PDF herunterladen
CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(04): e497-e503
DOI: 10.1055/s-0044-1779331
Artigo de Atualização
Mão

Síndrome da dor complexa regional

Artikel in mehreren Sprachen: português | English
Giana Silveira Giostri 
1   Serviço de Ensino e Treinamento em Cirurgia da Mão, Hospital Cajuru/PUCPR, Curitiba, PR, Brasil
2   Hospital Pequeno Príncipe, Curitiba, PR, Brasil
,
Camila Deneka Arantes Souza 
1   Serviço de Ensino e Treinamento em Cirurgia da Mão, Hospital Cajuru/PUCPR, Curitiba, PR, Brasil
2   Hospital Pequeno Príncipe, Curitiba, PR, Brasil
3   Hospital Evangélico Mackenzie, Curitiba, PR, Brasil
› Institutsangaben Suporte Financeiro As autoras declaram que a presente pesquisa não recebeu nenhum financiamento específico de agências de financiamento dos setores público, comercial ou sem fins lucrativos.
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Resumo

A Síndrome da Dor Complexa Regional é caracterizada por dor regional desproporcional ao evento desencadeante, sem distribuição para dermátomos, com tendência a cronicidade e disfunção. Esta revisão narrativa propõe a atualização de critérios para o diagnóstico e condução da síndrome explicitando dados da epidemiologia, etiologia, fisiopatologia. Baseamo-nos em revisões sistemáticas, narrativas e diretrizes publicadas nos últimos anos, procurando facilitar a suspeição diagnóstica e proporcionando visão ampla de possibilidades terapêuticas.

Palavras-chave

dor crônica - hiperalgesia - síndromes da dor regional complexa

Trabalho desenvolvido no Serviço de Ensino e Treinamento em Cirurgia da Mão Hospital Cajuru/PUCPR, Curitiba, PR, Brasil.




