Functional improvement after physiotherapy with a continuous infusion of local anaesthetics in patients with complex regional pain syndrome
| Autor: | S. L. Tsui, M. G. Irwin, P. H. K. Mak |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
Referred pain Local anesthetic medicine.drug_class business.industry Chronic pain General Medicine medicine.disease Anesthesiology and Pain Medicine Knee pain Complex regional pain syndrome Pain Clinics Anesthesia medicine Physical therapy Local anesthesia medicine.symptom business Brachial plexus |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 47:94-97 |
| ISSN: | 0001-5172 |
| DOI: | 10.1034/j.1399-6576.2003.470117.x |
| Popis: | Three patients were referred to our pain clinic with evidence of complex regional pain syndrome in their extremities. Two presented at the atrophic stage with joint contractures. Multiple analgesics had been prescribed without long-lasting relief. Physiotherapy was required to improve physical activity but was severely limited by pain. We instituted local anaesthetic infusion with the possibility of self-supplementation to facilitate physiotherapy; two via brachial plexus catheters for hand pain and one via epidural catheter for knee pain. Although their resultant pain scores were variable after cessation of local anaesthetic infusion, all the affected joints exhibited marked improvement in range of movement. We propose that this technique is a useful option for patients in all stages of complex regional pain syndrome where the emphasis is now directed toward functional improvement. |
| Databáze: | OpenAIRE |
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