The Effect of Aggressive Medical and Physical Therapy on The Healing Process in Complex Regional Pain Syndrome

Öz

Objective: Complex regional pain syndrome (CRPS) differs from other chronic pain situations together by the presence of symptoms representing inflammatory and autonomic alterations in the painful area. The treatment of CRPS requires a multidisciplinary approach that includes a combination of pharmacological, physical, occupational, and psychological therapies. Therefore, the aim of the study is to evaluate the effect of aggressive medical and physical therapy on the recovery process in patients with CRPS type 1.
Methods: Seventy five patients (40 female, 35 male) with CRPS type 1 were retrospectively analyzed. All patients were treated with medical and physical therapy. The state of health (very good, good, moderate, bad, very bad) and visual analog scale (VAS) scores before the treatments, 1 and 3 months after the treatments were collected from medical records.
Results: In the study, the average age of patients was 53±11.30 years. The VAS scores in the baseline, 1, and 3 months after the treatments were 8.59±0.50, 0.49±0.50, and 0.49±0.50, respectively. The VAS scores in the 1 th and 3 th month following the therapies statistically significantly reduced according to the baseline (p<0.001). There a was statistically significant difference between the state of health scores before the treatments and after the treatments at the 3th month (p<0.001).
Conclusion: It is seemed that a combination of the current treatments may provide good results in order not to miss any underlying pathology and to eliminate them completely. Moreover, early and appropriate treatment can help resolve the syndrome and prevent prolonged pain, loss of function, and disability.

Anahtar Kelimeler

• Complex regional pain syndrome
• Medical treatment
• Physical therapy

Kompleks bölgesel ağrı sendromunda agresif medikal ve fizik tedavinin iyileşme sürecine etkisi

Öz

Amaç: Kompleks bölgesel ağrı sendromu (KBAS), ağrılı bölgedeki otonom ve inflamatuar değişiklikleri temsil eden belirtilerin varlığı ile diğer kronik ağrı durumlarından ayrılır. Kompleks bölgesel ağrı sendromunun tedavisi farmakolojik tedavi, fizik tedavi, mesleki ve psikolojik tedavilerin kombinasyonunu içeren multidisipliner bir yaklaşım gerektirir. Bu nedenle, bu çalışmanın amacı, Tip 1 KBAS hastalarında agresif medikal ve fizik tedavinin iyileşme sürecine etkisini değerlendirmektir.
Yöntem: Tip 1 KBAS tanısı olan 75 hasta (40 kadın, 35 erkek) retrospektif olarak toplandı. Tüm hastalara medikal ve fizik tedavi verilmişti. Tedavilerden önce, tedavilerden 1 ve 3 ay sonra hastaların sağlık durumu (çok iyi, iyi, orta, kötü, çok kötü) ile görsel analog skala (GAS) değerleri geriye yönelik tıbbi kayıtlardan toplandı.
Bulgular: Hastaların ortalama yaşı 53±11,30 yıl idi. Tedaviden önce, tedaviden 1 ve 3 ay sonraki GAS skorları sırasıyla 8,59 ± 0,50, 0,49±0,50 ve 0,49±0,50 idi. Tedaviden sonra 1. ve 3. aydaki GAS skorları, başlangıçtaki GAS düzeyine kıyasla istatistiksel olarak anlamlı derecede azalmıştı (p<0,001). Tedaviden önce ve tedaviden 3 ay sonraki sağlık durumu arasında da istatistiksel olarak anlamlı fark vardı (p<0,001).
Sonuç: Altta yatan herhangi bir patolojiyi gözden kaçırmamak ve bunları tamamen ortadan kaldırmak için mevcut tedavilerin kombinasyonunun iyi sonuçlar sağlayabileceği görülmektedir. Ayrıca, erken ve uygun tedavi, sendromun çözülmesine ve uzun süreli ağrının, fonksiyon kaybının ve sakatlığın önlenmesine yardımcı olabilir.

Anahtar Kelimeler

• Kompleks bölgesel ağrı sendromu
• medikal tedavi
• fizik tedavi

Kaynakça

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