Publikationsverlauf

Eingereicht: 08. Februar 2023

Angenommen: 10. August 2023

Artikel online veröffentlicht:
22. April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Wolfe SW, Pederson WC, Kozin SH, Cohen MS. Green's operative hand surgery. 8th ed.. Philadelphia: Elsevier; 2021
    Suche in Google Scholar
  • 2 Bruehl S. Complex regional pain syndrome. BMJ 2015; 351: h2730
    CrossrefPubMedSuche in Google Scholar
  • 3 Urits I, Shen AH, Jones MR, Viswanath O, Kaye AD. complex regional pain syndrome, current concepts and treatment options. Curr Pain Headache Rep 2018; 22 (02) 10
    CrossrefPubMedSuche in Google Scholar
  • 4 Chang C, McDonnell P, Gershwin ME. Complex regional pain syndrome - False hopes and miscommunications. Autoimmun Rev 2019; 18 (03) 270-278
    CrossrefPubMedSuche in Google Scholar
  • 5 Shim H, Rose J, Halle S, Shekane P. Complex regional pain syndrome: a narrative review for the practising clinician. Br J Anaesth 2019; 123 (02) e424-e433
    CrossrefPubMedSuche in Google Scholar
  • 6 Harden RN, McCabe CS, Goebel A. et al. Complex regional pain syndrome: practical diagnostic and treatment guidelines, 5th edition. Pain Med 2022; 23 (Suppl. 01) S1-S53
    CrossrefPubMedSuche in Google Scholar
  • 7 Duong S, Bravo D, Todd KJ. et al Treatment of complex regional pain syndrome: an updated systematic review and narrative synthesis. Can J Anaesth 2018; Jun; 65 (06) 658-684 . English. Doi: 10.1007/s12630-018-1091-5. Epub 2018 Feb 28. PMID: 29492826
    CrossrefPubMedSuche in Google Scholar
  • 8 A Sousa LH, O Costa C, Novak EM, Giostri GS. Complex regional pain syndrome after carpal tunnel syndrome surgery: A systematic review. Neurol India 2022; 70 (02) 491-503
    CrossrefPubMedSuche in Google Scholar
  • 9 Neumeister MW, Romanelli MR. Complex Regional Pain Syndrome. Clin Plast Surg 2020; 47 (02) 305-310
    CrossrefPubMedSuche in Google Scholar
  • 10 Vittersø AD, Halicka M, Buckingham G, Proulx MJ, Bultitude JH. The sensorimotor theory of pathological pain revisited. Neurosci Biobehav Rev 2022; 139: 104735
    CrossrefPubMedSuche in Google Scholar
  • 11 Patterson RW, Li Z, Smith BP, Smith TL, Koman LA. Complex regional pain syndrome of the upper extremity. J Hand Surg Am 2011; 36 (09) 1553-1562
    CrossrefPubMedSuche in Google Scholar
  • 12 Weissmann R, Uziel Y. Pediatric complex regional pain syndrome: a review. Pediatr Rheumatol Online J 2016; 14 (01) 29
    CrossrefPubMedSuche in Google Scholar
  • 13 Del Piñal F. Outcomes of carpal tunnel release in complex regional pain syndrome/reflex sympathetic dystrophy/sudeck disease patients. Plast Reconstr Surg 2022; 150 (01) 93-101
    CrossrefPubMedSuche in Google Scholar
  • 14 Tran DQ, Duong S, Bertini P, Finlayson RJ. Treatment of complex regional pain syndrome: a review of the evidence. Can J Anaesth 2010; 57 (02) 149-166
    CrossrefPubMedSuche in Google Scholar
  • 15 Robinson JN, Sandom J, Chapman PT. Efficacy of pamidronate in complex regional pain syndrome type I. Pain Med 2004; 5 (03) 276-280
    CrossrefPubMedSuche in Google Scholar
  • 16 Christensen K, Jensen EM, Noer I. The reflex dystrophy syndrome response to treatment with systemic corticosteroids. Acta Chir Scand 1982; 148 (08) 653-655
    PubMedSuche in Google Scholar
  • 17 Kalita J, Misra U, Kumar A, Bhoi SK. Long-term prednisolone in post-stroke complex regional pain syndrome. Pain Physician 2016; 19 (08) 565-574
    CrossrefPubMedSuche in Google Scholar
  • 18 Breuer AJ, Mainka T, Hansel N, Maier C, Krumova EK. Short-term treatment with parecoxib for complex regional pain syndrome: a randomized, placebo-controlled double-blind trial. Pain Physician 2014; 17 (02) 127-137
    PubMedSuche in Google Scholar
  • 19 Giustra F, Bosco F, Aprato A, Artiaco S, Bistolfi A, Masse A. Vitamin C Could Prevent Complex Regional Pain Syndrome Type I in Trauma and Orthopedic Care? A Systematic Review of the Literature and Current Findings. Sisli Etfal Hastan Tip Bul 2021; 55 (02) 139-145
