CRPS ( Complex regional pain syndrome )
•Download as PPTX, PDF•
0 likes•41 views
CRPS ( Complex regional pain syndrome ) Important complication seen in orthopedics.CRPS is a type of persistent torment that typically influences an arm or a leg. CRPS normally creates after a physical issue, a medical procedure, a stroke or a cardiovascular failure. The aggravation is messed up with regards to the seriousness of the underlying injury.
Report
Share
Report
Share
Recommended
Complex regional pain syndrome
Complex Regional Pain Syndrome (CRPS) is a debilitating painful condition affecting a limb. It is associated with sensory, motor, autonomic, skin and bone abnormalities. The leading symptom is pain, which is often associated with limb dysfunction and psychological distress. CRPS arises after an injury to a limb and is classified into two types depending on whether there is a major nerve lesion present. Management involves a multidisciplinary approach with four pillars - pain relief through medications, procedures, physical and vocational therapy, and psychological therapy. Early diagnosis and treatment are important to help patients.
Chronic Pain syndromes
The document discusses acute and chronic pain, providing details on their characteristics and examples. Acute pain results from tissue injury and lasts less than 2 months, while chronic pain persists after the injury and has strong psychological effects. Several chronic pain conditions are then described in more detail, including fibromyalgia, myofascial pain syndrome, chronic fatigue syndrome, and complex regional pain syndrome. Diagnostic criteria and management strategies are provided for some of these conditions.
Complex regional pain syndrome - dr. Ramani
Complex regional pain syndrome - dr. RamaniDepartment of Anesthesiology, Faculty of Medicine Hasanuddin University
IN CONCLUSION:
CRPS is a chronic debilitating painful condition
There has been significant advances in our understanding of its Pathophysiology
Early diagnosis and management – is essential to help patients and reduce suffering
The Budapest Criteria should help while excluding others
A Multidisciplinary Approach to Management has been shown to be beneficial
With particular emphasis on Patient Education and Support Effective treatments for complex Regional Pain Syndrome in Chembur,Mumbai,India.
"Treatment & remedies for Abscess is a localized infection on any part of the body or organ, whereby there is inflammation, swelling, pus formation and painfulness. Find causes, symptoms and homeopathic treatment for abscess.Personalised online consultancy & treatments provided at our clinic by efficient panel of doctors in our center at mumbai,Bombay,Chembur, India.Contact us."/>
Complex Regional pain syndrome
Can read freely here
https://sethiortho.blogspot.com/
Complex Regional pain syndrome
Silas Mitchell
Causalgia.
Burning pain after a tramatic nerve injury combined with vaso motor, sudomotor and trophic changes
, Paul Sudeck identified the localized bone atrophy by x-rays (sudeck’s atrophy)
Because the inflammatory irritation which involves nutritional problems and in consequence resorption of bone
In 1917 a French surgeon named Rene Leriche implicated the sympathetic nervous system in Causalgia
He treated these patients with surgical sympathectomy
In the 1950’s, John Bonica introduced the phrase reflex sympathetic dystrophy
Complex: Varied and dynamic clinical presentation
Regional: Non-dermatomal distribution of symptoms
Pain: Out of proportion to the initiating events
Syndrome: Collection of symptoms and signs
CRPS – I Common presentation than CRPS -II
Reflex sympathetic dystrophy
CRPS – II Causalgia
Develops after injury to a peripheral nerve or main branches
Incidence - 2.5 - 5/100 000
Incidence after fracture (16 –46%)
Strain or sprain (10 –29%)
Post surgery (3 –24%)
Contusion or crush injury (8 –18%)
Upper limb : lower limb- 3: 2
Female : male ratio - 3: 2
Old > young (Common 50 – 60 yrs )
Multifactorial origin
Definitive cause still remains unknown
Three main hypotheses
Autonomic dysfunction
Neurogenic inflammation
Neuroplastic changes within the CNS
Increased Sympathetic activity
Upregulation of adregenic receptors
Adregenic receptor expression on nociceptive fibres
In chronic stage of CRPS
Acute tissue damage mediated classical inflammation
