1. Complex Regional Pain Syndromes A discussion of complex regional pain syndromes including RSDS, RSD, Sudeck's Atrophy, casualgia and reflex sympathetic dystrophy. http://www.omanenterprises.com/conditions/CRPS.htm

2. EMedicine - Complex Regional Pain Syndromes : Article By Manish K Singh, MD complex regional pain syndromes Complex regional pain syndrome (CRPS) may develop as a disproportionate consequence of a trauma affecting the limbs without nerve injury (CRPS I or reflex peripheral neuropathic pain and complex regional pain syndromes. Pain 1997 Nov; 73(2 Baron R Traumatic neuralgias complex regional pain syndromes (reflex sympathetic dystrophy and http://www.emedicine.com/pmr/topic123.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Physical Medicine and Rehabilitation Upper Limb Musculoskeletal Conditions Complex Regional Pain Syndromes Last Updated: August 5, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: complex regional pain syndrome I or RSD (ICD 9 code-upper limb 337.21, lower limb 337.22, other specified site 337.29); complex regional pain syndrome II or causalgia (ICD 9 code-upper limb 354.4, lower limb 355.71, NOS 355.9); mimo-causalgia, Sudeck atrophy of bone, shoulder-hand syndrome, algoneurodystrophy, reflex dystrophy, reflex neurovascular dystrophy AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Manish K Singh, MD , Assistant Professor, Department of Neurology, Pain Management, Medical College of Pennsylvania, Hahnemann University Coauthor(s): Jashvant Patel, MD

3. Complex Regional Pain Syndromes Resource for people suffering from complex regional pain syndromes. http://www.medtronic.com/servlet/ContentServer?pagename=Medtronic/Website/Condit

4. Complex Regional Pain Syndromes Offers a list of synonyms of complex regional pain syndromes, a discussion and look at microvascular investigations. http://www.clinicalphysics-blt.org.uk/com-rp.htm

Complex Regional Pain Syndromes Synonyms: Sudeck's atrophy, Reflex Sympathetic Dystrophy, Shoulder-Hand Syndrome). A number of cases of persistent and intense limb pain, frequently following some local injury, are associated with vasomotor disturbances and trophic changes, due to irritation/damage of the peripheral sympathetic nerves. This results in abnormal distribution of blood flow between the skin and the deep tissues of the limb, including the bone. The persistent vasoconstriction of the bone arterioles may be responsible for the bone rarefaction, sometimes shown by radiographs in severe cases. Although this sign was once used as a diagnostic criterion, its rarity produces a considerable number of false negatives. Microvascular Investigations Thermography of the upper or lower limbs is a highly sensitive diagnostic tool for the Complex Regional Pain Syndrome. Limbs with sympathetically mediated pain tend to exhibit an erratic vasomotor behaviour, which is sometimes demonstrated as marked thermal instability by a high-sensitivity Infrared Thermographic Camera. This abnormal behaviour is best elicited by means of a mild cold stress to the contralateral (non-affected) limb. The affected side, instead of a parallel decrease of the limb temperature as observed in normal subjects, exhibits a temperature increase. In other less severe cases, areas of abnormal sympathetic activity are elicited subsequent to direct cold stress applied to the affected side. Finger Nailfold Capillaroscopy is usually performed when Thermography is normal, since a number of Connective Tissue Disorders with marked arthralgia can mimic the clinical features of Complex Regional Pain Syndrome.

5. ClinicalTrials.gov - Information On Clinical Trials And Human Research Studies: Nervous System Diseases complex regional pain syndromes. Include trials that are Associated with Complex Regional Pain Syndrome. Conditions complex regional pain syndromes; Healthy http://clinicaltrials.gov/ct/screen/BrowseAny;jsessionid=8F3912DE71CEBAF29DC83D1

6. ClinicalTrials.gov - Information On Clinical Trials And Human Research Studies: Resources Help What's New About. Browse By Condition Alphabetically C complex regional pain syndromes. Include trials that are no longer recruiting patients. 2 studies were found. http://clinicaltrials.gov/ct/gui/c/w2b/screen/BrowseAny?recruiting=true&path

7. NINDS Complex Regional Pain Syndrome (also Called Reflex Sympathetic Dystrophy S Science. A workshop on Reflex Sympathetic Dystrophy/ complex regional pain syndromes (CRPS) Stateof-the-Science, December 15, 2001. http://www.ninds.nih.gov/health_and_medical/disorders/reflex_sympathetic_dystrop