    PubMedSuche in Google Scholar
  • 20 Fischer SG, Collins S, Boogaard S, Loer SA, Zuurmond WW, Perez RS. Intravenous magnesium for chronic complex regional pain syndrome type 1 (CRPS-1). Pain Med 2013; 14 (09) 1388-1399
    CrossrefPubMedSuche in Google Scholar
  • 21 van der Plas AA, Schilder JC, Marinus J, van Hilten JJ. An explanatory study evaluating the muscle relaxant effects of intramuscular magnesium sulphate for dystonia in complex regional pain syndrome. J Pain 2013; 14 (11) 1341-1348
    CrossrefPubMedSuche in Google Scholar
  • 22 Finch PM, Knudsen L, Drummond PD. Reduction of allodynia in patients with complex regional pain syndrome: A double-blind placebo-controlled trial of topical ketamine. Pain 2009; 146 (1-2): 18-25
    CrossrefPubMedSuche in Google Scholar
  • 23 Schwartzman RJ, Alexander GM, Grothusen JR, Paylor T, Reichenberger E, Perreault M. Outpatient intravenous ketamine for the treatment of complex regional pain syndrome: a double-blind placebo controlled study. Pain 2009; 147 (1-3): 107-115
    CrossrefPubMedSuche in Google Scholar
  • 24 Sigtermans MJ, van Hilten JJ, Bauer MCR. et al. Ketamine produces effective and long-term pain relief in patients with Complex Regional Pain Syndrome Type 1. Pain 2009; 145 (03) 304-311
    CrossrefPubMedSuche in Google Scholar
  • 25 Safarpour D, Salardini A, Richardson D, Jabbari B. Botulinum toxin A for treatment of allodynia of complex regional pain syndrome: a pilot study. Pain Med 2010; 11 (09) 1411-1414
    CrossrefPubMedSuche in Google Scholar
  • 26 Manning DC, Alexander G, Arezzo JC. et al. Lenalidomide for complex regional pain syndrome type 1: lack of efficacy in a phase II randomized study. J Pain 2014; 15 (12) 1366-1376
    CrossrefPubMedSuche in Google Scholar
  • 27 Goebel A, Baranowski A, Maurer K, Ghiai A, McCabe C, Ambler G. Intravenous immunoglobulin treatment of the complex regional pain syndrome: a randomized trial. Ann Intern Med 2010; 152 (03) 152-158
    CrossrefPubMedSuche in Google Scholar
  • 28 Groeneweg G, Huygen FJ, Niehof SP. et al. Effect of tadalafil on blood flow, pain, and function in chronic cold complex regional pain syndrome: a randomized controlled trial. BMC Musculoskelet Disord 2008; 9: 143
    CrossrefPubMedSuche in Google Scholar
  • 29 Sahin F, Yilmaz F, Kotevoglu N, Kuran B. Efficacy of salmon calcitonin in complex regional pain syndrome (type 1) in addition to physical therapy. Clin Rheumatol 2006; 25 (02) 143-148
    CrossrefPubMedSuche in Google Scholar
  • 30 Rauck RL, North J, Eisenach JC. Intrathecal clonidine and adenosine: effects on pain and sensory processing in patients with chronic regional pain syndrome. Pain 2015; 156 (01) 88-95
    CrossrefPubMedSuche in Google Scholar
  • 31 Deer TR, Levy RM, Kramer J. et al. Dorsal root ganglion stimulation yielded higher treatment success rate for complex regional pain syndrome and causalgia at 3 and 12 months: a randomized comparative trial. Pain 2017; 158 (04) 669-681
    CrossrefPubMedSuche in Google Scholar
  • 32 Kemler MA, de Vet HC, Barendse GA, van den Wildenberg FA, van Kleef M. Effect of spinal cord stimulation for chronic complex regional pain syndrome Type I: five-year final follow-up of patients in a randomized controlled trial. J Neurosurg 2008; 108 (02) 292-298
    CrossrefPubMedSuche in Google Scholar
  • 33 Kriek N, Groeneweg JG, Stronks DL, de Ridder D, Huygen FJ. Preferred frequencies and waveforms for spinal cord stimulation in patients with complex regional pain syndrome: A multicentre, double-blind, randomized and placebo-controlled crossover trial. Eur J Pain 2017; 21 (03) 507-519
    CrossrefPubMedSuche in Google Scholar
