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rTMS targeted to the secondary somatosensory cortex influences sleep in CRPS patients, as measured with the OURA ring
ConclusionS2-targeted rTMS influenced sleep in patients with CRPS. Improved sleep may enhance CRPS symptom alleviation and be of clinical importance. A univariate analysis could separate the rTMS and sham treatments. The multivariate analysis revealed that including multiple sleep-related parameters can be beneficial when analyzing rTMS effects on sleep. As sleep is related both to pain and quality of life, and sleep rTMS can be directly affected by rTMS, objective monitoring of sleep in various future rTMS trials could be fruitful.
Source: Brain and Behavior - September 13, 2023 Category: Neurology Authors: Jukka Vanhanen, Jan Kujala, Mia Liljestr öm, Eija Kalso, Jussi Virkkala, Hanna Harno Tags: ORIGINAL ARTICLE Source Type: research

Virtual reality in managing Complex Regional Pain Syndrome (CRPS): a scoping review
ConclusionsWe describe the results found in 7 articles that focus on the treatment of CRPS with VR modalities. Overall, the articles have various limitations, but the strategies related to immersive virtual reality, cardiac signaling, body switching and limb modulation have shown the most promising results for pain reduction and BPD improvement. These strategies reflect on pathophysiological mechanisms that are hypothesized to be affected in CRPS patients leading to the chronic pain and BPD that they experience. Not much evidence was found for improvement in limb movement and daily function. This review is a pathway for fu...
Source: Frontiers in Neurology - September 7, 2023 Category: Neurology Source Type: research

Local subcutaneous lidocaine injection for the treatment of complex regional pain syndrome: a case report and literature review
A 14-year-old child was diagnosed with complex regional pain syndrome (CRPS) after bromhidrosis surgery. She experienced a stinging, knife-like, and intermittent attack pain, accompanied by numbness of both upper limbs and limited movements. Ultrasound-guided radiofrequency surgery on the peripheral nerve did not reduce pain. Then, gabapentin 300 mg three times a day and 2% lidocaine by local subcutaneous injection once a day for 3 days were administrated. After the local subcutaneous injection of lidocaine, the pain was significantly relieved, and the pain induced by skin touch at the scar disappeared. No pain recurred af...
Source: Frontiers in Neurology - August 14, 2023 Category: Neurology Source Type: research

Mechanical rotational chair-assisted multiple canalith repositioning procedures for benign paroxysmal positional vertigo: enhanced vertigo relief, comparable adverse effects, and decreased incidence of residual dizziness
ConclusionFor patients with BPPV, multiple CRPs offer greater benefits than a single CRP.
Source: Frontiers in Neurology - August 7, 2023 Category: Neurology Source Type: research

Causalgia: a review of nerve resection, amputation, immunotherapy and amputated limb CRPS II pathology
Can J Neurol Sci. 2023 Jul 25:1-17. doi: 10.1017/cjn.2023.260. Online ahead of print.NO ABSTRACTPMID:37489506 | DOI:10.1017/cjn.2023.260
Source: The Canadian Journal of Neurological Sciences - July 25, 2023 Category: Neurology Authors: C Peter N Watson Rajiv Midha Denise W Ng Source Type: research

Complex Regional Pain Syndrome: Evidence-Based Advances in Concepts and Treatments
AbstractPurpose of ReviewThis review presents the most current information about the epidemiology of complex regional pain syndrome (CRPS), classification and diagnostic criteria, childhood CRPS, subtypes, pathophysiology, conventional and less conventional treatments, and preventive strategies.Recent FindingsCRPS is a painful disorder with multifactorial pathophysiology. The data describe sensitization of the central and peripheral nervous systems, inflammation, possible genetic factors, sympatho-afferent coupling, autoimmunity, and mental health factors as contributors to the syndrome. In addition to conventional subtype...
Source: Current Pain and Headache Reports - July 8, 2023 Category: Neurology Source Type: research

Complex Regional Pain Syndrome (CRPS) and the Value of Early Detection
AbstractPurpose of ReviewThe goal of this narrative review is to describe the current understanding of the pathology of Complex Regional Pain Syndrome (CRPS), as well as diagnostic standards and therapeutic options. We will then make the case for early recognition and management.Recent FindingsCRPS remains an enigmatic pain syndrome, comprising several subtypes. Recent recommendations clarify diagnostic ambiguities and emphasize the importance of standardized assessment and therapy.SummaryAwareness of CRPS should be raised to promote prevention, early detection, and rapid escalation of therapy in refractory cases. Comorbid...
Source: Current Pain and Headache Reports - July 6, 2023 Category: Neurology Source Type: research

Effects of Running-induced Fatigue on the Trunk-pelvis-hip Coordination Variability During Treadmill Running at Different Speeds
CONCLUSION: According to the results of this study, fatigue reduces coordination and increases variability. The central nervous system probably exerts more control on the distal segments for maintaining moving patterns in fatigue conditions.PMID:37259658 | PMC:PMC10233221
Source: Journal of Musculoskeletal Neuronal Interactions - June 1, 2023 Category: Neurology Authors: Mehdi Khaleghi Tazji Azam Valizadeh Ghale-Beig Hassan Sadeghi George A Koumantakis Nikolaos Chrysagis Ali Abbasi Source Type: research

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