Review Article
Complex Regional Pain Syndrome: A Systemic Review Of The Literature. The Past, Present And Future Management
| Salibi A1*, Searle AE2 and Lindau TR3 | |
| 1 Research Fellow in Hand Surgery, Royal Derby Hospital, The Pulvertaft Hand Surgery Centre, Uttoxeter New Road, Derby, DE22 3NE, UK | |
| 2 Lead Consultant in Anaesthesia and Pain Management, Royal Derby Hospital, The Pulvertaft Hand Surgery Centre, Uttoxeter New Road, Derby, DE22 3NE, UK | |
| 3 Consultant Hand and Orthopaedic Surgeon, Royal Derby Hospital, The Pulvertaft Hand Surgery Centre, Uttoxeter New Road, Derby, DE22 3NE, UK | |
| Corresponding Author : | Andrej Salibi Royal Derby Hospital The Pulvertaft Hand Surgery Centre Kings Treatment Centre Level 2 Research office, Uttoxeter New Road Derby, DE22 3NE, UK Tel: 00447770800921 E-mail: asalibi@nhs.net |
| Received December 31, 2013; Accepted January 04, 2014; Published January 06, 2014 | |
| Citation: Salibi A, Searle AE, Lindau TR (2014) Complex Regional Pain Syndrome: A Systemic Review of the Literature, the Past, Present and Future Management. J Pain Relief 3:128. doi: 10.4172/2167-0846.1000128 | |
| Copyright: © 2014 Salibi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
Complex Regional Pain Syndrome (CRPS) remains one of the most challenging conditions in the field of pain management in general and in the upper extremity in particular. The varied manifestations of phases, symptoms and signs of CRPS have created florid grounds for trials of a number of treatment modalities. While some of these have proven partially effective, many others have not been successful to date. It is very important therefore to establish a multidisciplinary approach based on the best available literature in order to optimise the treatment outcome. We present an evidence based comprehensive review of the management of CRPS stemming from its past, current and most recent practises. It is essential to have guidelines that set an algorithm for the management of patients with CRPS. However, what is more important is to emphasise that CRPS is only the correct diagnosis if all other structural causes have been investigated and ruled out. Over-diagnosis of this condition has led some to question its existence. Therefore, we present an independent opinion on the management of CRPS, with reference to collaborative guidelines within the remits of the current literature.
