CRPS (Complex Regional Pain Syndrome), Get it Treated!
Our pain center has produced 100% treatment success rates when treating CRPS (Complex Regional Pain Syndrome), when literature support for its treatment is poor.
CRPS presents as increased sensitivity to pain of an extremity that even ordinary non painful stimulus such as a vibrating tuning fork produces pain symptoms. This property is known as Allodynia. CRPS also presents with feeling of cold and burning sensation at the same time in the affected extremity. CRPS results due to many years of severe pain symptoms or due to an injury that produces intense pain. Pain transmission in CRPS occurs predominantly through sympathetic nervous system through C-fibers. C-fibers have an increased threshold meaning that they need increased pain stimulus to be activated. When severe pain symptoms re suit for a prolonged time from any pain condition, C-fiber sprouting takes place in sympathetic system amplifying even a simple sensation as pain. An overactive sympathetic system also produces vasoconstriction in that extremity resulting in cold sensitivity. PAIN FROM CRPS REMAINS EVEN IF THE INITIAL PAIN CONDITION THAT PRODUCED IT HAS BEEN CURED. The sympathetic system continues to amplify and transmit pain as before due to the so called ‘pain memory’ created.
How is CRPS treated? Poor long term success has been reported in literature in treating CRPS. Experience in treating CRPS at our pain center resulting in 100% pain relief which is permanent indicates that CRPS treatment elsewhere has not individualized. To treat CRPS one must not only tre at the primary pain condition that has caused the CRPS but also the sympathetic C-fiber sprouting. If one or the other component is not treated, CRPS will remain untreated. Highly Individualized pain treatments at our pain center identifies the pain focus causing the CRPS, treats this pain focus and also treats the sympathetic nervous system responsible for C-fiber transmission resulting in permanent relief of pain symptoms. The various interventions we apply to treat CRPS are listed in the Service List. Some examples of patients treated at our pain center.
1. 2004: 60 year old female presented with allodynia and severe pain in both legs after sustaining a total through and through ankle fracture in a car accident 4 years ago. Both feet were cold. After treatment with just 2 sessions, pain completely vanished. Feet became warm. Pain relief was permanent on follow up for 1 year plus.
2. 2005: A 95 year old patient presented with severe leg pain, even a gentle touch can provoke pain symptoms. Pain reduced with 2 treatments, patient can now tolerate pressure and non painful stimulus on her legs.
3. 2007: A 60 year old patient with me tastatic lung carcinoma with bone and shouIder invasion presented with severe pain and allodynia in the right arm. Pain was so severe that her fingers would tremble on movement. After one treatment, the trembling has reduced, pain has significantly reduced in the right arm.