Cytokines – IL-1,IL-6 and TNF
Lowering pain threshold of nociceptive nerve endings
Peripheral sensitization
Neurogenic inflammatory response
Neuropeptides and cytokines released by nociceptors
Substance P, bradykinin and glutamate
Lower the pain threshold/ vasodilation/oedema
Peripheral sensitization
Early onset of distal odema – 80%
Changes / asymmetry skin colour - 40%
Initially red, becomes pale in chronic cases
Autonomic disturbances
Sensory changes
Motor disturbances
Trophic changes
Changes/ asymmetry skin temperature – 80%
Affected limb initially warm later become cold
Sudomotor changes
Hypohidrosis – Early diminished sweating
Hyperhydrosis - Increased sweating more common
Reflex sympathetic dystrophy (1)
Reflex Sympathetic Dystrophy (RSD), now known as Complex Regional Pain Syndrome (CRPS), is a chronic pain condition that usually affects an extremity like an arm or leg following an injury. It causes ongoing pain that is out of proportion to the original injury and involves changes in skin, bone, and blood vessels in the affected area. CRPS is classified into two types depending on whether there is confirmed nerve damage present. Treatment involves a multidisciplinary approach including medications, physical therapy, sympathetic nerve blocks, and in severe cases, surgical sympathectomy to relieve pain.
Homeopathic Doctor - Dr. Anita Salunke homeopathic clinic for Complex regiona...
Homeopathic Doctor Anita Salunke practices in Chembur, Mumbai, India in her homeopathic clinic Mindheal. Find more information about homeopathic treatment at Mindheal. Welcome to safe, sure and effective homeopathic treatment Complex regional pain syndrome
Complex regional pain syndrome
Complex regional pain syndrome (CRPS) is a chronic progressive disease characterized by severe pain, swelling, and skin changes, usually near the site of an injury. There are two types - type 1 has no nerve damage while type 2 does show nerve damage. The cause is unknown but risk factors include injury, surgery, and smoking. Symptoms include burning pain, muscle spasms, swelling, skin changes in temperature and color, bone changes, and painful limb movement. Treatment is usually multi-disciplinary using medications, physical and occupational therapy, nerve blocks, and other procedures to manage pain and symptoms if begun early. Homeopathy can also help manage pain depending on the underlying cause.
Recommended
Complex regional pain syndrome
Complex Regional Pain Syndrome (CRPS) is a debilitating painful condition affecting a limb. It is associated with sensory, motor, autonomic, skin and bone abnormalities. The leading symptom is pain, which is often associated with limb dysfunction and psychological distress. CRPS arises after an injury to a limb and is classified into two types depending on whether there is a major nerve lesion present. Management involves a multidisciplinary approach with four pillars - pain relief through medications, procedures, physical and vocational therapy, and psychological therapy. Early diagnosis and treatment are important to help patients.
Chronic Pain syndromes
The document discusses acute and chronic pain, providing details on their characteristics and examples. Acute pain results from tissue injury and lasts less than 2 months, while chronic pain persists after the injury and has strong psychological effects. Several chronic pain conditions are then described in more detail, including fibromyalgia, myofascial pain syndrome, chronic fatigue syndrome, and complex regional pain syndrome. Diagnostic criteria and management strategies are provided for some of these conditions.
Complex regional pain syndrome - dr. Ramani
Complex regional pain syndrome - dr. RamaniDepartment of Anesthesiology, Faculty of Medicine Hasanuddin University
IN CONCLUSION:
CRPS is a chronic debilitating painful condition
There has been significant advances in our understanding of its Pathophysiology
Early diagnosis and management – is essential to help patients and reduce suffering
The Budapest Criteria should help while excluding others
A Multidisciplinary Approach to Management has been shown to be beneficial
With particular emphasis on Patient Education and Support Effective treatments for complex Regional Pain Syndrome in Chembur,Mumbai,India.
