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Management of CRPS
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Dr. Hooshmand and I have written an
article regarding the Management of CRPS.
To view the full text copy of this
article. Please click on the link below to
view this article in PDF-format.
THE MANAGEMENT OF CRPS TEXT.pdf
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Below is an abstract of the that article.
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THE MANAGEMENT OF COMPLEX REGIONAL PAIN SYNDROME
(CRPS)
H. Hooshmand, M.D. and Eric M. Phillips
Neurological Associates Pain Management Center
Vero Beach, Florida
Abstract. The first step in the management of
complex regional pain syndrome (CRPS) is coming to the arrival at an
accurate diagnosis. CRPS is diagnosed by inclusion and not by exclusion.
No laboratory tests can diagnose CRPS 100% of the time. The use of
scintigraphic triphasic bone scans (STBS) may help diagnose CRPS in
approximately 55% of the cases in the first six months(1). The research of
Chelimsky et al., found STBS to be abnormal in no more than 25% of CRPS
patients(2). The use of infrared thermal imaging (ITI) is useful in the
diagnosis and management of CRPS pain. It provides an overall picture of
temperature changes in superficial and deep structures (27 mm) (3-5). ITI
provides useful clinical information when applied with proper technique.
It provides diagnostic and therapeutic information limited to diseases
involving autonomic, neurovascular, and neuroinflammatory changes(3,6,7).
CRPS is a clinical diagnosis corroborated by test such
as laser doppler, STBS, and ITI. Early diagnosis is essential for
successful treatment of CRPS(8-10).
Descriptors. complex regional pain syndrome
(CRPS), epidural nerve block, early diagnosis, infrared thermal imaging
(ITI), scintigraphic triphasic bone scans (STBS), sympathetic ganglion
block (SGB) |
We hope
that this article will be helpful to you.
All our best!
Dr. H. Hooshmand
and Eric Phillips
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1/24/2010 |
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