Complex Regional Pain Syndrome Gary IN

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Thomas A Kroczek, DDS
(219) 924-4031
2025 W Glen Park Ave
Griffith, IN
Specialties
Orthodontics/Dentofacial Orthopedics

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Richard O Oni
(219) 884-1551
5525 Broadway
Merrillville, IN
Specialty
Orthopaedic Surgery of the Spine

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Luciano Cabate Raymundo, MD
1479 E 84th Pl
Merrillville, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduation Year: 1957

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Kenneth Jong Ham, MD
(219) 795-1916
8909 Broadway
Merrillville, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1992

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Alexander Catron Miller, MD
(219) 794-9270
255 E 90th Dr
Merrillville, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1987

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Thomas W Surber, DDS
(219) 769-6691
7891 Broadway
Merrillville, IN
Specialties
Orthodontics/Dentofacial Orthopedics

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Scott Alan Andrews, MD
(219) 887-9506
5587 Broadway
Merrillville, IN
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1986
Hospital
Hospital: St Mary Med Ctr, Hobart, In
Group Practice: Orthopaedics Inc Of Indiana

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Alfred Lambert Bonjean, MD
(219) 769-4835
99 E 86th Ave Ste C
Merrillville, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1968

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John Michael Diveris, MD
(219) 755-4448
333 89th Ave Ste W1
Merrillville, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1981

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Brian Coleman
(219) 794-9270
255 East 90th Drive
Merrilville, IN
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

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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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