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Schmerz. 2012 Aug;26(4):389-95. doi: 10.1007/s00482-012-1164-2.

[Please don't hurt me!: a plea against invasive procedures in children and adolescents with complex regional pain syndrome (CRPS)].

[Article in German]

Author information

1
Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik, Universit├Ąt Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland. b.zernikow@deutsches-kinderschmerzzentrum.de

Abstract

BACKGROUND:

Complex regional pain syndrome (CRPS; formerly known as Morbus Sudeck/reflex dystrophy) is diagnosed in children and adolescents, but the clinical presentation is often atypical. Unfortunately, potentially harmful, invasive treatments are used in pediatric patients.

PATIENTS AND METHODS:

A retrospective chart study of pediatric chronic pain patients with CRPS was performed.

RESULTS:

Over the course of 6 years, 37 (35 girls) children and adolescents took part in a multidisciplinary chronic pain inpatient program. At admission, patients took on average 4.4 (range 1-10) different medications and 29 different pharmaceuticals were used overall. Prior to admission, invasive pain treatments were performed without success in 16 of the children (43%). At least 13 children received two or more invasive treatments. Although sympathetic blocks were most prevalent, operations and regional anesthesia were also used.

CONCLUSION:

Despite a lack of evidence for invasive procedures, these continue to be used in children and adolescents with CRPS, who later respond positively to conventional treatment. The English full-text version of this article is available at SpringerLink (under "Supplemental").

PMID:
22669356
DOI:
10.1007/s00482-012-1164-2
[Indexed for MEDLINE]

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