Complex regional pain syndrome in the practice of the neurologist as a rare variant of neuropathic pain
- Authors: Korzhavina V.B.1, Danilov A.B.2
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Affiliations:
- First Moscow State Medical University of the Ministry of Health of the Russian Federation
- FGAOU VO «I.M. Sechenov First Moscow State Medical University» of the Ministry of Health of Russia
- Issue: No 7 (2017)
- Pages: 42-49
- Section: Articles
- URL: https://journals.eco-vector.com/2412-4036/article/view/279145
- ID: 279145
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Abstract
Complex regional pain syndrome is the least studied syndrome of chronic neuropathic pain, manifesting itself by constant intensive pain in extremity in combination with local vegetative disorders and trophic disturbances. Mostly it arises after different peripheral traumas. Therapy of pain syndrome is one of the most significant and difficult aspects of complex regional pain syndrome therapy. There are not so many scientific data, proving the efficacy of complex regional pain syndrome pharmacotherapy. From the viewpoint of evidentary medicine, for such a purpose could be effective anticonvulsant drugs, corticosteroids, biophosphonates and ketamine. Recommendations for opioids use, use of calcitonine, anti-depressants and also sympathetic blocks are ambiguous. No one of the separately used methodics of pharmacological, physical and psychological treatment could not be compared for its efficacy with interdisciplinary complex approach of curation patients with chronic pain syndromes. Complex biopsychosocial rehabilitation is more effective for restarting daily and working activity of patients.
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About the authors
Victoria B. Korzhavina
First Moscow State Medical University of the Ministry of Health of the Russian Federation
Email: victoria.doc@gmail.com
PhD, assistant professor of the Department of Neurology in Institute of professional education
Alexey B. Danilov
FGAOU VO «I.M. Sechenov First Moscow State Medical University» of the Ministry of Health of Russia
Email: danilov@intermeda.ru
MD, professor of the Department of Neurology in Institute of professional education, Director of the Institute for Interdisciplinary medicine.
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