"Treatment & remedies for Abscess is a localized infection on any part of the body or organ, whereby there is inflammation, swelling, pus formation and painfulness. Find causes, symptoms and homeopathic treatment for abscess.Personalised online consultancy & treatments provided at our clinic by efficient panel of doctors in our center at mumbai,Bombay,Chembur, India.Contact us."/>
Complex Regional pain syndrome
Can read freely here
https://sethiortho.blogspot.com/
Complex Regional pain syndrome
Silas Mitchell
Causalgia.
Burning pain after a tramatic nerve injury combined with vaso motor, sudomotor and trophic changes
, Paul Sudeck identified the localized bone atrophy by x-rays (sudeck’s atrophy)
Because the inflammatory irritation which involves nutritional problems and in consequence resorption of bone
In 1917 a French surgeon named Rene Leriche implicated the sympathetic nervous system in Causalgia
He treated these patients with surgical sympathectomy
In the 1950’s, John Bonica introduced the phrase reflex sympathetic dystrophy
Complex: Varied and dynamic clinical presentation
Regional: Non-dermatomal distribution of symptoms
Pain: Out of proportion to the initiating events
Syndrome: Collection of symptoms and signs
CRPS – I Common presentation than CRPS -II
Reflex sympathetic dystrophy
CRPS – II Causalgia
Develops after injury to a peripheral nerve or main branches
Incidence - 2.5 - 5/100 000
Incidence after fracture (16 –46%)
Strain or sprain (10 –29%)
Post surgery (3 –24%)
Contusion or crush injury (8 –18%)
Upper limb : lower limb- 3: 2
Female : male ratio - 3: 2
Old > young (Common 50 – 60 yrs )
Multifactorial origin
Definitive cause still remains unknown
Three main hypotheses
Autonomic dysfunction
Neurogenic inflammation
Neuroplastic changes within the CNS
Increased Sympathetic activity
Upregulation of adregenic receptors
Adregenic receptor expression on nociceptive fibres
In chronic stage of CRPS
Acute tissue damage mediated classical inflammation
Cytokines – IL-1,IL-6 and TNF
Lowering pain threshold of nociceptive nerve endings
Peripheral sensitization
Neurogenic inflammatory response
Neuropeptides and cytokines released by nociceptors
Substance P, bradykinin and glutamate
Lower the pain threshold/ vasodilation/oedema
Peripheral sensitization
Early onset of distal odema – 80%
Changes / asymmetry skin colour - 40%
Initially red, becomes pale in chronic cases
Autonomic disturbances
Sensory changes
Motor disturbances
Trophic changes
Changes/ asymmetry skin temperature – 80%
Affected limb initially warm later become cold
Sudomotor changes
Hypohidrosis – Early diminished sweating
Hyperhydrosis - Increased sweating more common
Reflex sympathetic dystrophy (1)
Reflex Sympathetic Dystrophy (RSD), now known as Complex Regional Pain Syndrome (CRPS), is a chronic pain condition that usually affects an extremity like an arm or leg following an injury. It causes ongoing pain that is out of proportion to the original injury and involves changes in skin, bone, and blood vessels in the affected area. CRPS is classified into two types depending on whether there is confirmed nerve damage present. Treatment involves a multidisciplinary approach including medications, physical therapy, sympathetic nerve blocks, and in severe cases, surgical sympathectomy to relieve pain.
Homeopathic Doctor - Dr. Anita Salunke homeopathic clinic for Complex regiona...
Homeopathic Doctor Anita Salunke practices in Chembur, Mumbai, India in her homeopathic clinic Mindheal. Find more information about homeopathic treatment at Mindheal. Welcome to safe, sure and effective homeopathic treatment Complex regional pain syndrome
Complex regional pain syndrome
Complex regional pain syndrome (CRPS) is a chronic progressive disease characterized by severe pain, swelling, and skin changes, usually near the site of an injury. There are two types - type 1 has no nerve damage while type 2 does show nerve damage. The cause is unknown but risk factors include injury, surgery, and smoking. Symptoms include burning pain, muscle spasms, swelling, skin changes in temperature and color, bone changes, and painful limb movement. Treatment is usually multi-disciplinary using medications, physical and occupational therapy, nerve blocks, and other procedures to manage pain and symptoms if begun early. Homeopathy can also help manage pain depending on the underlying cause.
