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Member
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Join Date: Jan 2009
Location: Paradise
Posts: 855
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Member
Join Date: Jan 2009
Location: Paradise
Posts: 855
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Quote:
Originally Posted by CarlaDanDan
Hello out there!
hope you are all well
I have Peripheral Neuropathy and CRPS on my right foot injuried on a car accident 4 years ago.
I've been to Pain Management Team, on that time, when i was diagnosed and i remember the doctor explaining about my symptoms and treatment, and she said that medication would help, but also i could help myself psychologically (tapping to her head). Since them I've been trying my best in keep up, working on regenerate my nerve damaged and recover from Post Trauma.
Yesterday i had to review a legal medical report from a Psychiatrist about my Mental Health for Court
On the report he wrote about the Prognosis of my Chronic Pain and state that in his opinion he would expect a significant degree of recovery such that I can return to a fairly normal level of function within 9 months of the commencement of treatment... 
sorry if my question sounds nonsense, i am not an expert 
Please, do you know if Chronic Pain is a Mental Health Condition???,
i thought that was a Neurological Disorder? well, i am a layperson about my own condition, I never had opportunity to visit a Neurologist and i've been learning from Internet and from the little input of Doctors here in UK. "Health Studies" and our bodies are soooo complex to understand...we patients need help and information.
I would be greatfuly if you could comment about it and give your opinion too, also if you have experienced such a quickly recovery i would be more inspired. I really hope that he is right about timing 
thanks in advance
lots of love |
Hi,
I have not looked at prior replies so sorry if this is a repeat. ICD-9 codes are what (US) physicians use to catagorize diseases and conditions. They are usually lumped into "series" of types of diagnosis. Examples for CRPS are as follows (there are others):
355.9 Mononeuritis of unspecified site
Causalgia NOS
Complex regional pain syndrome NOS
Excludes:
causalgia:
lower limb (355.71)
upper limb (354.4)
complex regional pain syndrome:
lower limb (355.71)
upper limb (354.4)
354.4 Causalgia of upper limb
Complex regional pain syndrome type II of the upper limb
Excludes:
causalgia:
NOS (355.9)
lower limb (355.71)
complex regional pain syndrome type II of the lower limb (355.71)
337.20 Reflex sympathetic dystrophy, unspecified
Complex regional pain syndrome type I, unspecified The general "series" is:
354 Mononeuritis of upper limb and mononeuritis multiplex
355 Mononeuritis of lower limb
337 Disorders of the autonomic nervous system
Includes: disorders of peripheral autonomic, sympathetic, parasympathetic, or vegetative system
Excludes: familial dysautonomia [Riley-Day syndrome] (742.8)
Regarding pain:
338 Pain, not elsewhere classified
Use additional code to identify:
pain associated with psychological factors (307.89)
Excludes:
generalized pain (780.96)
headache syndromes (339.00-339.89)
localized pain, unspecified type - code to pain by site
migraines (346.0-346.9)
pain disorder exclusively attributed to psychological factors (307.80)
vulvar vestibulitis (625.71)
vulvodynia (625.70-625.79)
338.29 Other chronic pain
338.21 Chronic pain due to trauma
338.4 Chronic pain syndrome
Chronic pain associated with significant psychosocial dysfunction
So using ICD-9 indexing, CRPS would be classified as a neurological disorder, whether these codes make sense or not, at least by the AMA. There are of course, various psychological complications in some cases.
Hope this helps!
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