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John L Gillick, Jared B Cooper, Sateesh Babu, Kaushik Das, Raj Murali
BACKGROUND: Complex regional pain syndrome (CRPS), formerly referred to as reflex sympathetic dystrophy, is a pain syndrome characterized by severe pain, altered autonomic and motor function, and trophic changes. CRPS is usually associated with soft tissue injury or trauma. It has also been described as a rare complication of arterial access for angiography secondary to pseudoaneurysm formation. CASE DESCRIPTION: A 73-year-old woman underwent catheterization of the left brachial artery for angiography of the celiac artery...
August 2016: World Neurosurgery
Leah R Strickland, Sherry S Collawn
Subcutaneous atrophy is a known complication of steroid injections. Excellent results with fat grafting for the treatment of steroid atrophy have been documented. However, the benefit of treating steroid-induced subcutaneous atrophy in an extremity diagnosed with complex regional pain syndrome (CRPS) has not been described. CRPS, known formerly as reflex sympathetic dystrophy or RSD, causalgia, or reflex neurovascular dystrophy, is a severe, progressive musculoskeletal pain syndrome characterized by pain which is disproportionate to the severity of the inciting event, edema, or skin changes...
June 2016: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
Frederick R Dietz, Stephen P Compton
BACKGROUND: Chronic Regional Pain Syndrome type I (CRPSI) in children is a disorder of unknown etiology. No standard diagnostic criteria or treatment exists. Published treatment protocols are often time and resource intensive. Nonetheless, CRPSI is not rare and can be disabling. This reports the results of a simple and inexpensive treatment protocol involving no medicines, nerve blockades, physical therapy resources or referrals to pain specialists. The patient is instructed in a self-administered massage and mobilization program...
2015: Iowa Orthopaedic Journal
(no author information available yet)
JOSPT offers invited reviews of current titles. The July 2015 column includes 5 reviews of the following books: Physical Therapy Examination and Assessment; Why Are My Nerves So Sensitive? Neuroscience Education for Patients With CRPS or RSD; Color Atlas of Human Anatomy, Volume 1: Locomotor System, Seventh Edition; Imaging Handbook for Physical Therapists; and Controversies in Shoulder Instability. The following is the final installment of book reviews to be published by JOSPT. We express our gratitude to Dr Donald Neumann for his many years of excellent work as editor of book and media reviews...
July 2015: Journal of Orthopaedic and Sports Physical Therapy
Jeanne E Hendrickson, Emma T Hendrickson, Eric A Gehrie, Davinder Sidhu, Gerd Wallukat, Ingolf Schimke, Christopher A Tormey
Reflex sympathetic dystrophy, also known as complex regional pain syndrome (CRPS), has recently been shown to be associated with autoantibodies against β2-adrenergic and muscarinic M2 receptors. In addition to pain and sudomotor/vasomotor symptoms, dysautonomia is also observed in a subset of CRPS patients. Despite its severity, there are few effective therapies for CRPS described to date. We report a case of a 14-year-old girl with CRPS of her right leg and dysautonomia (gastroparesis, postural tachycardia) refractory to multiple therapies, successfully treated with therapeutic plasma exchange (TPE) with albumin replacement...
August 2016: Journal of Clinical Apheresis
M Bussa, D Guttilla, M Lucia, A Mascaro, S Rinaldi
BACKGROUND: Complex regional pain syndrome type I (CRPS I), formerly known as reflex sympathetic dystrophy (RSD), is a chronic painful disorder that usually develops after a minor injury to a limb. This topical review gives a synopsis of CRPS I and discusses the current concepts of our understanding of CRPS I in adults, the diagnosis, and treatment options based on the limited evidence found in medical literature. CRPS I is a multifactorial disorder. Possible pathophysiological mechanisms of CRPS I are classic and neurogenic inflammation, and maladaptive neuroplasticity...
July 2015: Acta Anaesthesiologica Scandinavica
Kush Kumar
OBJECTIVES: A new method of interpretation of Three Phase Bone Scan (TPBS) scan based upon the normal physiological vascular endothelial related response. MATERIALS AND METHODS: Fifty cases of TPBS were evaluated. Thirteen were normal. In remaining 37 positive studies, 20 showed localized hyperemic response. All localized hyperemic responses except one with vascular endothelial dysfunction were without infection (95.0%). Infection could be ruled out in absence of generalized massive flow and pool response...
April 2015: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
J H Check, R Cohen
PURPOSE: To determine if treatment with sympathomimetic amines could improve the pain from complex regional pain disorder (CRPD) which was keeping a woman from trying to conceive her second child. MATERIALS AND METHODS: Dextroamphetamine sulfate was prescribed. RESULTS: Within a short length of time the woman's wrist pain considerably improved to the point that she is ready to try in vitro fertilization once again to have a second baby. CONCLUSIONS: Though sympathomimetic amines are used by some reproductive endocrinologists for unexplained infertility and unexplained recurrent miscarriages, the most common use by the gynecologist is for pelvic pain...
