Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)

 
 
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Old 05-13-2010, 10:51 PM #19
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fmichael fmichael is offline
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fmichael fmichael is offline
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gatorsmomma -

So glad you are feeling better!

Are you doing coordinated PT with your blocks or otherwise mobilising the RSD affected areas as much as you can while the blocks take effect?

The reason I ask about coordinated PT is because as a general rule, a regimented aeries of blocks made up of a local anesthetic and maybe a steroid is most likely to make a long term difference,* if they are coordinated with as rigorous a PT program as you can handle, when you are feeling better. See, generally, Complex Regional Pain Syndrome: A Review of Evidence-supported Treatment Options, Hord ED, Oaklander AL, Curr Pain Headache Rep. 2003;7:188-196 at 192 FREE FULL TEXT @ http://www.rsds.org/2/library/articl..._oaklander.pdf

I say this because, eventually, blocks stop working on most people with CRPS-1: CRPS-2 may be a different question if there is ongoing local neuro-inflammation.

That said, enjoy the relief. And think of it as at least ataste of a permanent cure.

Mike


* This is as opposed to the "blocks with Botox, Infliximab (Remicaide), etc." referred to in my last post, which, when given in small trials to patients with acute (fresh) cases of CRPS appear to be largely successful in putting the CRPS into long term remission. See, Successful Intravenous Regional Block with Low-Dose Tumor Necrosis Factor-[Alpha] Antibody Infliximab for Treatment of Complex Regional Pain Syndrome 1, Bernateck M, Rolke R, Birklein F, Treede RD, Fink M, Karst M Int Anesth Res Soc. 2007;105(4):1148-1151 FREE FULL TEXT @ http://www.rsds.org/2/library/articl...teck_Rolke.pdf and Sympathetic block with botulinum toxin to treat complex regional pain syndrome, Carroll I, Clark JD, Mackey S, Ann Neurol. 2009 Mar;65(3):348-51 FREE FULL TEXT @ http://www.ncbi.nlm.nih.gov/pmc/arti...ihms140157.pdf (My earlier use of "etc" was unfortunately ambiguious.)
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