The effectiveness of wrist-ankle acupuncture on post-stroke shoulder-hand syndrome: A systematic review and meta-analysis.
Shoulder-hand syndrome is one of the most common post-stroke complications. It presents with a variety of symptoms, especially pain and a limited range of motion of the wrist and hand, which negatively affect an individual's quality of life and ability to complete daily tasks. Nurse-led complementar…
Thwarted credibility work and double binds in medically unexplained pain in Japan: a qualitative study.
This study examined how people living in Japan with medically unexplained pain (MUEP) perform credibility work across clinics and everyday life, where and why credibility work falters, and the interactional double binds organizing these failures. We qualitatively analyzed first-person illness narrat…
Management of Neuropathic Pain in Complex Regional Pain Syndrome: A Comprehensive Review.
Complex regional pain syndrome (CRPS) is a complex and multifaceted condition in which pain may be neuropathic, nociplastic, nociceptive, or mixed in nature. This review aims to summarize the available pharmacological and non-pharmacological strategies for managing neuropathic pain in CRPS Types I a…
Mesotherapy With Lidocaine and Ketamine in Complex Regional Pain Syndrome Type 1: A Randomized Double-Blind Trial.
Complex regional pain syndrome type 1 (CRPS1) is a disabling pain syndrome whose treatment remains challenging. Mesotherapy is a therapeutic method involving the injection of low doses of active substances through the skin. No studies assessed mesotherapy in CRPS1 patients. The aim of this study was…
Local Coverage Determinations for Peripheral Nerve Injections and Procedures for Chronic Pain: Policy Changes, Clinical Limitations, and Health-Equity Implications.
Five Medicare Administrative Contractors (MACs)-CGS, Palmetto GBA, Wellpoint Federal (formerly National Government Services), Wisconsin Physicians Service, and Noridian-participated in a collaborative policy-development process addressing peripheral nerve injections and related procedures for chroni…
Ketamine Infusion Protocol for the Treatment of Complex Regional Pain Syndrome.
This case report presents a 57-year-old gentleman with treatment-resistant complex regional pain syndrome (CRPS) following upper limb amputation. Despite numerous interventions, including medications, nerve blocks, and spinal cord stimulators, his pain remained refractory. Four weekly ketamine infus…
Evidence-Based Therapeutic Methods for Reflex Sympathetic Dystrophy: A Systematic Review.
Complex regional pain syndrome (CRPS) is a chronic pain illness characterized by ongoing discomfort, sensory abnormalities, motor dysfunction, edema, and decreased functional capacity. Although different therapeutic options have been presented, the efficacy of physical rehabilitation and pharmaceuti…
A Review of Physiological Measurements Among Patients Diagnosed With Complex Regional Pain Syndrome.
The combination of disproportionate pain intensity and limb disuse is often diagnosed as complex regional pain syndrome (CRPS), a label that may imply a specific measurable pathophysiology. In a review of studies of pathophysiology associated with diagnosis of CRPS, we asked, "How often are studies…