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Article: Functional improvement after physiotherapy with a continuous infusion of local anaesthetics in patients with complex regional pain syndrome

TitleFunctional improvement after physiotherapy with a continuous infusion of local anaesthetics in patients with complex regional pain syndrome
Authors
Issue Date2003
PublisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/AAS
Citation
Acta Anaesthesiologica Scandinavica, 2003, v. 47 n. 1, p. 94-97 How to Cite?
AbstractThree patients were referred to our pain clinic with evidence of complex regional pain syndrome in their extremities. Two presented at the atrophic stage with joint contractures. Multiple analgesics had been prescribed without long-lasting relief. Physiotherapy was required to improve physical activity but was severely limited by pain. We instituted local anaesthetic infusion with the possibility of self-supplementation to facilitate physiotherapy; two via brachial plexus catheters for hand pain and one via epidural catheter for knee pain. Although their resultant pain scores were variable after cessation of local anaesthetic infusion, all the affected joints exhibited marked improvement in range of movement. We propose that this technique is a useful option for patients in all stages of complex regional pain syndrome where the emphasis is now directed toward functional improvement. © Acta Anaesthesiologica Scandinavica 47 (2003).
Persistent Identifierhttp://hdl.handle.net/10722/147196
ISSN
2015 Impact Factor: 2.049
2015 SCImago Journal Rankings: 1.020
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMak, PHKen_US
dc.contributor.authorIrwin, MGen_US
dc.contributor.authorTsui, SLen_US
dc.date.accessioned2012-05-29T06:00:43Z-
dc.date.available2012-05-29T06:00:43Z-
dc.date.issued2003en_US
dc.identifier.citationActa Anaesthesiologica Scandinavica, 2003, v. 47 n. 1, p. 94-97en_US
dc.identifier.issn0001-5172en_US
dc.identifier.urihttp://hdl.handle.net/10722/147196-
dc.description.abstractThree patients were referred to our pain clinic with evidence of complex regional pain syndrome in their extremities. Two presented at the atrophic stage with joint contractures. Multiple analgesics had been prescribed without long-lasting relief. Physiotherapy was required to improve physical activity but was severely limited by pain. We instituted local anaesthetic infusion with the possibility of self-supplementation to facilitate physiotherapy; two via brachial plexus catheters for hand pain and one via epidural catheter for knee pain. Although their resultant pain scores were variable after cessation of local anaesthetic infusion, all the affected joints exhibited marked improvement in range of movement. We propose that this technique is a useful option for patients in all stages of complex regional pain syndrome where the emphasis is now directed toward functional improvement. © Acta Anaesthesiologica Scandinavica 47 (2003).en_US
dc.languageengen_US
dc.publisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journals/AASen_US
dc.relation.ispartofActa Anaesthesiologica Scandinavicaen_US
dc.subject.meshAgeden_US
dc.subject.meshAnalgesia, Patient-Controlleden_US
dc.subject.meshAnesthetics, Local - Administration & Dosage - Therapeutic Useen_US
dc.subject.meshComplex Regional Pain Syndromes - Drug Therapy - Psychology - Therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFingers - Physiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshInfusions, Intravenousen_US
dc.subject.meshMaleen_US
dc.subject.meshMedian Neuropathy - Surgeryen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMovement - Physiologyen_US
dc.subject.meshNeuroma - Surgeryen_US
dc.subject.meshPain Measurementen_US
dc.subject.meshPeripheral Nervous System Neoplasms - Surgeryen_US
dc.subject.meshPhysical Therapy Modalitiesen_US
dc.subject.meshRaynaud Disease - Drug Therapy - Therapyen_US
dc.titleFunctional improvement after physiotherapy with a continuous infusion of local anaesthetics in patients with complex regional pain syndromeen_US
dc.typeArticleen_US
dc.identifier.emailIrwin, MG:mgirwin@hku.hken_US
dc.identifier.authorityIrwin, MG=rp00390en_US
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1034/j.1399-6576.2003.470117.xen_US
dc.identifier.pmid12492805-
dc.identifier.scopuseid_2-s2.0-0037226085en_US
dc.identifier.hkuros80875-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0037226085&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume47en_US
dc.identifier.issue1en_US
dc.identifier.spage94en_US
dc.identifier.epage97en_US
dc.identifier.isiWOS:000179948400017-
dc.publisher.placeDenmarken_US
dc.identifier.citeulike3009698-

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