Our expert says:
You may have Complex Regional Pain Syndrome (CRPS) or also called Reflex sympathetic dystrophy syndrome.
Symptoms are usually:
Continuing pain, which is disproportionate to any inciting event
Must report at least one symptom in each of the four following categories:
Sensory: Reports of hyperesthesia and/or allodynia ( pain with non painful stimulus)
Vasomotor: Reports of temperature asymmetry and/or skin color changes and/or skin color asymmetry
Sudomotor/Edema: Reports of edema and/or sweating changes and/or sweating asymmetry
Motor/Trophic: Reports of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin).
Must display at least one sign* at time of evaluation in two or more of the following categories:
Sensory: Evidence of hyperalgesia (to pinprick) and/or allodynia (to light touch and/or deep somatic pressure and/or joint movement).
Vasomotor: Evidence of temperature asymmetry and/or skin color changes and/or asymmetry.
Sudomotor/Edema: Evidence of edema and/or sweating changes and/or sweating asymmetry.
Motor/Trophic: Evidence of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin).
There is no other diagnosis that better explains the signs and symptoms.
Interdisciplinary management including occupational therapy, physical therapy, recreational therapy, vocational rehabilitation, and other therapeutic interventions (hyperbaric oxygen therapy, acupuncture, and chiropractic manipulation)
Pharmacotherapy :Anti-inflammatory drugs/immunomodulators ,Anticonvulsants/neuromodulators,
Antidepressants/anxiolytics, Opioids, N-methyl-D-aspartate (NMDA) receptor antagonists
Anti-hypertensives and alpha-adrenergic antagonists, Calcitonin,Bisphosphonates
Patient and family education
Psychological evaluation and Psychological pain management intervention
Sympathetic nerve blocks /Intravenous (IV) regional anesthetic bocks (IVRA) /Intravenous infusions /Other (brachial plexus/spinal blocks-infusions) blocks /Neurolytic sympathetic blocks (radiofrequency/alcohol-phenol)
As you can see this is difficult to diagnose and treat and maybe you should ask your neurologist if he/she knows of someone in your area with a special interest in this kind of disease.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
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