WHAT ARE THE CRITERIA TO MAKE THE DIAGNOSIS?<\/strong><\/h2>\u00a0<\/p>
Patients with CRPS have pain, allodynia, or hyperalgesia. This means a person often has extreme sensitivity to touch over the affected extremity. This may mean just lightly touching the affected area, or it may mean extreme pain without even touching it.<\/p>
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The affected extremity often has significant swelling, and there will often be temperature changes on the skin that are over 1 degree Celsius different from the other side.<\/p>
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One over-riding feature is that the pain being experienced is out of proportion to what should be seen with the patient\u2019s condition.<\/p>
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Tests that may help with diagnosis may include x-rays, nerve conduction studies, bone scans, and a temperature test called thermography.<\/p>
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Call\u00a0(602) 507 \u2013 6550<\/strong>\u00a0to schedule your Appointment TODAY!
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WHAT ARE THE 3 STAGES OF CRPS?<\/strong><\/h2>\u00a0<\/p>
- Lasts for 1 to 3 months and includes:
- Skin temperature changes<\/li>
- Spasms of muscles<\/li>
- Severe burning pain that worsens with even a slight touch to the area<\/li>
- Hair and nail growth faster than normal<\/li>
- Beginning of skin changes \u2013 blotchy pale, shiny, sweaty<\/li>
- Lasts for 3 to 6 months
- More skin changes<\/li>
- Cracked nails<\/li>
- Pain continues to worsen<\/li>
- Hair growth that slows down<\/li>
- Weakening muscles and stiffening joints<\/li><\/ol><\/li>
- Changes becoming irreversible
- Muscle wasting<\/li>
- Pain that envelops the entire arm or leg<\/li>
- Contracted limb from tight muscles\/tendons<\/li><\/ol><\/li><\/ol><\/li><\/ol>
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These symptoms may obviously lead to depression and\/or anxiety.<\/p>
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What Treatment Exists for CRPS?
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CRPS does not have a cure, but it can be slowed and reversed somewhat. Outcomes are better when treatment is started sooner.<\/p>
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- Physical Therapy with joint activity and range of motion exercises may stop the disease from worsening and help patients become more active.<\/li>
- Various medications may be tried including: narcotic pain medications, anti-inflammatories, steroids, blood pressure medications, antidepressants.<\/li>
- Cognitive behavioral therapy can assist in living with chronic pain.<\/li>
- Lumbar Sympathetic Nerve Blocks or Stellate Ganglion Nerve Blocks may \u201cbreak the<\/li>
- cycle\u201d of CRPS and help patients get back to more function while reducing pain.<\/li>
- A surgical sympathectomy may or may not help patients. It can sometimes make things worse though.<\/li>
- Spinal cord stimulator \u2013 electrodes are placed around the spinal cord, either in the lumbar spine or the neck (depending on involvement). This sends an electrical impulse around the spinal cord and can replace the pain with a tingling sensation. This may distract from the pain. It doesn\u2019t heal it, but it can mask it.<\/li>
- Intrathecal drug pump \u2013 infuses medications directly around the spinal cord for pain relief.<\/li><\/ul>