Complex regional pain syndrome of the foot and its management using spinal cord stimulation

• Beeson, Paul ^[2] ; Ashford, Robert ^[1] ; Raphael, Jon ^[1]
  1. [1] Birmingham City University

     Birmingham City University

     Reino Unido

     
  2. [2] Senior Lecturer
• Localización: EJPOD: European Journal of Podiatry = Revista europea de podología, ISSN-e 2445-1835, Vol. 3, Nº. 1, 2017, págs. 8-17
• Idioma: inglés
• DOI: 10.17979/ejpod.2017.3.1.1577
• Títulos paralelos:
  • El síndrome de dolor regional complejo del pie y su gestión mediante la estimulación de la médula espinal
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivos: Este artículo describe el dolor neuropático de los pies con especial referencia al síndrome de dolor regional complejo. Proporciona recomendaciones para la evaluación clínica del síndrome de dolor regional complejo y pone de relieve el valor de la estimulación de la médula espinal en su gestión. El objetivo es revisar dolor en el pie neuropático en el síndrome de dolor regional complejo y resumen de su gestión mediante la estimulación de la médula espinal.Material y métodos: Una revisión de la literatura narrativa se llevó a cabo utilizando bases de datos médicas de idioma Inglés la combinación de estrategias de búsqueda para el síndrome de dolor regional complejo y estimulación de la médula espinal.Resultados: Estimulación de la médula espinal mejora los síntomas subjetivos del dolor neuropático pies del síndrome de dolor regional complejo, permite la mejora funcional objetivo y reduce el consumo de analgésicos.Conclusión: Los avances técnicos recientes en la estimulación de la médula espinal han dado lugar a patrones de estimulación mejoradas adaptaciones a las necesidades del paciente. diagnóstico preoperatorio cuidadosa, la selección de pacientes robusto y seguimiento frecuente son vitales para el éxito de este método. Es importante que los podólogos gestión de estos pacientes a tener una comprensión de esta modalidad de tratamiento. 

  • English

    Objective: This article discusses neuropathic foot pain with particular reference to complex regional pain syndrome. It provides recommendations for the clinical evaluation of complex regional pain syndrome and highlights the value of spinal cord stimulation in its management. The aim is to review neuropathic foot pain in complex regional pain syndrome and outline its management using spinal cord stimulation. It is important for Podiatrists managing such patients to have an understanding of this treatment modality.Methods: A narrative literature review was undertaken using English language medical databases combining search strategies for complex regional pain syndrome and spinal cord stimulation.Results: Spinal cord stimulation improves the subjective symptoms of the neuropathic foot pain of complex regional pain syndrome, enables objective functional improvement and reduces analgesic consumption.Conclusion: Recent technical developments in spinal cord stimulation have led to improved stimulation patterns adapted to the patients’ needs. Careful preoperative diagnosis, robust patient selection and frequent follow-up are vital for the success of this method.

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