Síndrome de dolor regional complejo

Martínez, E.; Ribera-Canudas, Mª Victoria; Idáñez, Angeles Mesas; Rebollo, Javier Medel; Ripol, P. Martínez; Custardoy, A. Candela; Gozalo, Marisa Paños

doi:10.1016/j.semreu.2011.10.005

Cited by 7 publications

(6 citation statements)

References 24 publications

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“…The reported incidence rate varies between 5.46 and 26.2 cases per 100 000 individuals per year 10 . Regarding prevalence, retrospective studies have indicated a range from 0.03 to 37% in individuals who have experienced trauma 11 .…”

Section: Discussion and Reviewmentioning

confidence: 99%

“…gabapentin) and tricyclic antidepressants (such as amitriptyline) and pregabalin have been utilized in the treatment of CRPS. These adjunct therapies complement the main treatment approach and contribute to the comprehensive management of the condition 11 . Sympathetic nerve block is a viable treatment option for patients who do not respond well to pharmacological treatments, particularly when administered early in the disease’s progression.…”

Section: Discussion and Reviewmentioning

confidence: 99%

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A case of truncal complex regional pain syndrome: literature review

Alhammadi,

Alqahtani

2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: Complex regional pain syndrome (CRPS) is a rare and chronic pain disorder characterized by an abnormal level of pain disproportionate to the initiating cause, often manifesting well after the triggering event. Case presentation: We present a free past medical history 33-year-old female, employed as a nurse in an intensive care unit, presented with a nine-year history of diffuse back pain. Her symptoms initially emerged at the neck with muscle spasms and restricted neck mobility, eventually progressing along the spine. Notably, the pain became episodic and intensified over time, significantly impeding her daily activities. Analgesic (non-steroidal anti-inflammatory drugs) treatments proved ineffective, and a distinct feature emerged—a change in skin color to dark purple spots on her back, accompanied by hyperhidrosis and extreme tenderness. Despite an exhaustive evaluation involving blood work, inflammatory markers, serological tests, and radiographic imaging, a definitive diagnosis remained elusive until she responded positively to Pregabilin. Clinical discussion: Although typically associated with extremities, this case challenges the conventional understanding of complex regional pain syndrome (CRPS) by showcasing its manifestation in the truncal region. The patient’s clinical history, examination findings, and diagnostic journey are detailed herein, shedding light on the complexity and diagnostic considerations associated with this condition. Conclusion: The case underscores the importance of a comprehensive approach and prompts a reevaluation of the existing guidelines to encompass such atypical presentations.

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Section: Discussion and Reviewmentioning

confidence: 99%

Section: Discussion and Reviewmentioning

confidence: 99%

A case of truncal complex regional pain syndrome: literature review

Alhammadi,

Alqahtani

2023

Annals of Medicine &Amp; Surgery

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“…La prevención también resulta importante, ya sea tras un traumatismo o después de una cirugía de extremidad, intentando hacer inmovilizaciones lo más breves posibles y en una posición adecuada, instaurar una movilización precoz de la extremidad y las articulaciones adyacentes (7) .…”

Section: Dolor Continuo Desproporcionado En Relación Con Cualquier Ev...unclassified

Síndrome doloroso regional complejo, a propósito de un caso. La importancia del diagnóstico precoz

Regal-Ramos¹,

Baides-Gonzalvo²,

Sánchez-Galán³

et al. 2022

Med Segur Trab

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El síndrome de dolor regional complejo es una enfermedad de etiopatogenia poco conocida que se desarrolla tras un fenómeno nocivo desencadenante y que se manifiesta por dolor espontáneo o alodinia/hiperalgesia no limitado a la distribución territorial de un nervio periférico y desproporcionado al episodio desencadenante. Se presenta un caso que evoluciona con dolor mantenido en el tiempo, cambios tróficos e impotencia funcional pese al uso de múltiples técnicas terapéuticas. El diagnóstico precoz y el tratamiento temprano son fundamentales para conseguir una evolución favorable y evitar complicaciones discapacitantes.

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“…The estimated incidence of CPRS ranges from 5.4 to 26.2 per 100,000 person-years ( Sandroni et al, 2003 ; de Mos et al, 2007 ; Petersen et al, 2018 ) and the upper limb is more frequently affected, constituting almost 60% of cases ( Martínez et al, 2012 ; Bruehl, 2015 ). Similarly, there is a higher prevalence among women (with a ratio of 3.4–4 to 1) that occurs between the ages of 46.9–52.7 years ( Elsharydah et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, there is a higher prevalence among women (with a ratio of 3.4–4 to 1) that occurs between the ages of 46.9–52.7 years ( Elsharydah et al, 2017 ). Furthermore, approximately 40% of cases are associated with fractures or surgical interventions with the primary cause is compression of the median nerve, although instances can also arise after a sprain (10%), root lesions (9%), spinal cord lesions (6%), or even spontaneously (5%–10%) ( Martínez et al, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Economic evaluation of management strategies for complex regional pain syndrome (CRPS)

Zhou,

Zhang

et al. 2024

Front. Pharmacol.

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Background: The economic impact of Complex Regional Pain Syndrome (CRPS) on both patients and the global healthcare system continues to escalate. However, the economic implications associated with management interventions for CRPS have received limited attention. Therefore, our objective is to perform a thorough examination of published economic assessments of the various management strategies utilized for CRPS.Methods: A thorough search spanning four general medical databases and three health economic databases to identify full economic evaluations on CRPS management strategies from January 1994 to June 2023 were conducted. The quality of these studies were evaluated by employing the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement. To enable cross-study comparisons conducted in different countries, we adjusted the costs reported in the selected studies for inflation and converted them into 2023 US dollars.Results: A total of nine economic evaluations, consisting of eight high-quality and one medium-quality, were identified across five nations during a span of 29 years. The findings suggest that the most economically efficient intervention for CRPS are interventional approaches of Spinal Cord Stimulation (SCS) in comparison to conventional management for long periods of time. Furthermore, in situations where there is a limited time period of less than 1 year, rehabilitation therapies, particularly physical therapy, have been demonstrated to be more effective in terms of both cost and clinical outcomes.Conclusion: The interventional management strategies, particularly for severe and persistent CRPS over long periods, may offer the greatest cost efficiency. In conditions with limited timelines, rehabilitation measures, such as rehabilitation therapies, can be cost-effective. However, insufficient data for other common interventions prevents the formation of a definitive conclusion. Similarly, it is crucial to recognize that the results of these interventions might be affected by the selection of comparator and the threshold for willingness to pay.

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Síndrome de dolor regional complejo

Cited by 7 publications

References 24 publications

A case of truncal complex regional pain syndrome: literature review

A case of truncal complex regional pain syndrome: literature review

Síndrome doloroso regional complejo, a propósito de un caso. La importancia del diagnóstico precoz

Economic evaluation of management strategies for complex regional pain syndrome (CRPS)

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