Complex Regional Pain Syndrome Eagle River AK

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Jeffrey Scott Moore, MD
(907) 279-2663
10701 Sarah Barton Cir
Eagle River, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1987

Data Provided By:
Todd Soung Kim, MD
17712 Toakoana Way
Eagle River, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, San Diego, Sch Of Med, La Jolla Ca 92093
Graduation Year: 1999

Data Provided By:
Greg L Schumacer
(907) 580-1572
5955 Zeamer Ave
Elmendorf Afb, AK
Specialty
Orthopedic Surgery

Data Provided By:
Michael Leo Koropp, DMD
(907) 338-8999
2601 Boniface Pkwy
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Davis Cory Peterson, MD
(907) 563-3145
3260 Providence Dr Ste 200
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1980
Hospital
Hospital: Alaska Reg Hosp, Anchorage, Ak; Providence Alaska Med Ctr, Anchorage, Ak
Group Practice: Anchorage Fracture Clinic

Data Provided By:
Eldon L De Kay, DDS
(907) 697-3555
16635 Centerfield Dr # 201
Eagle River, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Riser Scott, MD
(907) 622-3569
32907 Upper Rd Cirrus Way
Eagle River, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1955

Data Provided By:
Jordan Thomas Hartman, DDS
(907) 337-1536
2601 Boniface Pkwy
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kurt D Mentzer
(907) 580-3205
5955 Zeamer Avenue
Elmendorf Afb, AK
Specialty
Hand Surgery

Data Provided By:
Julius Stephen Brecht
(907) 278-8141
2741 Debarr Rd Ste C305
Anchorage, AK
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Data Provided By:

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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