[Complementary methods in the treatment of complex regional pain syndrome].

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY
Schmerz Pub Date : 2023-10-01 Epub Date: 2023-06-02 DOI:10.1007/s00482-023-00724-7
T Gabriel, P Klose
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引用次数: 0

Abstract

Background: Complex regional pain syndrome (CRPS) affects 10-15% of patients following injuries (fractures, surgery) to the outer extremities and people after a stroke. The affected area hurts, is inflamed and lacks strength, while mobility and sensitivity are restricted. Complementary medicine as part of integrative medicine offers additional effective treatment options.

Research question: Complementary therapies that extend the guideline recommendations, demonstrate clinical evidence and/or are plausible are presented.

Results: Mind-body medicine procedures (mindfulness, relaxation, yoga, Qi Gong, etc.) support the patient's self-efficacy and stimulate the vagus nerve as well as promoting the reduction of pain, depression and anxiety and improving quality of life. Phytotherapeutics such as turmeric or stinging nettle have an anti-inflammatory effect. Water treatments reduce pain, and acupuncture and neural therapy can be tried.

Conclusions: Integrative, complementary medical therapy options support the CRPS patient in coping with their disease and the related pain. These options can play an important role in the multimodal, interdisciplinary treatment of this disease.

Abstract Image

【治疗复杂区域疼痛综合征的补充方法】。
背景:复杂区域疼痛综合征(CRPS)影响10-15%的外肢体损伤(骨折、手术)后患者和中风后患者。受影响的区域疼痛、发炎、缺乏力量,同时活动能力和敏感性受到限制。作为综合医学的一部分,补充医学提供了额外的有效治疗选择。研究问题:提出了扩展指南建议、证明临床证据和/或可信的补充疗法。结果:身心医学程序(正念、放松、瑜伽、气功等)支持患者的自我效能感,刺激迷走神经,促进减轻疼痛、抑郁和焦虑,提高生活质量。姜黄或刺荨麻等植物疗法具有抗炎作用。水疗法可以减轻疼痛,针灸和神经疗法也可以尝试。结论:综合、互补的药物治疗方案有助于CRPS患者应对疾病和相关疼痛。这些选择可以在这种疾病的多模式、跨学科治疗中发挥重要作用。
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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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