Zur Behandlung des komplexen regionalen Schmerzsyndroms (CRPS) gibt es
verschiedene therapeutische und medikamentöse Möglichkeiten
der Schmerzrehabilitation. Schwerpunkte sind die phasengerechte Physio- und
Ergotherapie, unterstützt von physikalischen Maßnahmen. Eine
frühe Diagnosestellung ist entscheidend für die Prognose.
Bei komplexeren und schwereren Verläufen sollte die Behandlung
spezialisierten Ambulanzen und Kliniken vorbehalten bleiben.
Abstract
Chronic pain
can be distinguished into malignant and non-malignant pain, that is, in pain
with no prospect of healing, e. g. Tumor pain, and pain, where there is
a chance of recovery and a good quality of life. While tumor pain is primarily
about adequate and rapid pain reduction, the therapeutic treatment concept of
non-malignant chronic pain is based on the bio-psycho-social model of the
International Classification of Functioning, Disability and Health
(ICF).
The restoration of everyday functions and participation are in
particular focus, which is why it is appropriate to speak of “pain
rehabilitation”. The concept of pain rehabilitation under the direction
of rehabilitation physicians, in collaboration with pain therapists and
psychologists, ensures optimal seamless rehabilitation from a single source with
the overall rehabilitation goal, in addition to the best possible quality of
life, to restore participation, in particular to reach a successful
reintegration into everyday life and working life.
Using the example of
the CRPS, the therapeutic and medicinal options of pain rehabilitation are
presented. Focal points are the phase-appropriate physiotherapy and occupational
therapy, supported by physical measures. Especially with the CRPS, an early
diagnosis is crucial for the prognosis. Orthopedic surgeons are particularly
required here, as are all other doctors who treat patients after injuries. The
treatment of the CRPS remains challenging despite new therapeutic approaches and
should be reserved for specialized outpatient departments and clinics in more
complex and severe cases.
Key words
Rehabilitation - pain
therapy - Budapest
criteria - ICF - participation - IASP
Schlüsselwörter
Rehabilitation - Schmerztherapie - Budapest
Kriterien - ICF - Teilhabe - IASP
