In this issue of the Scandinavian Journal of Pain Al Sayegh and co-workers, with Stephen Butler as senior author, review mirror therapy for CRPS, reminding us of the diagnostic criteria of CRPS in describing the successful outcome of a long-standing (6 years!) case with this baffling pain condition. Only after mirror-therapy was added to the management programme with focus on motor-neglect-symptoms did her CRPS resolve, bringing the patient back to a near normal life without pain and motor-dysfunction1The original hypothesis about protective disuse being a “neglect-like” symptomIt is important to note that Stephen Butler was one of the main authors of the first descriptions published about neglect or “neglect-like” symptoms as part of classical CRPS, already in 1995 [2,3]. At that time, editors and reviewers of scientific journals did not believe in this observation and the hypothesis of “neglect-like” motor symptoms, and they rejected the manuscript . The present paper  is one of several recent publications that confirm that “neglect-like” symptoms are in fact part of the conundrum of CRPS-1 [4,5].2Why mirror therapy for CRPS?As for phantom pain, attacking the “neglect-like” symptoms of CRPS with mirror-therapy may normalize the functional disorganization in the CNS, contributing to restoring functions
Scandinavian Journal of Pain – de Gruyter
Published: Oct 1, 2013
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