Treatment of chronic regional pain syndrome using manipulation therapy and regional anesthesia
| Autor: | Shinya Kawai, Kazuteru Doi, Kouzou Sunago, Tatsuaki Akino, Keiichi Muramatsu |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Causalgia Bone disease Disease Severity of Illness Index Anesthesia Conduction Regional pain syndrome medicine Humans Range of Motion Articular Aged Pain Measurement Aged 80 and over Tourniquet business.industry Dystrophy Hand Injuries Syndrome Nerve injury Middle Aged medicine.disease Surgery Exercise Therapy Reflex Sympathetic Dystrophy Treatment Outcome Regional anesthesia Anesthesia Chronic Disease Digital nerve injury Female medicine.symptom business Follow-Up Studies |
| Zdroj: | The Journal of trauma. 44(1) |
| ISSN: | 0022-5282 |
| Popis: | In a 4-year period, 17 consecutive patients with posttraumatic chronic regional pain syndrome were treated with a new technique, Movelat manipulation therapy. At average follow-up of 8 months, satisfactory results were achieved in 15 patients (88%), but 2 patients, 1 with digital nerve injury and 1 with ulnar nerve injury, did not respond to the therapy. Factors associated with good clinical response include chronic regional pain syndrome type I, i.e., dystrophy produced by a trauma to the hand but not involving a specific nerve injury, early-stage disease (within 3 months after trauma), and involvement of the upper limbs. Complications were rare and mild (pain over the tourniquet site in 3%, temporary dizziness in 1%). This therapy is simple and safe and recommended for early treatment of chronic regional pain syndrome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|