Chronic Pain After an Accident? 9 Symptoms of Complex Regional Pain Syndrome

Brooklyn, New York. When 51 year old school teacher Carol Brown sustained injury to her right hand from a negligently maintained heavy metal door in a New York City owned building she had little idea the injury would cause her excruciating pain for the rest of her life. Five years later a New York City … Continue reading “Chronic Pain After an Accident? 9 Symptoms of Complex Regional Pain Syndrome”

Brooklyn, New York. When 51 year old school teacher Carol Brown sustained injury to her right hand from a negligently maintained heavy metal door in a New York City owned building she had little idea the injury would cause her excruciating pain for the rest of her life.

Five years later a New York City jury awarded Ms. Brown $ 200,000 for past pain and suffering and $ 1,000,000 for future pain and suffering.

Brown’s doctors testified that Brown’s hand injury had caused her reflex sympathetic dystrophy (RSD) a from of complex regional pain syndrome (CRPS).

COMPLEX REGIONAL PAIN SYNDROME (CRPS)

CRPS comes in two forms: 1) complex regional pain syndrome type 1 (RSD), that suffered by Brown, and 2) complex regional pain syndrom type 2, also known as “causalgia.”

SYMPTOMS

Both forms are described by the Merck Manual of Medical Information as “persistent burning pain accompanied by certain abnormalities that occur in the same area as the pain.”

The abnormalities that accompany the burning pain may include:

1) increased sensitivity
2) swelling
3) changes in skin color
4) abnormally cold skin temperature
5) abnormally hot skin temperature
6) excessive sweating
7) a lack of sweating in a particular area
8) muscle spasm
9) limited movement (decreased range of motion)

EARLY DIAGNOSIS IS CRITICAL

According to Stephen J. Parillo, Associate Professor of Emergency Medicine at Jefferson Medical College, “CRPS…is treatable if recognized early; however, the syndrome may become disabling if unrecognized.”

According to Parillo, “A single, reliable, sensitive, and specific diagnostic test for RSDS is not available.”

Nonetheless doctors use a variety of tools to complete the diagnosis including: bone scans, MRI, and nerve blocks.

CAUSATION

According to the Merck Manual of Medical Information complex regional pain syndrome type 1 (RSDS) results from “injury to tissues other than nerve tissue” and complex regional pain syndrome Type 2 results from “injury to nerve tissue.”

RJ Schwartzman in Current Opinions of Neurology and Neurosurgery states that “CRPS usually occurs secondary to fractures, sprains and trivial soft tissue injury.”

The incidence after fractures and contusions ranges from 10-30%.

TREATMENT

While there is no known cure, CRPS is managed using a multi-disciplinary, non surgical approach with the proper combination of medications, nerve blocks, massage and physical and occupational therapy.

CASE VALUE

According to VerdictSearch.com juries have been very sympathetic to plaintiffs with CRPS.

“A simple search of the VerdictSearch database would provide 49 such instances of that injury from cases disposed in 2008 alone. Do the math, and you’ll find that cases involving that injury produce an average jury verdict of $ 8,174,911. Of course, you’d have to view the cases in your jurisdiction and weed out those that include other more significant injuries, but the point should be clear…”

DEFENSE VERDICT

Victory is never certain in any trial, even those involving a serious injury like CRPS. In October, 2007 a New York County, New York jury refused to award damages to a plaintiff who claimed her hand surgeon’s surgical and post operative care were improper and therefore caused the patient to suffer from complex regional pain syndrome type 1.

SUMMARY

Emergency room personnel and other doctors need to know the symptoms of this disease so they can refer out for prompt and appropriate treatment. If you have been injured in an accident, especially one involving fracture or severe bruising, be on the lookout for CRPS.

If you feel a persistent burning pain and one or more of the symptoms listed above, report it to your doctor immediately. Make sure he is familiar with the literature for this disease.

Rex Bush is founder of Bush Law Firm near Salt Lake City, Utah where he handles personal injury cases in Utah and throughout the United States and Canada. For information on personal injury issues visit his website: Utah Personal Injury Attorney

IMG_6703
Complex Regional Pain Syndrome
Image by charliekjo
Aaron Goldhammer, 25, a Cal State Northridge alumnus, at his home in Woodland Hills. Serving in the Israeli army was a promise he had made to himself following his recovery from complex regional pain syndrome, a rare pain condition, he said. He is currently undergoing weapons and combat training before he departs in April.

The Difference Between Acute Pain and Chronic Pain

The human body is capable of perceiving different unpleasant sensations which the brain interprets as pain. It is important for the body to be able to recognize certain types of pain because the feeling of pain warns our brain that we are experiencing an injury. For example, a sharp feeling of intense burning pain tells our body to quickly remove our thumb away from the hot stove before more skin becomes harmed. In the same way, putting weight on a sprained ankle sends a jolt of pain to remind us that the stabilizing ligaments in our foot have not yet healed. Pain isn’t always a bad thing because it can protect us. In many instances, if we completely disregard pain, we risk further injury.

