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CRPS TYPE 1-MANAGEMENT

Neurology

CRPS TYPE 1-MANAGEMENT

1. ROM exercises of the involved joints: patients respond within 3 weeks (most within 4-6 days) of passive stretch of the involved joints.

2. High-dose systemic corticosteroids: majority of patients respond to high-dose steroids instituted in the acute-phase (given over 2 weeks, followed by 2 week taper),  more effective in those with disease confirmed on bone scan.

3. Medications: NSAIDs, calcitonin, bisphosphonates, TCA, alpha-blockers (prazosin), beta-blockers (propanolol), calcium-channel blockers (nifedipine), anti-convulsants (gabapentin), topical capsaicin.

4. Modalities: TENS, edema-control, desensitization techniques, contrast baths, ultrasound.

5. Injections: intra-articular injections, stellate-ganglion block (diagnostic & therapeutic),  sympathetectomy.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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