Agents for fever, pain, cough, cold and allergic rhinitis
This document discusses fever, pain, cough and cold/allergies. It begins by defining fever and listing its potential causes. Signs and symptoms of fever are described. Methods for diagnosing and treating fever non-pharmacologically and pharmacologically are outlined. Pain is then defined and how it occurs via nociceptors and the central nervous system is explained. Types of pain and approaches for assessing and managing pain are covered. Cough is defined and its causes, classifications as wet vs dry, and management strategies are presented. Finally, common drugs used to treat cough are named and their usage is described.
Case presentation on pain
pain definition , history , terms epidemiology, pain receptors , types ,pathogenesis, pathways of pain , examples, lab investigations,pain assesment tools, treatment
Crps ppt 2017 (1)
Complex regional pain syndrome (CRPS) is a chronic pain condition that usually affects the limbs. It is divided into two types. Type I is not linked to nerve damage while Type II is linked to nerve damage. CRPS involves burning pain, changes in skin temperature and color, swelling, and reduced range of motion. While the pathophysiology is not fully known, it likely involves increased neurogenic inflammation, altered sympathetic nervous system function, autoimmunity, and central and peripheral sensitization. Treatment involves a multidisciplinary approach including medications, physical and occupational therapy, nerve blocks, implants, and in some cases surgery.
Chronic pain management
This document discusses chronic pain management and focuses on neuropathic pain. It defines neuropathic pain as pain arising from damage or disease affecting the somatosensory nervous system. Neuropathic pain is estimated to affect 3.3-8.2% of the population and results from structural and molecular changes in the pain pathway. Common causes include diabetes, shingles, spinal injuries and strokes. The mechanisms of neuropathic pain involve increased neuronal excitability and hyperactivity of NMDA receptors. Symptoms vary based on the affected nerve fibers but include burning sensations, pins and needles, and electric shock-like pain. Treatment involves a stepped approach starting with gabapentin, tricyclic antidepressants or SNRIs and may include opioids if needed.
pain physiology , pathology, types , assessment, management , recent advances
1. Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is mediated through peripheral sensory nerves and transmitted through the spinal cord and brain.
2. Pain can be classified based on its underlying mechanism as nociceptive, neuropathic, or mixed. Neuropathic pain occurs as a direct result of damage or dysfunction of the nervous system.
3. Pain is also classified based on duration as either acute pain, which resolves with healing, or chronic pain, which persists longer than 3 months and is associated with disability and mood changes. Chronic pain often requires a multidisciplinary treatment approach.
Sudeck's osteodystrophy - Dr Bipul Borthakur
This document provides an overview of Sudeck's osteodystrophy, also known as complex regional pain syndrome. It defines the condition as chronic regional pain disproportionate to any injury, characterized by sensory, motor, and trophic changes. It classifies the condition and outlines risk factors, pathophysiology, staging according to signs and symptoms, diagnostic criteria including bone scans and response to sympathetic blocks, differential diagnosis, and management approaches including pharmacotherapy, nerve stimulation, nerve blocks, sympathectomy. The prognosis is best if treated within the first 3 months to prevent irreversible changes.
Case presentation on pain
pain definition , types and sub types of pain , mechanism of pain , pain assesment , pain assesment scales and general treatment .
COMPLEX REGIONAL PAIN SYNDROME.pptx
This document presents a case study of a 25-year-old woman diagnosed with Complex Regional Pain Syndrome (CRPS) type 1. She experienced persistent pain and skin changes in her left hand following a wrist sprain one year prior. Her symptoms met the diagnostic criteria for CRPS based on her history of trauma and symptoms including pain, skin changes, and neurological abnormalities. Treatment for her condition involved stellate ganglion blockade and infrared therapy.
