Complex Regional Pain Syndrome Byhalia MS

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Ivan Bryant Hirsberg, DDS
(662) 895-4070
8925 Goodman Rd
Olive Branch, MS
Specialties
Orthodontics/Dentofacial Orthopedics

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Tommy N Whited, DDS
(901) 367-2316
6747 E Shelby Dr
Memphis, TN
Specialties
Orthodontics/Dentofacial Orthopedics

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S F Moorehead, MD FACS
10279 Willow Reade Cv
Collierville, TN
Gender
Male
Education
Medical School: Tennessee
Graduation Year: 1946

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Ana K Palmieri Sevier, MD
(901) 396-0103
1500 W Poplar Ave Ste 201
Collierville, TN
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1994

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Ana Katrina Palmieri
(901) 850-1150
1458 W Poplar Ave
Collierville, TN
Specialty
Orthopedic Surgery

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William Harold Knight, MD
(901) 725-5136
4816 Riverdale Rd
Memphis, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1978
Hospital
Hospital: Methodist Univ Hosp, Memphis, Tn
Group Practice: Memphis Orthopaedic Group

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Patrick M Curlee
(901) 730-0681
1500 W Poplar Ave
Collierville, TN
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

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Dr.Robert Pickering
(901) 759-3111
99 Market Center Drive
Collierville, TN
Gender
M
Education
Medical School: Univ Of Ms Sch Of Med
Year of Graduation: 1991
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
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5.0, out of 5 based on 1, reviews.

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Susan M Austin
(901) 850-9543
1500 W Poplar Ave
Collierville, TN
Specialty
Orthopedic Surgery

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Douglas A Linville III, MD
(901) 767-9500
1500 W Poplar Ave
Collierville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1991

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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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