Member
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Join Date: Jan 2015
Location: IL
Posts: 279
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Member
Join Date: Jan 2015
Location: IL
Posts: 279
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Quote:
Originally Posted by PurpleFoot721
I have read that it is not uncommon for patients with CRPS to change their pain scale. We eventually get used to some mild to moderate pain. What would normally be a 3 for us is quite often a 6-7 for others. Some PM centers have been using a 0-15 scale for CRPS patients instead of the 0-10 scale that is more commonly used. I do not know if this is still common or not, but it is something that I came across at one point or another.
I can't say that I have ever heard of the pain pyramid, so I do not know how it applies to what I wrote above.
I hope things are going better for you today. Healing hugs   
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For starters, I neglected to answer LP's question about the shoe size. The only shoes I can wear are 1/2 size bigger than normal. It's pretty loose on my right foot & snug (before increased swelling) on my left.
Since I don't know how to post a pic, I'm writing out what is on the pain (activity) pyramid. I'm going from bottom of the pyramid to the top
Tolerance For My Condition (bottom of pyramid)
Behavior : "Safe and sore"
1. Pain spikes during the activity no >1-2 levels above my baseline pain.
2. Pain NO worse in 12-24 hours.
3. No significant change in range of motion OR strength of painful limb(s) or body segment
Upgrade PLAN: Increase by 1-10%
GREEN LIGHT - NO HARM
Flare up/Inflammation (next level up/middle level of pyramid)
Behavior: "Too much, too fast"
1. Pain spikes during the activity >2 levels above my baseline
2. Pain persists after activity for 12-24 hours
3. No significant change in range of motion OR strength of painful limb(s) or body segment
Downgrade PLAN: Assessment of context, body position, tension, intervals
YELLOW LIGHT - NO HARM
Injury (top level of pyramid)
Behavior:
1. Severe spike in pain that stops you from performing the activity
2. Pain persists for more than 3 days to weeks
3. CHANGE in range of motion or strength (ability)
Plan: May need to consult health care provider
RED LIGHT - STOP
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Believe in the Strength of Faith and Hope, within there is Peace and Love...Always ~pe
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