2014: Clinical and Experimental Obstetrics & Gynecology
Porin Perić
In 1994, a consensus group of experts gathered by the International Association for the Study of Pain (IASP) agreed on new diagnostic criteria for the reflex sympathetic dystrophy (RSD) and causalgia, and renamed them complex regional pain syndrome (CRPS) types I and II, respectively. CRPS is a complex pathophysiological entity characterised by pain, trophic and vasomotoric changes, limited function of affected body part and relatively fast development of osteoporosis of affected region. We described possible pathophysiological mechanisms which caused the pain, clinical presentation of the disease and treatment which includes all available pharmacological modalities as well as interventional procedures...
2013: Reumatizam
Hitoshi Hirata
Complex regional pain syndrome (CRPS), previously known as reflex sympathetic dystrophy, is attracting more public attention in Japan which is likely a result of the recent upsurge in lawsuits filed against medical institutes. A recent court ruling over a case of injection-needlestick-injury induced CRPS has touched off serious debates among both medical practitioners and legal professionals. Although the court rejected the plaintiff's claims, the high court admitted them in view of the evidence and the entire pleadings and ordered the defendant to pay compensation...
2014: Hand Surgery
Mario A Inchiosa
There is a relatively long history of the use of the α -adrenergic antagonist, phenoxybenzamine, for the treatment of complex regional pain syndrome (CRPS). One form of this syndrome, CRPS I, was originally termed reflex sympathetic dystrophy (RSD) because of an apparent dysregulation of the sympathetic nervous system in the region of an extremity that had been subjected to an injury or surgical procedure. The syndrome develops in the absence of any apparent continuation of the inciting trauma. Hallmarks of the condition are allodynia (pain perceived from a nonpainful stimulus) and hyperalgesia (exaggerated pain response to a painful stimulus)...
2013: Anesthesiology Research and Practice
M Vastamäki
No abstract text is available yet for this article.
February 2014: Journal of Hand Surgery, European Volume
Angela Mailis-Gagnon, Andrea D Furlan, Juan Alberto Sandoval, Rod S Taylor
No abstract text is available yet for this article.
2013: Cochrane Database of Systematic Reviews
A T Borchers, M E Gershwin
Complex regional pain syndrome (CRPS) is a term used to describe a variety of disorders characterized by spontaneous or stimulus-induced pain that is disproportional to the inciting event and accompanied by a myriad of autonomic and motor disturbances in highly variable combinations. There are no standards which can be applied to the diagnosis and would fulfill definitions of evidence-based medicine. Indeed, there are almost as many diagnostic criteria as there are names to this disorder. The umbrella term CRPS has been subdivided into type I and type II...
March 2014: Autoimmunity Reviews
Nishikant A Damle, Madhavi Tripathi, Abhinav Singhal, Chandrasekhar Bal, Praveen Kumar, Devasenathipathi Kandasamy, Manisha Jana
Complex regional pain syndrome (CRPS) is usually associated with trauma. Rarely, it may be seen in association with malignancies. We present here the bone scan and X-ray findings in the case of a 56-year-male-patient with adenocarcinoma lung who also had non-traumatic CRPS without involvement of the stellate ganglion. The case highlights the fact that spontaneous development of reflex sympathetic dystrophy may be associated with a neoplastic etiology.
October 2012: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
Jane Vail
Regional sympathetic dystrophy syndrome (reflex sympathetic dystrophy, complex regional pain syndrome) is a multifactorial disorder characterized by chronic pain, edema, sweating, sensory changes, and temperature disturbance in affected extremities. In the September/October 2005 issue of the International Journal of Pharmaceutical Compounding, the successful treatment of artist Karen Balzer, who suffers from total body regional sympathetic dystrophy syndrome, was described. At that time, a compounded solution of morphine administered by an implanted intrathecal infusion pump provided her only relief from constant overall burning paresthesia and severe chronic pain in her legs and feet...
May 2007: International Journal of Pharmaceutical Compounding
Joshua Hauser, Bernard Hsu, Nader D Nader
Chronic Regional Pain Syndrome, previously known as reflex sympathetic dystrophy, has garnered increased attention in recent years. Many recent studies have attempted to better describe the etiology, pathogenesis, and treatment of symptoms. Despite recent advances to the fund of medical knowledge, the underlying pathophysiology and mechanisms involved in disease progression remain unclear. This review will synthesize and present current theories and data regarding the role of inflammatory cytokines and other mediators in both the central and peripheral nervous systems that contribute to the development and progression of CRPS...
2013: Immunological Investigations
F Del Piñal
No abstract text is available yet for this article.
July 2013: Journal of Hand Surgery, European Volume
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