A plea against invasive procedures in children and adolescents with complex regional pain syndrome (CRPS)
Zernikow B et al. – Despite a lack of evidence for invasive procedures, these continue to be used in children and adolescents with complex regional pain syndrome (CRPS), who later respond positively to conventional treatment.Methods
- A retrospective chart study of pediatric chronic pain patients with CRPS was performed.
- Over the course of 6 years, 37 (35 girls) children and adolescents took part in a multidisciplinary chronic pain inpatient program.
- At admission, patients took on average 4.4 (range 1–10) different medications and 29 different pharmaceuticals were used overall.
- Prior to admission, invasive pain treatments were performed without success in 16 of the children (43%).
- At least 13 children received two or more invasive treatments.
- Although sympathetic blocks were most prevalent, operations and regional anesthesia were also used.