chronic pain syndrome Flashcards
what is the other name for complex regional pain syndrome ?
sudek’s atrophy
transiet osteoprosis
shoulder hand syndrome
what is CRPS ?
occurs in the absence of nerve injury
characterised by:
pain
abnormal blood flow
tropic changes of the skin
sensory disturbances and autonomic features
what are the types of CRPS ?
type I - no definable nerve lesion
Type II - causalgia - fe nerve lesion
what are thee triggers or causes associated with CPRS ?
orthopaedic operations
fractures
herpess zoster
idiopathic
what are the features of stage 1 CPRS ?
pain
sensitivity to touch o cold
vasomotor warm and red
sudomotor sweaty
lasts for 1-3 months
what are the features of stage 2 CPRS ?
progression of soft tissue oedema
thickening of the skin
muscle wasting and osteoprosis
cold , cyanotic limb
llasts forr 3-6 months
what are the feeatures of stage 3 CRPS ?
most severe
limitation of movement
severe osteoporosis
waxy trophic skin
brittle ridged nails
associated with allodynia and hyperalgesia
what is allodynia ?
non painful stimulus evokes pain
what is the single most imp treatment for CRPS ?
physiotherapy
what is fibromyalgia ?
long term condition that cause widespread muscular pain
what seemss to be the cause of fibromyalgia ?
thee onset of a stressful event - whether emotional or physical
what are the symptoms of fibromyalgia ?
chronic fatigue
diffuse pain
mood disorders
sleep disturbances
restless leg syndrome
TMJD
headache
IBS
what endocrine disease may fibromyalgia be associated with ?
hypothyroidism
what drugs can be used for fibromyalgia ?
paracetamol
amitriptyline
antidepressant - fluoxetine or paroxetine
pregabalin or gabapentin
what can be used for the sleep disturbances ?
duloxetine
