Complex Regional Pain Syndrome Dickson TN

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Ronald Gerard Derr, DO
(615) 790-3290
115 Highway 70 E
Dickson, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ohio Univ, Coll Of Osteo Med, Athens Oh 45701
Graduation Year: 1988

Data Provided By:
James L Rushford
(615) 446-2708
758 Highway 46 South
Dickson, TN
Specialty
Orthopedic Surgery

Data Provided By:
D Marshall Jemison, MD
(423) 756-7134
979 E 3rd St
Chattanooga, TN
Business
The Plastic Surgery Group PC
Specialties
Orthopedics

Data Provided By:
William Mitchel Gavigan, MD
(615) 329-6600
301 21st Ave N
Nashville, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1970
Hospital
Hospital: Baptist Hosp, Nashville, Tn
Group Practice: Tennessee Orthopedic Alliance

Data Provided By:
Lawrence Brett Babat
(615) 860-1580
3443 Dickerson Pike
Nashville, TN
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Jan M Gorzny, MD
(615) 441-4574
113 Highway 70 E
Dickson, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1974

Data Provided By:
Dr. Chad Upchurch
Life Source Wellness Center
(615) 441-6115
491 Henslee Dr
Dickson, TN
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Leg pain,Lower back pain,Neck pain,Upper back pain
Treatments
Chiropractic adjustment,Chiropractic care,Spinal manipulation
Proffesional Affiliation
Tennessee Chiropractic Association

Dr.Melvin Law
(615) 342-6300
2400 Patterson St # 300
Nashville, TN
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Centennial
Accepting New Patients: Yes
RateMD Rating
4.8, out of 5 based on 4, reviews.

Data Provided By:
Channappa Chandra, MD
(423) 624-6584
725 Glenwood Dr Ste 580
Chattanooga, TN
Specialties
Orthopedics, Emergency Medicine
Gender
Male
Education
Medical School: Mysore Med Coll, Mysore Univ, Mysore, Karnataka, India
Graduation Year: 1965
Hospital
Hospital: Erlanger Med Ctr, Chattanooga, Tn
Group Practice: Chattanooga Orthopaedic Clinic

Data Provided By:
Wayne Laverne Mc Lemore, MD
(423) 587-3480
231 S Fairmont Ave
Morristown, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1975
Hospital
Hospital: Lakeway Regional Hospital, Morristown, Tn; Morristown -Hamblen Hospital, Morristown, Tn
Group Practice: Wellness & Fitness Ctr

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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