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Complex Regional Pain Syndrome (CRPS)

CRPS is a chronic pain condition that most commonly affects an arm or leg after an inciting event such as injury, surgery, fracture, or, less commonly, stroke or myocardial infarction.

Overview

CRPS is a chronic pain condition that most commonly affects an arm or leg after an inciting event such as injury, surgery, fracture, or, less commonly, stroke or myocardial infarction. The pain is often disproportionate to the original injury and can include burning or throbbing sensations, swelling, stiffness, and changes in skin color and temperature.

Dr. Hemani uses a comprehensive approach combining medications, physical therapy, and nerve-targeted interventions to manage pain and improve function.

Symptoms

  • Severe PainPersistent, severe limb pain disproportionate to the original injury
  • Burning SensationsBurning, throbbing, or stabbing sensations in affected areas
  • Physical ChangesSwelling, stiffness, and changes in skin color or temperature
  • SensitivityExtreme sensitivity to touch or movement
  • Functional ImpactDifficulty performing daily activities due to pain

Diagnosis

Clinical Evaluation

Detailed history and physical examination

Imaging Tests

X-rays, MRI, or bone scans to rule out other causes

Diagnostic Criteria

Budapest Criteria help confirm CRPS diagnosis

Functional Testing

Evaluates mobility and daily life impact

Treatment

Medications

Pain relievers, anti-inflammatories, and neuropathic medications to manage symptoms

Physical Therapy

Range-of-motion exercises and desensitization techniques to improve mobility

Nerve Interventions

Nerve blocks and sympathetic ganglion blocks for severe cases

IV Ketamine Infusions

Low-dose ketamine infusions for refractory cases of CRPS to modulate central pain processing

Supportive Care

Psychological support and stress management to aid recovery

When to See a Doctor
Seek medical attention if you experience severe pain after an injury that doesn't improve, or if you notice changes in skin color, temperature, or swelling in the affected limb.

Frequently Asked Questions

Related Conditions

Schedule a Consultation

If you're suffering from chronic pain, Dr. Hemani can help determine if any of our procedures are right for you. Contact us today to schedule your consultation.

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(404) 593-0090

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Medical Disclaimer: The information provided on this page is for educational purposes only and is not intended as medical advice. Please consult with Dr. Hemani or another qualified healthcare provider for personalized medical advice.