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conferenceseries.com
Volume 7 Journal of Pain & Relief
ISSN: 2167-0846 Pain Management 2018
October 11-12, 2018
October 11-12, 2018 | Zurich, Switzerland
7th International Conference and Exhibition on
Pain Research and Management
Complex Regional Pain Syndrome (CRPS): Rehabilitation and interdisciplinary treatment – seen
from rehabilitation based therapy approach
Lene Møller Schear Mikkelsen
National University Hospital, Denmark
Statement of the Problem: The treatment and rehabilitation of patients with CRPS is challenging. The limited knowledge on
the pathophysiology and its complex mechanisms contribute to the fact that CRPS is difficult to treat. Often this means that the
disease is treated by an individual knowledge, clinical experience and preference of the individual professionals. In many cases,
it is without an interdisciplinary and cross-sectoral approach. Often patients with CRPS are faced with multiple consultations
and it is perceived that many patients with CRPS in Denmark are diagnosed late in their illness. However there is international
consensus on diagnostic criteria and early identification. Evidence for treatment is weak, but there are good experiences with
highly specialized interdisciplinary treatment. Rehabilitation based therapy is recommended as the core treatment for CRPS.
In view of this, a Danish National Treatment Guideline for CRPS was developed. The rehabilitation based therapy approach
described in this guideline was based on a study to identify current practice among clinicians who deliver rehabilitation based
therapy to patients with CRPS.
Methodology: An online survey was disseminated to physio- and occupational therapists who works with CRPS in Denmark.
Responders were asked about which kind of treatment they found useful, outcome measures, and challenges related to the
course of treatment.
Findings: Within this survey, the physio- and occupational therapists emphasized the importance of an interdisciplinary
approach and called for a function-based treatment algorithm so patients are offered a more uniform treatment due to clinical
and evidence-based practice.
Conclusion & Significance: CRPS is a multifactorial condition and should be treated as such by a specialized interdisciplinary
team. Applicable to the therapeutic part of the National Treatment Guideline for CRPS a function-based treatment algorithm
was developed. This survey was the first step trying to develop a best practice model of a therapeutic based approach.
Recent Publications
1. L Moeller Schear Mikkelsen, P Rotboll Nielsen and H Tønnesen (2016) Multidisciplinary and cross-sectorial treatment
of patients with complex regional pain syndrome. Ugeskr læger 178(13):V09150702.
2. MGalve Villa, B Rittig Rasmussen, LMoeller Schear Mikkelsen and A Groendahl Poulsen (2016) Complex regional pain
syndrome. Manual Therapy 26:223-230.
Biography
Lene Møller Schear Mikkelsen, PT, completed her Masters in Rehabilitation. She has her expertise in Physical Therapy and Rehabilitation. She is highly skilled in pain
management and improving interdisciplinary approach to patients with chronic pain conditions.
Lene Møller Schear Mikkelsen, J Pain Relief 2018, Volume 7
DOI: 10.4172/2167-0846-C1-020