Revue médicale suisse
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Neuropathic pain is challenging to treat, partly because of the systemic side effects of the commonly used medications. Therefore topical analgesics are potentially very usefull. ⋯ However, this option should be evaluated on an individual basis. The efficacy of topical amitriptyline and ketamine is not demonstrated.
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Revue médicale suisse · Jun 2008
[News in diagnostic and treatment of complex regional pain syndrome].
The complex regional pain syndrome (previously called algodystrophy) remains difficult to diagnose and to treat. New diagnostic criteria, easy to apply, based on patient's reports and clinical examination, have recently been proposed and deserve a large diffusion. ⋯ In particular, a rehabilitation program combining laterality recognition, mental imagery and mobilisation in front of a mirror showed a significant improvement of pain and functional capacities in a randomised, controlled, single blind study. This treatment is noninvasive, cheap, has no severe complications and favors patients autonomy.