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Effectiveness of complex regional pain syndrome treatment: A systematic review
Affiliations- Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, ul. Unii Lubelskiej 1, 71-252 Szczecin, Poland
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Abstract
Complex regional pain syndrome (CRPS) is a descriptive term for a complex of symptoms and signs typically occurring following trauma of the extremity. Typical symptomatology includes severe pain, swelling, vasomotor instability and functional impairment of the affected limb. At present there is no one, effective method of treatment of the condition. A large number of treatments have been investigated but major multicentre randomized controlled trials are lacking. This study presents the results of a systematic review of the evidence on effectiveness of treatment methods in CRPS.
It is a follow-up to earlier reviews of randomized controlled trials on CRPS treatment published between 1966 and 2016. Results. The review of randomized controlled trials showed that only bisphosphonates were found to give uniformly positive effects, statistically significantly better than placebo. Improvement has been reported with topical dimethyl sulfoxide, systemic steroids, spinal cord stimulation and graded motor imagery/mirror therapy programmes. The available evidence does not support the use of other treatments in CRPS, however they are frequently used in clinical practice.
ConclusionAvailable evidence, although numerous, does not necessarily reflect what is truly effective and what is sham in the management of CRPS.
Abstract
Complex regional pain syndrome (CRPS) is a descriptive term for a complex of symptoms and signs typically occurring following trauma of the extremity. Typical symptomatology includes severe pain, swelling, vasomotor instability and functional impairment of the affected limb. At present there is no one, effective method of treatment of the condition. A large number of treatments have been investigated but major multicentre randomized controlled trials are lacking. This study presents the results of a systematic review of the evidence on effectiveness of treatment methods in CRPS.
It is a follow-up to earlier reviews of randomized controlled trials on CRPS treatment published between 1966 and 2016. Results. The review of randomized controlled trials showed that only bisphosphonates were found to give uniformly positive effects, statistically significantly better than placebo. Improvement has been reported with topical dimethyl sulfoxide, systemic steroids, spinal cord stimulation and graded motor imagery/mirror therapy programmes. The available evidence does not support the use of other treatments in CRPS, however they are frequently used in clinical practice.
ConclusionAvailable evidence, although numerous, does not necessarily reflect what is truly effective and what is sham in the management of CRPS.
Keywords
Complex regional pain syndrome – treatment, Systematic review, Randomized controlled trials
About this articleTitle
Effectiveness of complex regional pain syndrome treatment: A systematic review
Journal
Neurologia i Neurochirurgia Polska
Issue
Article type
Review Article
Pages
326-333
Published online
2018-03-12
Page views
970
Article views/downloads
2127
DOI
10.1016/j.pjnns.2018.03.001
Bibliographic record
Neurol Neurochir Pol 2018;52(3):326-333.
Keywords
Complex regional pain syndrome – treatment
Systematic review
Randomized controlled trials
Authors
Andrzej Żyluk
Piotr Puchalski
