Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jan 2003
ReviewPharmacologic treatment of complex regional pain syndrome I: a conceptual framework.
Pain may be a leading symptom in complex regional pain syndrome type I (CRPS I) and may hinder functional recovery. In this case, a pharmacotherapeutic approach to pain should be part of the individually tailored interdisciplinary treatment regimen. However, operational criteria for determining which patient may profit from what therapeutic intervention are lacking. ⋯ Finally, relating the clinical picture to the underlying pathophysiology may help determine the pharmacotherapeutic approach for an individual patient. Pharmacologic options are discussed in this context. The presented framework does not aim to provide an evidence-based treatment algorithm, ready to be used in daily clinical practice; rather it offers a crude, first step toward a mechanism-based pharmacotherapy in CRPS I, in an effort to shift from a mainly empirical treatment paradigm toward theory-driven treatment procedures.
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Arch Phys Med Rehabil · Jan 2003
Treatment of chronic lumbar diskogenic pain with intradiskal electrothermal therapy: a prospective outcome study.
To determine the clinical efficacy of intradiskal electrothermal annuloplasty in treating patients with chronic constant lumbar diskogenic pain who have not responded to at least 6 months of aggressive nonoperative care. ⋯ Intradiskal electrothermal annuloplasty offers a safe, minimally invasive treatment option for carefully selected patients with chronic lumbar diskogenic pain who have not responded to aggressive nonoperative care.
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To determine if botulinum toxin type B (MyoBloc) decreases spasticity. ⋯ Botulinum toxin type B may be useful in treatment of spasticity.