Complex regional
This document discusses Complex Regional Pain Syndrome (CRPS), beginning with its historical background and definitions. It describes the clinical features and stages of CRPS, including pain, skin changes, swelling, and movement disorders. It discusses the diagnosis of CRPS using the Budapest criteria. The main pillars of CRPS management are described as physical/vocational therapy, psychological therapy, medical management including medications and procedures, and spinal cord stimulation.
Pain control in operative dentistry
This document discusses pain control in operative dentistry. It begins with definitions of pain from various sources and discusses changing concepts of pain, including recognizing pain as more of an experience than just a sensation. It describes the somatosensory system and neural pathways of pain. It then covers causes of orofacial pain, diagnosis and assessment of pain, factors influencing pain, and differential diagnosis. Methods to control pain are discussed.
Pain management
This document discusses pain management. It defines pain and describes the signs and symptoms of pain. It categorizes pain based on location, intensity, etiology, and duration. Acute pain is short-term while chronic pain lasts over 6 months. Treatment involves pharmacological interventions like NSAIDs, acetaminophen, and opioids as well as non-pharmacological methods such as heat/cold therapy, distraction, and massage. Proper pain assessment and determining the type and severity of pain guides treatment decisions.
CRPS-an update on pathogenesis.pdf
Complex regional pain syndrome is a multifactorial syndrome of pain affecting mainly limbs (Upper>lower) and other body parts. Females are affected more than males (4:1). No definitive investigation is available. Early treatment is better to avoid consequences and complications.
Nervous System 4.ppt
This document discusses several peripheral nervous system disorders including multiple sclerosis, myasthenia gravis, amyotrophic lateral sclerosis, Guillain-Barre syndrome, post-polio syndrome, trigeminal neuralgia, and Bell's palsy. For each disorder, it describes the pathophysiology, signs and symptoms, diagnostic tests, therapeutic interventions, nursing care considerations, and potential nursing diagnoses.
Pain new
1. The document discusses pain pathways and management. It defines pain and describes the etiology, classification, pathophysiology involving peripheral and central mechanisms, clinical presentation, and treatment including analgesics and non-pharmacological options.
2. The pathophysiology involves sensitization of primary afferent nociceptor terminals and propagation of impulses through the ascending spinothalamic pathway and modulation by descending pathways.
3. Treatment involves a stepwise approach using NSAIDs, opioids, and non-pharmacological alternatives like acupuncture, ayurveda, yoga and meditation.
CTS^J compt syn^J MD^J Neuro.pptx
Carpal tunnel syndrome is a condition caused by compression of the median nerve in the wrist, leading to pain, tingling, and numbness in the hand. Risk factors include repetitive wrist motions and medical conditions like diabetes. Treatment involves wrist splints, anti-inflammatory drugs, corticosteroid injections, and potentially carpal tunnel release surgery if symptoms persist. Post-surgery, physical therapy may be needed to regain strength and range of motion.
Acupuncture for fibromyalgia
1) Fibromyalgia is a chronic pain condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and other symptoms. It is considered a central sensitization syndrome where the central nervous system amplifies sensory processing and pain perception.
2) Treatment involves both pharmacological and non-pharmacological strategies including exercise, stress management, cognitive behavioral therapy, and acupuncture. Acupuncture aims to regulate the central neurotransmitters involved in pain processing and sensory amplification associated with fibromyalgia.
3) Management of fibromyalgia requires a multimodal approach targeting symptoms like pain and fatigue, as well as underlying mechanisms of central sensitization. The goal is to improve patient function through a combination of lifestyle management and integrated medical therapies.