National Institute of Neurological Disorders and Stroke Accessible version Science for the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system Browse all disorders Browse all health organizations More about Complex Regional Pain Syndrome Studies with patients Research literature Press releases Search NINDS... (help) Contact us My privacy NINDS is part of the National Institutes of Health NINDS Complex Regional Pain Syndrome (also called Reflex Sympathetic Dystrophy Syndrome) Information Page Synonym(s): Reflex Sympathetic Dystrophy Syndrome, Causalgia Reviewed 07-01-2001 Get Web page suited for printing Email this to a friend or colleague Table of Contents (click to jump to sections) What is Complex Regional Pain Syndrome? Is there any treatment? What is the prognosis? What research is being done? ... Additional resources from MEDLINEplus What is Complex Regional Pain Syndrome? Is there any treatment? Physicians use a variety of drugs to treat CRPS. Elevation of the extremity and physical therapy are also used to treat CRPS. Injection of a local anestheticis usually the first step in treatment. TENS (transcutaneous electrical stimulation), a procedure in which brief pulses of electricity are applied to nerve endings under the skin, has helped some patients in relieving chronic pain. In some cases, surgical or chemical sympathectomy interruption of the affected portion of the sympathetic nervous system is necessary to relieve pain. Surgical sympathectomy involves cutting the nerve or nerves, destroying the pain almost instantly, but surgery may also destroy other sensations as well.

8. SOA Textbook Complex Regional Pain Syndromes Causalgia And Reflex Current Chapter complex regional pain syndromes Causalgia and Reflex Sympathetic Dystrophy http://www.orthopaediccare.net/view/templates/Chapter_Entry.asp?uniqueid=1071933

9. EMedicine - Complex Regional Pain Syndromes : Article Excerpt By: Manish K Singh complex regional pain syndromes Complex regional pain syndrome (CRPS) may develop as a disproportionate consequence of a trauma affecting the limbs without nerve injury (CRPS I or reflex Excerpt from complex regional pain syndromes. Synonyms, Key Words, and Related Terms http://www.emedicine.com/pmr/byname/complex-regional-pain-syndromes.htm

(advertisement) Excerpt from Complex Regional Pain Syndromes Synonyms, Key Words, and Related Terms: complex regional pain syndrome I or RSD (ICD 9 code-upper limb 337.21, lower limb 337.22, other specified site 337.29); complex regional pain syndrome II or causalgia (ICD 9 code-upper limb 354.4, lower limb 355.71, NOS 355.9); mimo-causalgia, Sudeck atrophy of bone, shoulder-hand syndrome, algoneurodystrophy, reflex dystrophy, reflex neurovascular dystrophy Please click here to view the full topic text: Complex Regional Pain Syndromes Background: Complex regional pain syndrome (CRPS) may develop as a disproportionate consequence of a trauma affecting the limbs without nerve injury (CRPS I or reflex sympathetic dystrophy [RSD]) or with obvious nerve lesions (CRPS II or causalgia). In the seventeenth century, Ambroise Pire presented the earliest description of RSD with severe burning pain following peripheral nerve injury. Pire, a surgeon, treated King Charles IX for smallpox by inducing bleeding with a lancet applied to the arm. After this treatment, the King suffered from persistent pain, muscle contracture, and inability to flex or extend his arm. In 1864, Mitchell coined the term causalgia, which means burning pain, to describe persistent symptoms following gunshot wounds to peripheral nerves during the American Civil War.

10. Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-t A workshop on Reflex Sympathetic Dystrophy/ complex regional pain syndromes (CRPS) Stateof-the-Science, December 15, 2001. http://accessible.ninds.nih.gov/news_and_events/proceedings/Reflex_Sympathetic_D

News and Events - National Institute of Neurological Disorders and Stroke (NINDS) Skip menus Main sections of the NINDS web site Home About NINDS Disorders ... Find People News and Events section pages and search Image Description Science For the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system. Select Topic Disorder Quick Links Alzheimer's Autism Cerebral Palsy Chronic Pain Epilepsy Headache Multiple Sclerosis Parkinson's Stroke Traumatic Brain Injury Press releases Current Archived Events Proceedings ... NINDS Notes News articles Current Archived Online events Upcoming Archived Of interest ... Labs at NINDS NINDS Search (search help) Contact us My privacy NINDS is part of the National Institutes of Health Contact us Content for this page Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-the-Science Get Web page suited for printing Email this to a friend or colleague Table of Contents (click to jump to sections) Meeting Summary Background Scientific Presentations New Research Directions ... References Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-the-Science December 15, 2001

11. Pain Medicine & Palliative Care trials failed to demonstrate that sympathetic blocks (SB) are more effective than placebo for relieving complex regional pain syndromes (CRPS) letter; comment http://www.stoppain.org/education_research/CRPSbiblio.html

