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Cited by 362

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Complex regional pain syndrome

Bruehl, Stephen·2015·BMJ

Abstract

Complex regional pain syndrome is a chronic pain condition characterized by autonomic and inflammatory features. It occurs acutely in about 7% of patients who have limb fractures, limb surgery, or other injuries. Many cases resolve within the first year, with a smaller subset progressing to the chronic form. This transition is often paralleled by a change from "warm complex regional pain syndrome," with inflammatory characteristics dominant, to "cold complex regional pain syndrome" in which autonomic features dominate. Multiple peripheral and central mechanisms seem to be involved, the relative contributions of which may differ between individuals and over time. Possible contributors include peripheral and central sensitization, autonomic changes and sympatho-afferent coupling, inflammatory and immune alterations, brain changes, and genetic and psychological factors. The syndrome is diagnosed purely on the basis of clinical signs and symptoms. Effective management of the chronic form of the syndrome is often challenging. Few high quality randomized controlled trials are available to support the efficacy of the most commonly used interventions. Reviews of available randomized trials suggest that physical and occupational therapy (including graded motor imagery and mirror therapy), bisphosphonates, calcitonin, subanesthetic intravenous ketamine, free radical scavengers, oral corticosteroids, and spinal cord stimulation may be effective treatments. Multidisciplinary clinical care, which centers around functionally focused therapies is recommended. Other interventions are used to facilitate engagement in functional therapies and to improve quality of life.

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Metadata

Authors
Bruehl, S.
Venue
BMJ
Publisher
BMJ
Published
2015-07-29
Volume
25
Issue
2
Pages
h2730
ISSN
1756-1833 (ISSN-L)
OpenAlex
W2176092399
Cited by
362
References
11
FWCI
32.81
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Complex regional pain syndrome. https://app.cochat.ai/papers/10.1136/bmj.h2730
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Bruehl, S. (2015). Complex regional pain syndrome. BMJ. https://doi.org/10.1136/bmj.h2730

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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