Handbook of Pain Syndromes: Biopsychosocial Perspectives

By Andrew R. Block; Edwin F. Kremer et al. | Go to book overview

Chapter 16
Complex Regional Pain Syndromes:
An Interdisciplinary Perspective

Herbert G. Steger
Department of Anesthesiology
University of Kentucky College of Medicine

Stephen Bruehl
R. Norman Harden
Department of Physical Medicine and Rehabilitation
Northwestern University Medical School

Complex regional pain syndrome (CRPS) is characterized by constant, severe, deep, diffuse, burning pain; abnormal pain response; autonomic dysfunction; and difficulty in motor functioning. It typically affects the extremities, but less frequently also affects other areas of the body, including head and breast. CRPS usually develops following surgery, trauma (such as a sprain, fracture, or crush injury), or injury to a peripheral nerve, although it may develop without an initiating event. The condition also has been reported in association with other medical conditions, including myocardial infarction, cerebral vascular accident, traumatic brain injury, neoplastic tumor, cervical and lumbar radiculopathy, and spinal cord injury. Although long thought to affect only adults, CRPS has been found to affect children and adolescents ( Wilder, Berde, Wolohan, Vieyra, & Masek, 1992). The condition develops at variable rates, can spread to other parts of the body, often responds poorly to treatment, and can progress to become a disabling chronic pain syndrome.

CRPS has posed a diagnostic and treatment challenge since its initial description during the American Civil War ( Mitchell, Morehouse, & Keen, 1864). Psychological factors have been presumed to play an integral role in the etiology, maintenance, and outcome of the condition throughout its long history. Recent developments have led to improved understanding of the pathophysiology, diagnosis, treatment, and role of psychological and behavioral factors in CRPS. This chapter reviews these developments and discusses the current interdisciplinary approach to treatment, with an em-

-321-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited page

Bookmark this page
Handbook of Pain Syndromes: Biopsychosocial Perspectives
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this book
  • Bookmarks
  • Highlights & Notes
  • Citations
/ 692

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.