Our bodies have specialized nerve endings known as nociceptors that have built in receptors to detect harmful physical stress such as mechanical injury, chemical injury, or potentially dangerous temperature changes (heat and cold). Once stimulated, these nociceptors send signals through the spinal cord to the brain, which interprets the signal as pain.

Acute pain begins suddenly, and is usually described as having a sharp quality. This type of sensation is helpful to the body because it warns us of a dangerous or potentially hazardous situation. Some examples of acute pain would be: a burned finger, a sprained ankle, a scraped knee, a broken bone, pain after surgery, during a heart attack, during childbirth, while passing a kidney stone, and after you accidentally hit your finger with a hammer. Acute pain only lasts for a short or readily identifiable amount of time. Once the underlying cause of the pain has been removed, the discomfort goes away. Modern medicine is excellent at understanding and providing treatment for acute pain.

However, the longer the sensation of pain remains perceived by the brain, the greater the likelihood of the discomfort turning into chronic pain. Chronic pain can continue inexplicably for months and years after a stress or injury has healed. Although chronic pain can be linked to an initial injury (such as a bad infection, sprained back, or car accident) sometimes chronic pain has no known cause. For some unknown reason nociceptors continue to bombard the brain with signals that the brain interprets as persistent pain. Because medical doctors and researchers are unable to determine the reason why the nociceptors continue to transmit pain signals, the medical community has difficulty assessing and providing treatment for chronic pain.

Examples of conditions that may cause chronic pain are: migraines, low back pain, muscle tension headaches, cluster headaches, cancer, Rheumatoid Arthritis, Fibromyalgia, Carpal Tunnel Syndrome, phantom limb pain, Lyme disease, sciatica, endometriosis, occipital neuralgia, physical damage to nerves (neurogenic pain), Post Mastectomy Pain Syndrome, slipped or bulging discs, Crohn’s disease, and Complex Regional Pain Syndrome.

It is not uncommon for people who suffer from chronic pain to become frustrated and depressed, especially if their healthcare providers insinuate that their pain problem is all in their mind, or if their friends and loved ones do not understand their situation. Even though chronic pain cannot be easily measured or defined, it is a very real and debilitating health concern that requires further research.

Rachelle Kirk writes about natural health, wellness, and chiropractic care. If you are looking for natural pain relief for back pain, sciatica, and other health conditions then http://www.backinaction.net is the perfect place for you.

More Complex Regional Pain Syndrome Articles

Chronic back pain treatment: best treatment in a short span of time

These days Chronic back pain treatment will embrace medication, self-care techniques and manual therapies like treatment or therapy. Pain within the back will be acute or semi permanent, and a range of treatment choices are out there for each sorts. Acute back pain treatment includes medication and self-care choices. Paracetamol is typically prescribed because the initiative in most treatments, and if it doesn’t work, non-steroid medication like no steroidal anti-inflammatory drug is that the next step.

If the milder painkillers don’t scale back the pain, gentle opiate-based painkillers like painkiller will be prescribed. Morphia is typically given for severe or complex regional pain syndrome treatment, however because it could be a sturdy narcotic, it’s solely used for a brief time. If the patient conjointly suffers from muscle spasms, relaxant medication is typically enclosed.

Today several doctors advocate that someone full of acute pain within the back ought to keep active by calmare pain relief therapy. If the pain is severe, it’s going to not be attainable to travel back to figure or to try and do all traditional activities; however it’s necessary to undertake to try and do a minimum of one thing, and to come to traditional daily activities slowly and step by step. Home care choices embrace cold or hot compression packs that may be bought over the counter from chemists. It may facilitate to use additional pillows in bed: place a pillow beneath the knees after you are sleeping.

Painkillers are a kind of most chronic back pain treatment programs. Alternative choices embrace exercise, manual medical aid like treatment or massage medical aid, and stylistics’s. Correction surgery is usually solely suggested if all alternative treatment choices are tried and zilch else helps. For chronic pain, a gentle analgesic like paracetamol is typically prescribed initially, and if it doesn’t work, stronger pain killing medication is employed. Alternative treatment choices embrace stylistics’s, manual medical aid and exercise.

Manual medical aid back pain treatment means that manipulation and mobilization of the spine and might embrace therapy, treatment and treatment. Therapy is employed for back pain treatment associate degreed to recover movement once an injury. Treatment and treatment are various sorts of treatment and target issues within the bone structure, the joints, the muscles and therefore the systema nervosum.

Massage relaxes the rear muscles and might kind a district of a back pain treatment program. Stylostixis is additionally generally suggested as another back pain treatment. Stylostixis is predicated on ancient Chinese medication and uses skinny, fine needles that are placed on completely different elements of the body to unblock the flow of energy within the body’s energy channels, or meridians.

Get the best treatment for Shingles. Victory over pain provides best chronic back pain treatment for the people who are suffering of herpes zoster.

Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome (CRPS)
Instructional Tutorial Video
CanadaQBank.com
QBanks for AMC Exams, MCCEE, MCCQE & USMLE

URL: http://youtu.be/Bugg0fpzwj8