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

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Complex Regional Pain Syndrome
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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.

Complex regional pain syndrome treatment: common symptoms and treatment of CRPS

Complex regional pain syndrome (CRPS) is most frequently practiced within the arm or leg, however will attack any a part of the body. It’s going to manifest as pain, or as pain and inflammation (swelling, redness, and warmth). For an unknown reason, the nerves within the skinned space will now not properly regulate blood flow, which relies on nerve transmission. Rarely, CRPS develops wherever there’s no proof of any injury.

There are 2 recognized categories of Complex regional pain syndrome treatment. Once it arises when an injury to tissues during which there has been no clear and obvious nerve harm, it’s classed as CRPS I. CRPS II is that the results of a right away, far-famed injury to the nerves themselves.

CRPS effects through the skin, muscle, bone, nervous tissue, and blood vessels. It’s commonest in those aged between forty and sixty. The characteristic pain is an intense burning sensation that gets worse over time, while the first injury heals. The pain could unfold from the purpose of injury to a complete extremity, or perhaps to the other limb. There are 3 main stages of progression that are seen in the general public with calmare pain relief therapy.

The first stage, lasting for one to 3 months, involves unsteady skin temperature, the accumulated growth in nails and hair, joint pain, spasms, changes within the color of the skin, changes within the condition of the skin – most usually, the affected skin becomes shiny and skinny, and will sweat too – and a burning or throbbing pain that’s super sensitive to the touch. Within the second stage, lasting 3 to 6 months, the pain grows worse, the skin continues to collar and skinny, joints become stiff, hair growth slows, and nails are brittle.

The third stage finds the patient with contraction of the soft tissues in order that movement of the affected limb is restricted. Muscle wasting is clear, and therefore the whole of the affected limb is subject to burning pain that’s sensitive to the touch. These changes are irreversible and may be quite disabling.

Early designation will facilitate to slow the progression of CRPS, however it will be tough to diagnose. Patients themselves, in stage 1, might not acknowledge the seriousness of their symptoms. As a rare condition, CRPS may not be thought-about as a designation till alternative causes of the pain are dominated out, and a few physicians could merely not be as conversant with it as an opportunity. For those that are disabled by advanced regional pain syndrome, the incapacity step-down will offer some monetary relief. You’ll be entitled to the maximum amount as one thousand bucks on Scrambler Therapy. To qualify, you want to have a major impairment in 2 or a lot of lifestyle activities and a marked impairment in one.

I am content publisher of victoryoverpain.com. Victory over pain provides comprehensive overview about phantom limb pain syndrome, Scrambler Therapy, causes of this syndrome and complex regional pain syndrome treatment other maladies.

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