Complex Regional Pain Syndrome Billings MT

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Dr.Dean Sukin
(406) 238-6700
2900 12th Ave N # 140W
Billings, MT
Gender
M
Education
Medical School: Finch U Of Hs/Chicago Med Sch
Year of Graduation: 1988
Speciality
Orthopedic Surgeon
General Information
Online Appt Scheduling: Yes
Accepting New Patients: Yes
RateMD Rating
4.6, out of 5 based on 4, reviews.

Data Provided By:
Ralph M Costanzo
(406) 238-6700
2900 12th Ave N
Billings, MT
Specialty
Hand Surgery

Data Provided By:
Willard Hull
(406) 238-2500
2702 8th Ave N
Billings, MT
Specialty
Orthopedic Surgery

Data Provided By:
Michael C Willis
(406) 238-2500
2702 8th Ave N
Billings, MT
Specialty
Orthopedic Surgery

Data Provided By:
Joseph Michael Erpelding, MD
(406) 238-6540
2900 12th Ave N Ste 140W
Billings, MT
Specialties
Orthopedics, General Surgery
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1981

Data Provided By:
Steven Jay Klepps, MD
(406) 238-6700
2900 12th Ave N Ste 100E
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1996

Data Provided By:
Perry M Berg, MD FACS
2900 12th Ave N
Billings, MT
Gender
Male
Education
Medical School: Tennessee
Graduation Year: 1946

Data Provided By:
Matthew Alan Kopplin, MD
(406) 238-5200
2702 8th Ave N
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1996

Data Provided By:
Dr.STEVEN FISCHER
(406) 238-2500
2702 8th Avenue North
Billings, MT
Gender
M
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med
Year of Graduation: 1994
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.0, out of 5 based on 1, reviews.

Data Provided By:
Thomas Randall Johnson, MD
(406) 238-6540
2900 12th Ave N Ste 140W
Billings, MT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1968
Hospital
Hospital: St Vincent Hosp & Health Ctr, Billings, Mt
Group Practice: Orthopedic Surgeons Yellowstone Medical Center W

Data Provided By:
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Complex Regional Pain Syndrome

A Patient's Guide to Pain Management: Complex Regional Pain Syndrome

Introduction

Complex Regional Pain Syndrome (CRPS) is divided into two categories, CRPS I and CRPS II. CRPS I (caused by an injury to tissues) was previously called Reflex Sympathetic Dystrophy (RSD), Sudeck’s atrophy, and shoulder-hand syndrome. CRPS II (caused by damage to a nerve) was previously called causalgia. The symptoms and treatments of the two types are almost identical. For the purpose of this document we will refer to them jointly as CRPS. Early recognition of the signs and symptoms of CRPS as well as early treatment are usually effective in preventing it from becoming a chronic condition. When the condition becomes chronic, significant irreversible disability can occur.

This guide will help you understand

  • what parts of the body are involved
  • what causes this condition
  • how doctors diagnose the condition
  • what treatment options are available

Anatomy

What parts of the body are involved?

The sympathetic nervous system consists of ganglia, nerves and plexuses (a braid of nerves) that supply the involuntary muscles. Most of the nerves are motor, but some are sensory.

Sympathetic nerves are responsible for conducting sensation signals to the spinal cord from the body. They also regulate blood vessels and sweat glands. Sympathetic ganglia are collections of these nerves near the spinal cord. They contain approximately 20,000-30,000 nerve cell bodies.

CRPS is felt to occur as the result of stimulation of sensory nerve fibers. Those regions of the body rich in nerve endings such as the fingers, hands, wrist, and ankles are most commonly affected. When a nerve is excited, its endings release chemicals. These chemicals cause vasodilation (opening of the blood vessels). This allows fluid to leak from the blood vessel into the surrounding tissue. The result is inflammation or swelling leading to more stimulation of the sensory nerve fibers. This lowers the pain threshold. This entire process is called neurogenic inflammation. This explains the swelling, redness, and warmth of the skin in the involved area initially. It also explains the increased sensitivity to pain.

As the symptoms go untreated, the affected area can become cool, have hair loss, and have brittle or cracked nails. Muscle atrophy or shrinkage, loss of bone density (calcium), contracture, swelling, and limited range of motion in joints can also occur in the affected limb. These are in part caused by decreased blood supply to the affected tissues as the condition progresses.

Causes

What causes this condition?

CRPS commonly occurs after an injury as minor as having blood drawn, or a sprained ankle. Other times, it may be the result of a more significant injury such as surgery, a fracture, immobilization with casting or splinting, or the result of a stroke.

Risk factors for developing CRPS include immobilization of the affected limb with ...

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