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Old 10-24-2014, 10:06 AM
HarryDresden HarryDresden is offline
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Join Date: Sep 2014
Posts: 59
10 yr Member
HarryDresden HarryDresden is offline
Junior Member
 
Join Date: Sep 2014
Posts: 59
10 yr Member
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Hi Dan,

CRPS isn't well understood. As such, if you want to know more i would recommend sticking to sources of information with high levels of trust such as journals, studies and renowned doctors. That being said here is my understanding:



Quote:
-Is the Nerve Block a good step to take right off the bat?
Their are many kinds of "nerve blocks". They do seem to be the first step in treatment and many seem a reduction in symptoms from them.

Quote:
-Since this seems like it has been diagnosed early can I expect to have better results in management or remission?
Most sources indicate that the close to the onset you can get treatment (though i have yet to pin down which treatment) the better your prognosis. By how much and in what way, I don't know.


Quote:
-How can I prevent this from spreading anywhere else in my body?
  • I haven't seen any resources of indicating a way to completely prevent spread.
    How much and How often CRPS isn't well understood. With some studies indicating it happens rarely*1 and some suggesting its inevitable.*2
    Avoid Injuries, as they are correlated with spread to a new area.*4
    Avoid Ice, surgery and cast applications where possible*5

Quote:
-What are some of the life changes I should expect?
Very hard to say as I believe CRPs is a blanket diagnosis used to cover several subtypes*3, which display slightly different characteristics. This argument refutes the staging of CRPS.

I believe most people see a relief in the first year of symptoms probable due to treatments and then a slightly increase in symptoms on and off for the rest of their life. Then again, some studies suggest a lot of people are either healed or go into remission.



Quote:
-Since the pain in in my foot and ankle what is the best home relief remedy that has worked for you?
CRPS hasn't been well studied. Which and how much treatments work seem to be something of a mystery. People have seen improvements in anything from counseling to nerveblocks. *6
-------------------


Don't assume because i linked to these studies that i interpenetrated them correctly. Here is a great resource that was just published this year by the American Pain Society was: The Outcome of Complex Regional Pain Syndrome Type 1:A Systematic Review

*1 Complex regional pain syndrome type I: incidence and prevalence in
Olmsted county, a population-based study
Paola Sandroni*, Lisa M. Benrud-Larson, Robyn L. McClelland, Phillip A. Low

*2 Spreading of complex regional pain syndrome: not a random process
Monique A. van Rijn, Johan Marinus, Hein Putter, Sarah R. J. Bosselaar, G. Lorimer Moseley, Jacobus J. van Hilten

*3 Complex regional pain syndrome: are there distinct subtypes and
sequential stages of the syndrome?
Stephen Bruehl a, *, R. Norman Harden b , Bradley S. Galer c , Samu

*4 Spreading of complex regional pain syndrome: not a random
process
Monique A. van Rijn • Johan Marinus •
Hein Putter • Sarah R. J. Bosselaar •
G. Lorimer Moseley • Jacobus J. van Hilten

*5 SPREAD OF COMPLEX REGIONAL PAIN SYNDROME(CRPS)
H. Hooshmand, M.D. and Eric M. Phillips
Neurological Associates Pain Management Center
Vero Beach, Florida

*6 A Web-Based Cross-Sectional Epidemiological Survey of
Complex Regional Pain Syndrome
Amit Sharma, MD,* Shefali Agarwal, MPH,Þ James Broatch, MSW,þ and Srinivasa N. Raja, MDÞ

Last edited by HarryDresden; 10-24-2014 at 10:29 AM.
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