Pathophysiology of Complex Regional Pain Syndrome: Development of New Treatments in The Pain Practitioner Winter 2007
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Over the last 30 years, it has become clear that CRPS is not a psychiatric illness.
It is all in a patient’s head, but organically.
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- Robert Schwartzmann MD
Quote:
Much of the symptomatology of CRPS can now be
controlled. Equally important is the restoration of quality
of life for patients. They are terrified of any stimuli that
will increase their pain, they don’t like their bodies, they
are socially isolated, they have lost all confidence in
themselves, and their physicians are stymied. They have
severe muscle wasting and joint and dystrophic changes.
They need intensive psychiatric care, physical therapy,
and vocational rehabilitation to restore their lives. There is
a new beginning for a great number of our patients.
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iArticle also includes 2 case reports,
General Anesthesia with Ketamine and Midazolam for the Treatment of Refractory Complex Regional Pain Syndrome (Case reports with video)
www.rsdfoundation.org/en/Ketamine_Case_Reports.htm
One month after the ketamine procedure a significant improvement in pain
thresholds was noted. There was no decline in cognitive
function one month following the high dose ketamine
procedure based on the RBANS total score for the patient.
Following the high-dose ketamine procedure, allodynia
completely disappeared and the patient was able for the first
time to shower, wear shoes, climb stairs, and sleep with sheets.