Purpose of Review

Complex regional pain syndrome (CRPS) is a debilitating pain condition that often requires a multidisciplinary approach including medication, physical therapy, occupational therapy, psychological therapy, and interventional procedures to restore the patient’s quality of life. This article reviews the interventional treatments for pain resulting from CRPS.

Recent Findings

Sympathetic nerve blocks (stellate ganglion and lumbar sympathetic) are the first-line interventional treatment options for patients with CRPS of the upper and lower extremities, respectively. Fluoroscopic techniques for lumbar sympathetic blocks have not significantly changed throughout the years. However, both novel fluoroscopic and ultrasound approaches to stellate ganglion blockade have arisen. In addition, novel neuromodulation therapies to treat CRPS have been developed to include new waveforms with dorsal column stimulation and entirely new nerve targets such as dorsal root ganglion stimulation.

Summary

This paper will review the latest interventional treatment options available for the treatment of CRPS.

中文翻译：

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治疗复杂区域疼痛综合征的介入方式

审查目的

复杂区域疼痛综合征 (CRPS) 是一种使人衰弱的疼痛状况，通常需要采用多学科方法，包括药物治疗、物理治疗、职业治疗、心理治疗和介入治疗，以恢复患者的生活质量。本文综述了 CRPS 引起的疼痛的介入治疗。

最近的发现

交感神经阻滞（星状神经节和腰交感神经）分别是上肢和下肢 CRPS 患者的一线介入治疗选择。多年来，腰交感神经阻滞的透视技术没有显着变化。然而，已经出现了用于星状神经节阻滞的新型荧光透视和超声方法。此外，已经开发出治疗 CRPS 的新型神经调节疗法，包括具有背柱刺激的新波形和全新的神经靶点，例如背根神经节刺激。

概括

本文将回顾可用于治疗 CRPS 的最新介入治疗方案。