[Complementary Methods in the Treatment of Complex Regional Pain Syndrome]

Overview

Journal Schmerz

Date 2023 Jun 2

PMID 37268791

Authors

T Gabriel

P Klose

Affiliations

Soon will be listed here.

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.

Citing Articles

[Integrative, complementary medical therapy: is it a useful option in the treatment of CRPS?].

Sabatowski R, Scharnagel R Schmerz. 2023; 38(1):48-50.

PMID: 38079003 DOI: 10.1007/s00482-023-00772-z.

References

van Velzen G, Perez R, van Gestel M, Huygen F, van Kleef M, van Eijs F . Health-related quality of life in 975 patients with complex regional pain syndrome type 1. Pain. 2013; 155(3):629-634. DOI: 10.1016/j.pain.2013.12.017. View

Ott S, Maihofner C . Signs and Symptoms in 1,043 Patients with Complex Regional Pain Syndrome. J Pain. 2018; 19(6):599-611. DOI: 10.1016/j.jpain.2018.01.004. View

de Mos M, de Bruijn A, Huygen F, Dieleman J, Stricker B, Sturkenboom M . The incidence of complex regional pain syndrome: a population-based study. Pain. 2006; 129(1-2):12-20. DOI: 10.1016/j.pain.2006.09.008. View

Johnson S, Cowell F, Gillespie S, Goebel A . Complex regional pain syndrome what is the outcome? - a systematic review of the course and impact of CRPS at 12 months from symptom onset and beyond. Eur J Pain. 2022; 26(6):1203-1220. PMC: 9324966. DOI: 10.1002/ejp.1953. View

OConnell N, Wand B, McAuley J, Marston L, Moseley G . Interventions for treating pain and disability in adults with complex regional pain syndrome. Cochrane Database Syst Rev. 2013; (4):CD009416. PMC: 6469537. DOI: 10.1002/14651858.CD009416.pub2. View

Smart K, Ferraro M, Wand B, OConnell N . Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II. Cochrane Database Syst Rev. 2022; 5:CD010853. PMC: 9112661. DOI: 10.1002/14651858.CD010853.pub3. View

Kessler A, Yoo M, Calisoff R . Complex regional pain syndrome: An updated comprehensive review. NeuroRehabilitation. 2020; 47(3):253-264. DOI: 10.3233/NRE-208001. View

McCormick Z, Gagnon C, Caldwell M, Patel J, Kornfeld S, Atchison J . Short-Term Functional, Emotional, and Pain Outcomes of Patients with Complex Regional Pain Syndrome Treated in a Comprehensive Interdisciplinary Pain Management Program. Pain Med. 2015; 16(12):2357-67. DOI: 10.1111/pme.12817. View

Dusek J, Gao Q, Kim R, Abrams D, Kligler B, Dyer N . Patients Receiving Integrative Medicine Effectiveness Registry (PRIMIER) of the BraveNet practice-based research network: Outcomes of the PRIMIER cohort. Complement Ther Med. 2022; 71:102904. DOI: 10.1016/j.ctim.2022.102904. View

10.

Harden R, McCabe C, Goebel A, Massey M, Suvar T, Grieve S . Complex Regional Pain Syndrome: Practical Diagnostic and Treatment Guidelines, 5th Edition. Pain Med. 2022; 23(Suppl 1):S1-S53. PMC: 9186375. DOI: 10.1093/pm/pnac046. View

11.

Park H, Jang Y, Oh S, Lee P . Psychological Characteristics in Patients with Chronic Complex Regional Pain Syndrome: Comparisons with Patients with Major Depressive Disorder and Other Types of Chronic Pain. J Pain Res. 2020; 13:389-398. PMC: 7026116. DOI: 10.2147/JPR.S230394. View

12.

Baronio M, Sadia H, Paolacci S, Prestamburgo D, Miotti D, Guardamagna V . Molecular Aspects of Regional Pain Syndrome. Pain Res Manag. 2020; 2020:7697214. PMC: 7171689. DOI: 10.1155/2020/7697214. View

13.

Gerritsen R, Band G . Breath of Life: The Respiratory Vagal Stimulation Model of Contemplative Activity. Front Hum Neurosci. 2018; 12:397. PMC: 6189422. DOI: 10.3389/fnhum.2018.00397. View

14.

Schlechta Portella C, Ghelman R, Abdala V, Schveitzer M, Afonso R . Meditation: Evidence Map of Systematic Reviews. Front Public Health. 2021; 9:742715. PMC: 8674467. DOI: 10.3389/fpubh.2021.742715. View

15.

Wu W, Bandilla E, Ciccone D, Yang J, Cheng S, Carner N . Effects of qigong on late-stage complex regional pain syndrome. Altern Ther Health Med. 1999; 5(1):45-54. View

16.

Streeter C, Gerbarg P, Saper R, Ciraulo D, Brown R . Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Med Hypotheses. 2012; 78(5):571-9. DOI: 10.1016/j.mehy.2012.01.021. View

17.

Dusek J, Otu H, Wohlhueter A, Bhasin M, Zerbini L, Joseph M . Genomic counter-stress changes induced by the relaxation response. PLoS One. 2008; 3(7):e2576. PMC: 2432467. DOI: 10.1371/journal.pone.0002576. View

18.

Devrimsel G, Turkyilmaz A, Yildirim M, Serdaroglu Beyazal M . The effects of whirlpool bath and neuromuscular electrical stimulation on complex regional pain syndrome. J Phys Ther Sci. 2015; 27(1):27-30. PMC: 4305580. DOI: 10.1589/jpts.27.27. View

19.

Peng Y, Ao M, Dong B, Jiang Y, Yu L, Chen Z . Anti-Inflammatory Effects of Curcumin in the Inflammatory Diseases: Status, Limitations and Countermeasures. Drug Des Devel Ther. 2021; 15:4503-4525. PMC: 8572027. DOI: 10.2147/DDDT.S327378. View

20.

Hsiao A, Lien Y, Tzeng I, Liu C, Chou S, Horng Y . The efficacy of high- and low-dose curcumin in knee osteoarthritis: A systematic review and meta-analysis. Complement Ther Med. 2021; 63:102775. DOI: 10.1016/j.ctim.2021.102775. View