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Wetenschappelijk jaarverslag afdeling Anesthesiologie 2005, Erasmus MC,
Rotterdam
Acupuncture and Chronic CRPS1: promising results
Complex
Regional Pain Syndrome type 1 (CRPS1) is a complex entity comprising a
combination of sensory, trophic, autonomic and motor impairments that usually
follows trauma or surgery and is generally expressed in the extremities. CRPS1
is a major cause of invalidation after an injury or operation. This study is
focused on the acupuncture treatment of chronic CRPS1 patients, to suppress
chronic pain and to improve the clinical outcome, as Skin temperature (fig 1),
Pain Intensity (fig 2)and Quality of life (fig 3).
In
this study, 14 acupuncture treatments are given in 26 weeks, in addition to the
Physical Therapy: 6 every week, then 6 every 14 days and at last 2 every 30
days.
  
Fig. 1: Temp differences Fig. 2: Pain
= VAS Fig.3: Quality of life
With a patient
population of chronic CRPS1 who find themselves in a stage of not responding to
any therapeutic intervention these results are promising.
Although these results were obtained from an open labelled
Pilot-study in which three patients were included, the long-term effects clearly
show that the differences in temperature between the affected hand and the
healthy hand decrease significantly. Therefore we might conclude that
acupuncture is a complementary way of treating CPRS1.
In the coming
year we want to expend this number up till 64 patients. This in a Randomised,
single blinded, Clinical Trial. Already 12 patients are included and treated.
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