Complex Regional Pain Syndrome (CRPS) Sean S. Armin, M.D. Department of Neurosurgery, Loma Linda University Medical Center.

Slides:

Advertisements

Similar presentations

Pain Psychological interface Acute Chronic Neuropathic

Advertisements

Complex Regional Pain Syndrome

Classification of Thoracolumbar spine injuries

Chip Wilmot, MD PhD Emory University

COMPLEX REGIONAL PAIN SYNDROME (crps)

WINGS OF HOPE REFLEX SYMPATHETIC DYSTROPHY SYNDROME AWARENESS JESSICA FEDERICO “There is no cure, but there is always hope”

PAIN FACTS - 4 Complex regional pain syndrome (CRPS) Dr. S. Parthasarathy MD., DA., DNB, MD (Acu), Dip. Diab. DCA, Dip. Software statistics PhD (physio)

Neurostimulation For Complex Regional Pain Syndrome Literature Review Summary.

Michelle Wykes Occupational Therapy Department 2014

Modulating pain in CRPS with tDCS Giridhar Gundu, M.D. PGY IV Co-investigator: Kenneth Chelette, M.S. Dept. of PM&R University of Kentucky 5/23/2013.

Case Study: Peripheral Nerve Blocks in Management of Complex Regional Pain Syndrome Shashank Saxena, M.D., Nashaat N. Rizk, M.D., Doris K. Cope, M.D. Department.

Efficacy of Cervical Spinal Cord Stimulation for Chronic Pain

INTRODUCTION TO PRACTICE BASED RESEARCH

Brain Injury Rehabilitation Science, Efficacy, and Service Delivery Models David X. Cifu, M.D. Co-Director, NIDRR TBI Model Systems Co-Director, Brain.

EPIDEMIOLOGY. General Pain in Past Month Among Adults 20+, 1999–2002 Data from the National Health and Nutrition Examination Survey. National Center.

N. Camden Kneeland, M.D., D.A.B.A.

Spinal Cord Stimulators. FDA-approved therapy to treat chronic pain of the trunk and/or limbs Used to treat patients with neuropathic pain SCS is considered.

MUSCULOSKELETAL DISEASES National Healthcare Quality and Disparities Report Chartbook on Effective Treatment.

Update in Pain management HIMAA Conference Dr Tony Weaver Clinical Director of Surgical Services Director of Pain Management Clinic Barwon Health.

Ranjith Babu, MS 1 Jonathan Choi, MD 1 Adam Back, MD 1 Vijay Agarwal, MD 1 Matthew Hazzard, MD 1 Beatrice Ugiliweneza, MSPH PhD 2 Chirag G. Patil, MD MS.

Spinal Cord Stimulators in Neuropathic Pain. Introduction Chronic pain is very common Immense physical, psychological, societal impact Financial burden.

Diagnosis and Treatment Options of RSD/CRPS

Department of Neurosurgery, Feinberg School of Medicine, Northwestern University Spinal Cord Stimulation: Indications and Patient Selection Joshua M.

When is it Reasonable to Speak about CRPS? Dubai Anesthesia March 2012

Presented by Robert Dworkin, Ph.D. at the Anesthetic and Life Support Drugs Advisory Committee Meeting on May 16, 2002.

Outcome after Total Knee Arthroplasty in the Patients with Psychologic Disorder Nam-Hong Choi, M.D. Young-Eun Park, M.D. Knee & Shoulder service Department.

Functional Optimization/Quota Based Exercise for Lumbar Diagnoses Alison Stout DO Fellowship Director Evergreen Healthcare Kirkland, WA.

Initial presentation of multiple sclerosis in northern Iran; Is there any comparison to other countries Initial presentation of multiple sclerosis in northern.

Management of HIV-Related Polyneuropathy with Spinal Cord Neuromodulation: A New Clinical Indication Management of HIV-Related Polyneuropathy with Spinal.

