Managing Complex Regional Pain Syndrome in Maryland
What is Complex Regional Pain Syndrome?
Complex Regional Pain Syndrome (CRPS) is a chronic neurological condition that primarily affects the extremities—such as arms, legs, hands, or feet—after an injury or surgery. It is characterized by severe, persistent pain that is disproportionate to the initial injury. Formerly known as Reflexive Sympathetic Dystrophy (RSD) and causalgia, CRPS can manifest in various forms, making diagnosis and treatment particularly challenging. The symptoms of CRPS can vary widely among patients, but some common signs to watch for include:
- Burning Pain – One of the hallmark symptoms is an intense, burning pain that doesn't align with the severity of the initial injury. ·
- Swelling and stiffness – The affected area may become swollen and stiff, making movement difficult.
- Skin Changes – CRPS can cause noticeable changes in skin color, temperature, and texture. Skin may appear shiny, thin, or blotchy.
- Sensitivity – The affected area may become extremely sensitive to touch, temperature, or even slight pressure.
- Movement Issues – Stiffness, tremors, and decreased mobility can also occur, leading to muscle deterioration if left untreated.
- Emotional Impact – Chronic pain often leads to psychological effects such as depression, anxiety, and cognitive difficulties.
CRPS can occur in two types:
CRPS-I (formerly known as Reflex Sympathetic Dystrophy) – Occurs without a confirmed nerve injury.
CRPS-II (formerly known as Causalgia) – Occurs with a confirmed nerve injury.
Pain Treatment for CRPS at Greater Maryland Pain Management
Living with CRPS can be challenging, but at Greater Maryland Pain Management, we offer a variety of treatments to manage and alleviate the pain associated with this condition. Our team of specialists is dedicated to creating individualized treatment plans tailored to each patient's needs. Our approach to managing CRPS can include:
- Medications – We use a range of medications to manage pain and inflammation, including non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and neuropathic pain medications such as gabapentin and pregabalin.
- Physical Therapy – Physical therapy is crucial for maintaining mobility and function in the affected limb. Our therapists design specific exercise programs to improve strength, flexibility, and blood flow.
- Nerve Blocks and Injections – We offer sympathetic nerve blocks and other injection therapies to provide targeted pain relief and reduce inflammation.
- Spinal Cord Stimulation – For severe cases of CRPS, spinal cord stimulation may be recommended. This involves implanting a device that sends electrical impulses to the spinal cord to mask pain signals.
- Psychological Support – Chronic pain can take a toll on mental health. We provide access to counseling and support groups to help patients cope with the emotional aspects of CRPS.
- Alternative Therapies – We also incorporate alternative therapies such as acupuncture, massage, and biofeedback to complement traditional treatments and enhance pain relief.