Bibliography Complex Regional Pain Syndrome Allen G, Galer BS, Schwartz L: Epidemiology of complex regional pain syndrome: a retrospective chart review of 134 patients. Pain. 80(3):539-44, 1999. Aprile AE: Complex regional pain syndrome. [Review] [18 refs] AANA Journal. 65(6):557-60, 1997. Baron R, Janig W: [Pain syndromes with causal participation of the sympathetic nervous system]. [Review] [124 refs] [German] Anaesthesist. 47(l):4-23, 1998. Bengtson K: Physical modalities for complex regional pain syndrome. Hand Clinics. 13(3):443-54, 1997. Bhugra NM, Stanton-Hicks M: External validation of IASP diagnostic criteria for Complex Regional Pain Syndrome and proposed research diagnostic criteria. International Association for the Study of Pain. Pain. 81 (1-2): 147-54, 1999. Birklein F, Riedl B, Claus D, et al: Pattern of autonomic dysfunction in time course of complex regional pain syndrome. Clinical Autonomic Research. 8(2): 79-85, 1998.

12. Complex Regional Pain Syndromes - Information / Diagnosis / Treatment / Preventi home neurological disorders autonomic nervous system complex regional pain syndromes complex regional pain syndromes. Information http://www.healthcyclopedia.com/neurological-disorders/autonomic-nervous-system/

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... autonomic nervous system > complex regional pain syndromes Complex Regional Pain Syndromes Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Subtopics Related Topics Health Portals Health News ... Web Directory: Subtopics: Complex Regional Pain Syndromes > Causalgia Related Topics: Reflex Sympathetic Dystrophy Neurological Disorders/Peripheral Nervous System Health Portals: FamilyDoctor.org Information Sheets : Complex Regional Pain Syndrome Health News: Search millions of published articles for news on Complex Regional Pain Syndromes Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: American Family Physician An in depth report about complex regional pain syndrome authored by Donna M Pittmann, MD and Miles J Belrade, MD from Sister Kenny Institute and Abbott Northwestern Hospital, Minneapolis Minnesota.

13. Peripheral Opioid Infusions For Complex Regional Pain Syndromes (RSD) Plexus Analgesia with Low Dose Morphine in Patients with complex regional pain syndromes. Abstract nine patients suffering from complex regional pain syndrome of the arm were http://www.helpforpain.com/brachialopioids.htm

Home Back to Pain News Continuous Axillary Brachial Plexus Analgesia with Low Dose Morphine in Patients with Complex Regional Pain Syndromes Abstract European Journal of Anaesthesiology Volume 17 Issue 3 Page 185 - March 2000; S. C. Azad, A. Beyer, A. W. Römer, A. Galle-Röd, K. Peter and P. Schöps. In this prospective pilot study, nine patients suffering from complex regional pain syndrome of the arm were treated with morphine 0.16 mg h1 (3.84 mg day1) applied continuously through an axillary brachial plexus catheter. In all of them an oral analgesic medication including the less potent opioid tramadol had not provided sufficient pain relief. During regional treatment, patients were kept in hospital and physiotherapy was carried out frequently in order to improve strength and function of the affected arm. Pain at rest and during movement as well as grip strength were assessed at first visit, during morphine infusion and at a long-term follow-up visit. All assessments improved significantly during plexus analgesia. There were no major opioid related side-effects. Results: This pilot study indicates that continuous axillary brachial plexus analgesia with low dose morphine might be beneficial in patients suffering from complex regional pain syndrome of the arm.

14. Complex Regional Pain Syndromes complex regional pain syndromes. http://omni.ac.uk/browse/mesh/C0458219L0792460.html

low graphics Complex Regional Pain Syndromes broader: Peripheral Nervous System Diseases other: Brachial Plexus Neuropathies Diabetic Neuropathies Dysautonomia, Familial Guillain-Barre Syndrome ... Polyneuropathies narrower: Reflex Sympathetic Dystrophy RSD-UK RSD UK is a non-profit organisation established to support and inform patients, carers and health workers concerned with Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome. The aim of the site and the organisation is to make people more aware of this little known and poorly understood condition. In addition to clinical and patient information, there are details of the organisation's activities and news on current research. Reflex Sympathetic Dystrophy Complex Regional Pain Syndromes Last modified: 27 May 2004

15. Complex Regional Pain Syndrome (CRPS). complex regional pain syndromes are painful conditions that usually affect the distal part of an upper or lower extremity and are associated with http://www.guideline.gov/summary/summary.aspx?doc_id=1905&nbr=1131

16. RSD Association in an attempt to develop effective diagnosis, treatment and cure for Reflex Sympathetic Dystrophy (RSD) and all complex regional pain syndromes(CRPS). http://www.rsdsa-ca.org/

