Complex Regional Pain Syndrome Flagstaff AZ

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Roman T. Lewicky, MD
(928) 774-7757
1485 N. Tourquoise Dr.
Flagstaff, AZ
Business
Northern Arizona Orthopaedics, LTD.
Specialties
Orthopedics
Insurance
Insurance Plans Accepted: Blue CrossUnited Healthcare
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes
Emergency Care: No

Doctor Information
Primary Hospital: Flagstaff Medical Center
Residency Training: Northwestern University Medical Center Orthopaedic Surgery 1975
Medical School: Northwestern University Medical School, 1968
Additional Information
Member Organizations: ABOS AAOS AANA ArMA
Awards: Arizona Sports Medicine Doctor of the Year, 1982.
Languages Spoken: English,Spanish,Ukrainian,Polish

Data Provided By:
Roman T Lewicky
(928) 774-7757
1485 N Turquoise Dr
Flagstaff, AZ
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Michael Abeshaus, MD
(928) 774-7757
1485 N Turquoise Dr Ste 200
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1986

Data Provided By:
Francis Xavier Maher, MD
(928) 773-2535
77 W Forest Ave Ste 301
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1970

Data Provided By:
Michael T Mc Laughlin, DDS
(928) 779-4568
940 N Switzer Canyon Dr Ste 201
Flagstaff, AZ
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Paul Kingsley Forberg, MD
(928) 527-0904
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1967

Data Provided By:
Mark David Mellinger, MD
(800) 773-2553
1485 N Turquoise Dr Ste 200
Flagstaff, AZ
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1997

Data Provided By:
John F Hall
(928) 773-2535
77 W Forest Ave
Flagstaff, AZ
Specialty
Orthopedic Surgery

Data Provided By:
Joel Thomas Rohrbough, MD
(928) 774-7757
77 W Forest Ave Ste 302
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1992

Data Provided By:
Mark D Hopkin, MD
(928) 526-9189
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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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