Reflex Sympathetic Dystrophy / Complex Regional Pain Syndrome (RSD / CRPS) Clinical Practice Guidelines - Third Edition Anthony F. Kirkpatrick, M.D., Ph.D.

Chronic pain Sai Yan Au. Chronic Pain  Definition  Causes and mechanisms of chronic pain  Effects of chronic pain  Assessment and evaluation  Management.

Diagnosis and Treatment Options of RSD/CRPS Srinivasa N. Raja, MD Director of Pain Research Johns Hopkins University School of Medicine.

Corticosteroids in adults with bacterial meningitis

Int J MS Care 7: , 2005/2006. Jan 9 & 10, Clinical Stabilization of a MS Patient after Tonsillectomy presented by Michael C. Levin, MD Department.

Copyright restrictions may apply Intranasal Midazolam vs Rectal Diazepam for the Home Treatment of Acute Seizures in Pediatric Patients With Epilepsy Holsti.

Grading system G Di Stefano A Truini

The Brain in Pain Cortical contributions to Complex Regional Pain Syndrome Dr Janet Bultitude This is not a talk about central sensitisation, but about.

In Situ Spinal Cord Stimulator for Post Thoracotomy Pain Maunak V. Rana, M.D.*, N. Nick Knezevic, M.D., Ph.D., Andrew Germanovich, D.O. Department of Anesthesiology,

Management of HIV-Related Polyneuropathy with Intrathecal Morphine Delivery in Two Narcotic-Dependent Patients with Hepatitis C Cirrhosis Management of.

Evidence Based Medicine for SCS

Advanced Interventional Options for Chronic Pain October 9, 2105 Daniel Kwon, MD.

Objectives  Define CRPS  Types of CRPS  Symptoms associated with CRPS  Role of Physical Therapy  PT Intervention  Other treatments options for pain.

Peripheral and Central Nervous System Drugs Advisory Committee Meeting - March 14, Issues Related to the Development of Drugs for the Treatment.

06/23/2002 RECENT ADVANCES IN TREATING POST-POLIO SYNDROME Susan L. Perlman, M.D. Associate Professor of Neurology UCLA Medical Center.

SCS and IDDS: Patient Selection

TULSA BONE & JOINT ANTOINE (TONY) JABBOUR, MD ORTHOPAEDIC SPORTS MEDICINE SURGEON KNEE AND SHOULDER SUBSPECIALTY CHAPTER 20 PAIN SYNDROMES CHAPTER 21 NERVE.

Neurogenic bladder By Cindy Mendez. ETIOLOGY  Loss of voluntary voiding control –Manifested by retention or incontinence  Caused by a lesion to the.

Presented by Mark Rowbotham, M.D. at the Anesthetic and Life Support Drugs Advisory Committee Meeting on May 16, 2002.

Understanding and Explaining Pain Level 2 Pain Training Fife Integrated Pain Management Service.

Thrice-Weekly Glatiramer Acetate for Relapsing Forms of Multiple Sclerosis: Findings from the GALA Study Fred D. Lublin, MD Saunders Family Professor of.

Flow diagram of study selection process CAB: Commonwealth Agricultural Bureau Ethan M. Balk, et al. Arch Intern Med. 2007;167:21-30.

brains&GAINS November 2, a.m. Center For Tomorrow

Can the Epidural Catheter Be Removed with Warfarin? Department of Anesthesiology Rush University Medical Center Rush Medical College Chicago, IL Asokumar.

Spinal Cord Stimulation

Complex Regional Pain Syndrome Dr. SAEB. Case 53 yo male w/ complaints of severe LLE pain – Pain has been present for “ a few years ”, but the severity.

Therapy of CRPS I in children by spinal cord stimulation (a case presentation) Michael Kretzschmar, MD, DSc Consultant in Anesthesiology and Pain Management,

1997 NIH Consensus Myofascial pain Osteoarthritis Low back pain Headache Menstrual cramps Tennis elbow Fibromyalgia Carpal tunnel syndrome Addiction Stroke.

