Page 266 Guide to Pain Management in Low-Resource Settings

254 Andreas Schwarzer and Christoph Maier

therapeutic steps should be followed: fi rst, treat- [4] Maihöfner C, Handwerker HO, Neundörfer B, Birklein F. Patterns of
cortical reorganisation in complex regional pain syndrome. Neurology
ment of the pain and edema; second, treatment 2003;61:1707–15.
of the pain, allowing movement; and third, treat- [5] Moseley GL. Graded motor imagery for pathologic pain: a randomized
controlled trial. Neurology 2006;67: 2129–34.
ment of the functional orthopedic impairment. [6] Nelson DV, Brett RS. Interventional therapies in the management of
complex regional pain syndrome. Clin J Pain 2006;22:438–42.
• Th e intensity of physiotherapy must be reduced if [7] Pleger B, Ragert P, Schwenkreis P, Förster AF, Wilimzig C, Dinse H,
pain increases again or after a new physical trau- Nicolas V, Maier C, Tegenthoff M. Patterns of cortical reorganization
parallel impaired tactile discrimination and pain intensity in complex
ma. regional pain syndrome. Neuroimage 2006;32:503–10.
[8] Rowbotham MC. Pharmacological management of complex regional
pain syndrome. Clin J Pain 2006;22:425–9.
References

Websites
[1] Baron R, Schattschneider J, Binder A, Siebrecht D, Wasner G. Relation
between sympathetic vasoconstrictor activity and pain and hyperalge-
sia in complex regional pain syndromes: a case-control study. Lancet http://www.mayoclinic.com/health/complex-regional-pain-syndrome/
2002;359:1655–60. DS00265
[2] Birklein F, Schmelz M. Neuropeptide, neurogenic infl ammation and http://www.iasp-pain.org/AM/Template.cfm?Section=WHO2&Template=/
complex regional pain syndrome (CRPS). Neurosci Lett 2008;437:199– CM/ContentDisplay.cfm&ContentID=4174
202.
[3] Harden RN, Bruehl S. Diagnostic criteria: the statistical derivation of
the four criterion factors. In: Wilson PR, Stanton-Hicks M, Harden RN,
editors. CRPS: current diagnosis and therapy, Progress in pain research
and management, vol. 32. Seattle: IASP Press; 2005.