Complex Regional Pain Syndrome Great Falls MT

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Aimee V Hachigian Gould, MD
(406) 771-7051
1220 Central Ave Ste 2E
Great Falls, MT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1979
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt

Data Provided By:
Michael Arthur Dube, MD
(406) 771-3155
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1990

Data Provided By:
Dr.Alexander Chung
(406) 455-3650
500 15th Ave S # 1
Great Falls, MT
Gender
M
Education
Medical School: Tufts Univ Sch Of Med
Year of Graduation: 1994
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.2, out of 5 based on 2, reviews.

Data Provided By:
Gregory Scot Tierney, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1988
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt
Group Practice: Great Falls Orthopedic Associates

Data Provided By:
Keith D Bortnem, DO
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Western U Hlt Sci Col Osteo Med Of The Pacific, Pomona Ca 91766
Graduation Year: 1987

Data Provided By:
Robert C West, DDS
(406) 761-8550
1301 12th Ave S Ste 100
Great Falls, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David R Neil, DDS
(406) 761-0314
2525 6Th Ave S
Great Falls, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Howard Avery, MD
(406) 761-2399
401 15th Ave S Ste 110
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1968

Data Provided By:
John W Bloemendaal, MD FACS
(406) 761-1410
500 15th Ave S
Great Falls, MT
Gender
Male
Education
Medical School: Jefferson
Graduation Year: 1955

Data Provided By:
Patrick James Thomas, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, San Francisco, Sch Of Med, San Francisco Ca 94143
Graduation Year: 1990

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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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