…La EVA promedio al ingreso era de 7,52, intensidad mayor que lo descrito por Galer y cols., quien reportó un promedio de 5,9 cm de dolor al ingreso en pacientes con 39 meses de evolución al momento de la evaluación en centro multidisciplinario (39) (42), muestra cambios clínicamente significativos en percepción de discapacidad, movilidad, manejo del distrés emocional y aceptación del dolor crónico. Si bien es cierto, la reducción en la intensidad del dolor es modesta en este estudio y discrepa de los resultados significativos en función física y mental, se presume que sería en contexto de derivación a nivel terciario con múltiples fracasos previos al tratamiento.…”