[Pain assessment of CRPS in Hand Therapy].

Kammermann, Patricia; Tobler, Bernadette; Vögelin, Esther (2020). [Pain assessment of CRPS in Hand Therapy]. Therapeutische Umschau, 77(6), pp. 263-269. Huber 10.1024/0040-5930/a001189

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Pain assessment of CRPS in Hand Therapy Abstract. Pain massively controls everyday life of affected persons. In case of a nerve being damaged, pain becomes more complex, as the trophism of the affected skin area may significantly be altered in addition to loss of sensibility and / or motor function. Quantifying pain is, therefore, difficult. Nevertheless, there exists a broad variety of pain assessments in hand therapy. A comprehensive documentation of pain and its effects on the patients' life are therefore pivotal for the individual design of therapy. Guidelines recommend an early start of therapy, a multimodal approach and a mixture of drug and non-drug interventions. However, specific recommendations are difficult to make, as the course of therapy is often complex and varies from person to person. Therefore, open and transparent communication, a stable therapeutic relationship, professional knowledge and active involvement of those affected are a prerequisite for successful therapy. In this article, the most frequently used assessments for pain in hand therapy are presented, as they are applied, for example, in complex regional pain syndromes. The clinical examination of allodynia is described in more detail by means of a patient example. Potential therapy goals and contents are illustrated. Despite all launched therapy interventions, treatment of pain remains a challenge that is best approached in an interdisciplinary setting and with the support of those affected.

Item Type:	Journal Article (Review Article)
Division/Institute:	04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery 04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery 04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Handchirurgie
UniBE Contributor:	Tobler, Bernadette, Vögelin, Esther
Subjects:	600 Technology > 610 Medicine & health
ISSN:	0040-5930
Publisher:	Huber
Language:	German
Submitter:	Veronika Picha
Date Deposited:	30 Sep 2020 14:02
Last Modified:	05 Dec 2022 15:40
Publisher DOI:	10.1024/0040-5930/a001189
PubMed ID:	32930079
URI:	https://boris.unibe.ch/id/eprint/146746