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Originally Posted by RNcrps2
Tell me. I know the difference and i know they are treated the same BUT why when i read treatment trials most/all are using CRPS1. I actually have yet to find one that says using CRPS2 patients. I have read Dr. S last paper and i believe it had people with nerve injuries but they were not picked to receive ketamine they got the placebo(I know it was a double blind study so it wasnt purposely picked that way)
My question is- Is it because when a nerve is involved the results/outcome wont be as good as with CRPS1? That logically makes sense to me because if there is no nerve damage than treatments might work better. Whereas if a nerve is damaged even if ketamine works on the CRPS there is still a nerve injured . Has anyone read an article using CRPS2 patients? momof4
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CRPS II is a little more complicated because of the nerve damage that exist in that type of patient. Nerve damage brings so many other what if's because it is so hard to find first of all and then just has hard to correct. I had major damage to my Ulnar Nerve/Left arm from a broken arm.I needed major surgery,and more than one, to get the arm to at least function at all. I was lucky once I found the correct surgeon and facility to correct the problem. I have been told that it is amazing that I was able to get back my range in the arm but I still do not have any endurance or strenght etc, in the arm and limits me quite a bit. But believe it or not if you did not know I had or looked real carefull you would not realize I had RSD. The surgeon who finally corrected everything did a great job hiding these long, long, scars and saw the case once he committed, which was not easy, because he was the third surgeon who would have been in there.
My experience is once a PM doctor or surgeon here you have nerve damage it's like taboo, I quess for the reasons I explained above.
I have done all the protocol treatments, SGB, Ketamine 5 day inpatient, not coma, epidural of all kinds, medications etc, with good results when it comes to the RSD Portions but the nerve condition is still there. At this point 5 years later I am working PT and trying to go about things as before it happened. Some days are harder than others but I find if I stress over it each and every day it makes me worse, depressed and really all of that is so agrivating to any RSD patient. Mind you sometimes it's easier said than done.
Sorry to ramble.