Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector10830010.17816/RA108300ReviewsНаучные обзорыReview ArticleCurrent understanding of complex regional pain syndromeСовременные представления о комплексном регионарном болевом синдромеhttps://orcid.org/0000-0002-3246-7452PetrushinAlexander L.ПетрушинАлександр Леонидович
Russian Federation

MD, Cand. Sci. (Med.)

к.м.н.

petrushin.59@mail.ruhttps://orcid.org/0000-0002-2386-92818850-2071AntipinEduard E.АнтипинЭдуард Эдуардович
Russian Federation

MD, Dr. Sci. (Med.), associate professor

д.м.н., доцент

vard67@mail.ruhttps://orcid.org/0000-0002-0900-45725490-9821BraginaSvetlana V.БрагинаСветлана Валентиновна
Russian Federation

MD, Cand. Sci. (Med.), associate professor

к.м.н., доцент

svetabragina69@mail.ruhttps://orcid.org/0000-0002-1267-97812074-3953YakovenkoMaxim P.ЯковенкоМаксим Петрович
Russian Federation

graduate student

аспирант

alter83@mail.ruhttps://orcid.org/0000-0002-1912-4252BochkarevaNadegda A.БочкареваНадежда Андреевна
Russian Federation

graduate student

аспирант

noirsept@gmail.comhttps://orcid.org/0000-0001-5768-3859KorolevaNatalia I.КоролеваНаталья Ивановна
Russian Federation

graduate student

аспирант

la-reine-soleil@yandex.ruKarpogory central district hospitalКарпогорская центральная республиканская больницаNorthern State Medical UniversityСеверный государственный медицинский университет2007202216152128052022Copyright ©; 2022, Petrushin A.L., Antipin E.E., Bragina S.V., Yakovenko M.P., Bochkareva N.A., Koroleva N.I.Copyright ©; 2022, Петрушин А.Л., Антипин Э.Э., Брагина С.В., Яковенко М.П., Бочкарева Н.А., Королева Н.И.2022Petrushin A.L., Antipin E.E., Bragina S.V., Yakovenko M.P., Bochkareva N.A., Koroleva N.I.Петрушин А.Л., Антипин Э.Э., Брагина С.В., Яковенко М.П., Бочкарева Н.А., Королева Н.И.https://creativecommons.org/licenses/by-nc-nd/4.0/https://rjraap.com/1993-6508/article/view/108300

Complex regional pain syndrome (CRPS) is a multifactorial pathology characterized by chronic pain, autonomic disorders, and motor dysfunction. This review discusses the mechanisms of CRPS development, as well as methods of its diagnosis, treatment, and prevention. In addition to drug treatment and physical therapy, issues of interventional methods for the treatment of CRPS are also covered. Along with sympathetic blocks and various ablation techniques under ultrasound and fluoroscopic guidance, a new waveform for spinal cord stimulation and new stimulation targets such as dorsal root ganglia have been proposed.

Комплексный регионарный болевой синдром (КРБС) – многофакторная патология, характеризующаяся хронической болью, вегетативными нарушениями и двигательной дисфункцией. В данном обзоре рассматриваются механизмы развития КРБС, а также методы диагностики, лечения и профилактики. Кроме медикаментозного лечения и физической терапии освещены также вопросы интервенционных методик лечения КРБС. Наряду с симпатическими блокадами и различными методами абляции под ультразвуковым и флюороскопическим контролем предложены новая форма волны для нейростимуляции спинного мозга и новые цели стимуляции, такие как ганглии задних корешков спинного мозга.

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