  • 34 Hord AH, Rooks MD, Stephens BO, Rogers HG, Fleming LL. Intravenous regional bretylium and lidocaine for treatment of reflex sympathetic dystrophy: a randomized, double-blind study. Anesth Analg 1992; 74 (06) 818-821
    PubMedSuche in Google Scholar
  • 35 Eckmann MS, Ramamurthy S, Griffin JG. Intravenous regional ketorolac and lidocaine in the treatment of complex regional pain syndrome of the lower extremity: a randomized, double-blinded, crossover study. Clin J Pain 2011; 27 (03) 203-206
    CrossrefPubMedSuche in Google Scholar
  • 36 Price DD, Long S, Wilsey B, Rafii A. Analysis of peak magnitude and duration of analgesia produced by local anesthetics injected into sympathetic ganglia of complex regional pain syndrome patients. Clin J Pain 1998; 14 (03) 216-226
    CrossrefPubMedSuche in Google Scholar
  • 37 Carroll I, Clark JD, Mackey S. Sympathetic block with botulinum toxin to treat complex regional pain syndrome. Ann Neurol 2009; 65 (03) 348-351
    CrossrefPubMedSuche in Google Scholar
  • 38 Yoo SD, Jung SS, Kim HS. et al. Efficacy of ultrasonography guided stellate ganglion blockade in the stroke patients with complex regional pain syndrome. Ann Rehabil Med 2012; 36 (05) 633-639
    CrossrefPubMedSuche in Google Scholar
  • 39 Toshniwal G, Sunder R, Thomas R, Dureja GP. Management of complex regional pain syndrome type I in upper extremity-evaluation of continuous stellate ganglion block and continuous infraclavicular brachial plexus block: a pilot study. Pain Med 2012; 13 (01) 96-106
    CrossrefPubMedSuche in Google Scholar
  • 40 Bilgili A, Çakır T, Doğan ŞK, Erçalık T, Filiz MB, Toraman F. The effectiveness of transcutaneous electrical nerve stimulation in the management of patients with complex regional pain syndrome: A randomized, double-blinded, placebo-controlled prospective study. J Back Musculoskeletal Rehabil 2016; 29 (04) 661-671
    CrossrefPubMedSuche in Google Scholar
  • 41 Oerlemans HM, Oostendorp RA, de Boo T, van der Laan L, Severens JL, Goris JA. Adjuvant physical therapy versus occupational therapy in patients with reflex sympathetic dystrophy/complex regional pain syndrome type I. Arch Phys Med Rehabil 2000; 81 (01) 49-56
    CrossrefPubMedSuche in Google Scholar
  • 42 Lee BH, Scharff L, Sethna NF. et al. Physical therapy and cognitive-behavioral treatment for complex regional pain syndromes. J Pediatr 2002; 141 (01) 135-140
    CrossrefPubMedSuche in Google Scholar
  • 43 Barnhoorn KJ, van de Meent H, van Dongen RT. et al. Pain exposure physical therapy (PEPT) compared to conventional treatment in complex regional pain syndrome type 1: a randomised controlled trial. BMJ Open 2015; 5 (12) e008283
    CrossrefPubMedSuche in Google Scholar
  • 44 Topcuoglu A, Gokkaya NK, Ucan H, Karakuş D. The effect of upper-extremity aerobic exercise on complex regional pain syndrome type I: a randomized controlled study on subacute stroke. Top Stroke Rehabil 2015; 22 (04) 253-261
    CrossrefPubMedSuche in Google Scholar
  • 45 Moseley GL. Is successful rehabilitation of complex regional pain syndrome due to sustained attention to the affected limb? A randomised clinical trial. Pain 2005; 114 (1-2): 54-61
    CrossrefPubMedSuche in Google Scholar
  • 46 Cacchio A, De Blasis E, De Blasis V, Santilli V, Spacca G. Mirror therapy in complex regional pain syndrome type 1 of the upper limb in stroke patients. Neurorehabil Neural Repair 2009; 23 (08) 792-799
    CrossrefPubMedSuche in Google Scholar
  • 47 Pervane Vural S, Nakipoglu Yuzer GF, Sezgin Ozcan D, Demir Ozbudak S, Ozgirgin N. Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study. Arch Phys Med Rehabil 2016; 97 (04) 575-581
    CrossrefPubMedSuche in Google Scholar
  • 48 Jeon B, Cho S, Lee JH. Application of virtual body swapping to patients with complex regional pain syndrome: a pilot study. Cyberpsychol Behav Soc Netw 2014; 17 (06) 366-370
    CrossrefPubMedSuche in Google Scholar