Table 6. Treatment of CRPS patients.
Treatment in patients (No) | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 |
Pharmacological Treatment | |||||||||||||||||||
Antidepressants | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 |
Anticonvulsants | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 |
Opioids | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 |
NSAID | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 1 | 1 | 0 |
All | 3 | 4 | 2 | 0 | 3 | 3 | 1 | 1 | 4 | 1 | 3 | 0 | 1 | 2 | 2 | 0 | 4 | 3 | 1 |
Other Noninvasive Treatment | |||||||||||||||||||
Physiotherapy | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 |
Psychotherapy | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 |
TENS | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
All | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 1 | 0 |
Invasive Treatment | |||||||||||||||||||
Interventional Therapy | 1 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 2 | 0 | 0 | 0 |
Other Treatment | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 0 |
All | 1 | 0 | 0 | 6 | 0 | 1 | 0 | 0 | 3 | 0 | 1 | 1 | 0 | 0 | 1 | 6 | 0 | 0 | 0 |
All Therapies [n] | 4 | 4 | 4 | 7 | 3 | 4 | 1 | 1 | 11 | 1 | 4 | 1 | 1 | 2 | 3 | 11 | 4 | 4 | 1 |
Subjective Improvement [NRS] | -6 | 6.5 | 10 | 10 | 0 | 5 | 8 | 2 | 6.5 | 9 | 8 | 7 | 10 | 5 | 5 | 10 | 10 | 7 | 9 |
QST LoGa Classification | L3G2 | L2G3 | L0G3 | L0G2 | L0G3 | L3G2 | L0G0 | L1G2 | L0G3 | L0G0 | L0G3 | L1G3 | L1G0 | L0G0 | L2G1 | L0G3 | L0G0 | L1G3 | L0G2 |
Pain [NRS] | 5 | 5.5 | 3.5 | 2.5 | 2 | 7.5 | 1 | 2 | 5 | 0 | 4 | 0 | 0 | 3 | 5 | 1 | 7 | 5.5 | 1 |
The table shows treatment in the individual 19 patients. Subjective improvement: Improvement/worsening at time of follow-up examination compared to first examination. Antidepressants: Tricyclics. Anticonvulsants: Pregabalin, Gabapentin. Psychotherapy: Behavior therapy. Interventional therapy: Sympathetic blocks. Other treatment: Sympathectomy, spinal cord stimulation, neurodestructive procedures. Subjective improvement: Judgments by NRS in which -10 is the worst and +10 best improvement. QST hyperalgesia upon follow-up examination: LoGa Classification (Maier 2010); L0: no loss of detection, L1: only thermal loss, L2: only mechanical loss, L3: mixed loss of detection, G0: no gain (= no hyperalgesia), G1: only thermal hyperalgesia, G2: only mechanical hyperalgesia, G3: thermal and mechanical hyperalgesia. QST: Quantitative Sensory Testing, TENS: Transcutaneous electrical nerve stimulation, VAS: visual analogue scale, NRS: numerical rating scale.