Official Web-site of the RSD Association Incorporated in California Reflex Sympathetic Dystrophy Association of California A California nonprofit 501(c)3 corporation Incorporated December 4, 1992 MISSION STATEMENT The Reflex Sympathetic Dystrophy Syndrome Association of California is a non-profit corporation comprised of individuals dedicated to promoting education in the medical condition known as Reflex Sympathetic Dystrophy (RSD), to render assistance to those people who suffer from RSD, and to assist groups or research facilities in an attempt to develop effective diagnosis, treatment and cure for Reflex Sympathetic Dystrophy (RSD) and all Complex Regional Pain Syndromes(CRPS). Co-Founded By Alfie Burns and Diana Rinner September 11, 2001 The United States of America has been attacked by an enemy of the cruelest nature! Our thoughts and Prayers are extended to those who have lost a Loved One in this tradgy. We are a strong Nation ... One Nation under God ... and United, we shall recover! Alfie C Burns, President

17. ClinicalTrials.gov - Information On Clinical Trials And Human Research Studies: 2 studies were found. 1. Recruiting, Study of Proteins Associated with Complex Regional Pain Syndrome Conditions complex regional pain syndromes; Healthy. http://www.clinicaltrials.gov/search/term=Complex Regional Pain Syndrome

Home Search Browse Resources ... About Search results for Complex Regional Pain Syndrome [ALL-FIELDS] are shown below. Include trials that are no longer recruiting patients. 2 studies were found. Recruiting Study of Proteins Associated with Complex Regional Pain Syndrome Conditions: Complex Regional Pain Syndromes; Healthy Recruiting Neurotropin to Treat Acute Dental and Chronic Neural Pain Conditions: Causalgia; Facial Pain; Reflex Sympathetic Dystrophy U.S. National Library of Medicine Contact NLM Customer Service National Institutes of Health Privacy ... Freedom of Information Act

18. Clinical Trial: Study Of Proteins Associated With Complex Regional Pain Syndrome Study of Proteins Associated with Complex Regional Pain Syndrome. This study is currently recruiting patients. Condition. complex regional pain syndromes Healthy. http://www.clinicaltrials.gov/ct/gui/show/NCT00033969?order=2

19. Drug Delivery: Patient Selection/ Non-Malignant Pain 1. 1 Stanton Hicks M. Consensus report complex regional pain syndromes Guidelines for therapy, The Clinical Journal of Pain,14(2); 1998 155-166. Top http://www.medtronic.com/neuro/paintherapies/pain_treatment_ladder/drug_infusion

Patient Selection Criteria When to Use Neurostimulation or Intrathecal Drug Delivery Cancer Pain Nonmalignant Pain Failed Back Syndrome Osteoporosis Arachnoiditis Visceral Pain ... Complex Regional Pain Syndrome Nonmalignant Pain Failed Back Syndrome Failed Back Syndrome (FBS) is an umbrella term that describes residual pain that persists despite multiple spine surgeries or other interventionssuch as spinal manipulation or nerve blocksto reduce back and leg pain or repair neurological deficits. Examples of interventions that may have failed to relieve pain or repair deficits in FBS patients include: Discectomy surgery to move a herniated or protruding disc. Spinal Fusion surgical joining together of two or more vertebrae. Surgical decompression of spinal stenosis a surgical procedure done to relieve pressure on neural structures caused by the narrowing of the spinal canal. Rehabilitation therapeutic program involving patient and family education, physical, occupational, and psychological counseling to improve function in an impaired person.

20. Complex Regional Pain Syndromes (CRPS) complex regional pain syndromes (CRPS). http://www.tg.com.au/etg_demo/tgc/agg/5a650c6.htm

Complex regional pain syndromes (CRPS) In this topic: Introduction Clinical features of CRPS Treatment of CRPS Sympathetic blockade ... Psychological treatment Introduction The term complex regional pain syndromes (CRPS) refers to a constellation of signs and symptoms including regional pain, allodynia, swelling, temperature change, cyanosis or pallor and motor dysfunction such as weakness or tremor affecting a limb. CRPS type I (CRPS I) follows an injury that is often trivial, eg a minor sprain, but may be nontrivial, eg a fracture. It was previously referred to as reflex sympathetic dystrophy. CRPS type II (CRPS II) has similar features to CRPS I but occurs in association with nerve injury and is sometimes referred to as causalgia. The presumption has been that the phenomenon is the result of an unusual response of the sympathetic nervous system to a noxious stimulus or nerve injury. This presumed abnormal response of the nervous system means that CRPS are usually regarded as a form of neuropathic pain, although only CRPS II is associated with nerve injury. Treatment has consequently been founded upon temporarily, or permanently, blocking the various autonomic neural pathways supplying the affected part. Among the group exhibiting all the characteristics of the syndrome some respond positively to sympathetic blockade and are therefore considered to have sympathetically-maintained pain. The greater number do not respond to sympathetic blockade and these are regarded as having sympathetically-independent pain. Therefore, although by definition CRPS always have sudomotor and vasomotor features, response to sympathetic blockade, particularly in later stages, is often poor.

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