Status Epilepticus Presenting After Traumatic Brain Injury in Infants Kurz, J. E.1; Zelleke, T.1; Carpenter, J.1; Dean, N.2; Singh, J.1; Kadom, N.3; Gaillard,

The Effects of Thoracic Spine Thrust Manipulation on Cervical Joint Position Error Kelley Smith.

THE BAHRAINI EXPERIENCE

Introduction to medical Terminolog MEDICAL TERMINOLOGY.

Janna Friedly M.D. Assistant Professor University of Washington

Nat. Rev. Neurol. doi: /nrneurol

Results w the CI.

Figure 2 Primary and secondary outcomes reported in multiple sclerosis (MS) disease-modifying therapy (DMT) clinical trials Primary and secondary outcomes.

Figure 6 The neurogenic components of angina

Enrollment and Outcomes

Health-Related Quality of Life in Chronic Refractory Reflex Sympathetic Dystrophy (Complex Regional Pain Syndrome Type I) Marius A Kemler, MD, Henrica.

Update from education committee

Defined clinical entities for groin pain.

Presentation transcript:

Complex Regional Pain Syndrome (CRPS) Sean S. Armin, M.D. Department of Neurosurgery, Loma Linda University Medical Center

Introduction to CRPS Confusing terminology: Reflex Sympathetic Dystrophy – CRPS I Causalgia – CRPS II Other previous names: algodystrophy mineures, mimo-causalgia, sympathalgia, post-traumatic spreading neuralgia, Sudek’s atrophy, Shoulder-hand syndrome, Sympathetically-maintained pain (SMP) Long recognized clinical entity: Bernard and Weir Mitchell (1800’s) Still no clearly identified pathophysiology Sympathetic nervous system: etiology vs. epiphenomenon

Complex Regional Pain Syndrome I vs. II Harden, et al: Clin J Pain, 22: 415–419, 2006 Sensitivity: 0.98 Specificity: 0.36 Bruehl, et al: Pain, 81: 147–154, 1999

Proposed Modified Dx Criteria for CRPS Proposed Modified Clinical Dx Criteria At least one Sx in 3 of 4 categories At least one Sx in 2 of 4 categories Sensitivity: 0.70 Specificity: 0.95 Sensitivity: 0.85 Specificity: 0.69 Harden, et al: Clin J Pain, 22: 415–419, 2006

Quisel, et al: J Family Practice, 54: 524–532, 2005

Clinical Presentation Wasner, et al: Spinal Cord, 41: 65–71, 2003Simpson: Lancet Neurology, 3: 142, 2004

Quisel, et al: J Family Practice, 54: 524–532, 2005

Clinical Presentation Vacariu: Disability & Rehab, 24: 435–442, 2002 Harden, et al: Clin J Pain, 22: 415–419, 2006

Quisel, et al: J Family Practice, 54: 524–532, 2005

Peripheral Response to Injury Teasdall, et al: Clin Sports Med, 23: , 2004

Pathophysiology Wasner, et al: Spinal Cord, 41: 65–71, 2003

Pathophysiology Wasner, et al: Spinal Cord, 41: 65–71, 2003

Pathophysiology Wasner, et al: Spinal Cord, 41: 65–71, 2003

Pathophysiology Teasdall, et al: Clin Sports Med, 23: , 2004

Mechanism-Based Pharmacotherapy Ribbers, et al: Arch Phy Med Rehabil, 84: 141–146, 2003

Quisel, et al: J Family Practice, 54: 524– 532, 2005

Spinal Cord Stimulation Study Methodologies Grabow, et al: Clinical J. Pain, 19: 371–383, 2003

Spinal Cord Stimulation Study Outcomes Grabow, et al: Clinical J. Pain, 19: 371–383, 2003

Spinal Cord Stimulation Randomized Trial Kemler, et al: Ann Neurol, 55: 13–18, 2004

Complex Psychosical/Behavioral Interaction Deterioration Turner-Stokes: Disability & Rehab, 24: 939–947, 2002 Miller: Orthoped Nursing, 22: 91– 99, 2003