CRPS (Complex regional pain syndrome)
This document summarizes a seminar presentation on Complex Regional Pain Syndrome (CRPS). It discusses the history and classification of CRPS, epidemiology, pathophysiology, clinical presentation including stages and features, diagnosis, differential diagnosis, and treatment approaches. The key points covered include the IASP diagnostic criteria for CRPS I and II, evaluation methods like bone scans and thermography, multimodal treatment targeting pain control with medications, vitamin C, and physical therapy.
Fibromyalgia: its etiology, symptoms and prevention
Fibromyalgia, or fibromyalgia syndrome, is a condition that causes aches and pain all over the body.
It is defined as a disease complex or syndrome.
Complex Regional Pain Syndrome (CRPS)/ Causalgia
This document provides an overview of Complex Regional Pain Syndrome (CRPS). It defines CRPS as a multi-symptom syndrome affecting one or more extremities that is usually out of proportion to the inciting cause. CRPS involves pain, changes in skin temperature or color, swelling, or restricted joint movement. It discusses the stages of CRPS from initial pain and swelling to potential long-term tissue damage. The document also outlines medical and surgical treatment options.
Complex regional pain syndrome
Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that causes severe pain, swelling, and changes in skin color and temperature in an extremity. It usually develops after an injury, surgery, stroke or heart attack. CRPS is diagnosed based on reported symptoms and signs observed during physical exam. Treatment requires a multifaceted approach including medications, nerve blocks, physical therapy, and psychological support, with the goal of reducing pain and improving function. Early diagnosis and treatment within the first year leads to the best outcomes.
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
Whether you're new to SEO or looking to refine your existing strategies, this webinar will provide you with actionable insights and practical tips to elevate your nonprofit's online presence.
More Related Content
Similar to CRPS ( Complex regional pain syndrome )
Agents for fever, pain, cough, cold and allergic rhinitis
This document discusses fever, pain, cough and cold/allergies. It begins by defining fever and listing its potential causes. Signs and symptoms of fever are described. Methods for diagnosing and treating fever non-pharmacologically and pharmacologically are outlined. Pain is then defined and how it occurs via nociceptors and the central nervous system is explained. Types of pain and approaches for assessing and managing pain are covered. Cough is defined and its causes, classifications as wet vs dry, and management strategies are presented. Finally, common drugs used to treat cough are named and their usage is described.
Case presentation on pain
pain definition , history , terms epidemiology, pain receptors , types ,pathogenesis, pathways of pain , examples, lab investigations,pain assesment tools, treatment
Crps ppt 2017 (1)
Complex regional pain syndrome (CRPS) is a chronic pain condition that usually affects the limbs. It is divided into two types. Type I is not linked to nerve damage while Type II is linked to nerve damage. CRPS involves burning pain, changes in skin temperature and color, swelling, and reduced range of motion. While the pathophysiology is not fully known, it likely involves increased neurogenic inflammation, altered sympathetic nervous system function, autoimmunity, and central and peripheral sensitization. Treatment involves a multidisciplinary approach including medications, physical and occupational therapy, nerve blocks, implants, and in some cases surgery.
Chronic pain management
This document discusses chronic pain management and focuses on neuropathic pain. It defines neuropathic pain as pain arising from damage or disease affecting the somatosensory nervous system. Neuropathic pain is estimated to affect 3.3-8.2% of the population and results from structural and molecular changes in the pain pathway. Common causes include diabetes, shingles, spinal injuries and strokes. The mechanisms of neuropathic pain involve increased neuronal excitability and hyperactivity of NMDA receptors. Symptoms vary based on the affected nerve fibers but include burning sensations, pins and needles, and electric shock-like pain. Treatment involves a stepped approach starting with gabapentin, tricyclic antidepressants or SNRIs and may include opioids if needed.
pain physiology , pathology, types , assessment, management , recent advances
1. Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is mediated through peripheral sensory nerves and transmitted through the spinal cord and brain.
2. Pain can be classified based on its underlying mechanism as nociceptive, neuropathic, or mixed. Neuropathic pain occurs as a direct result of damage or dysfunction of the nervous system.
3. Pain is also classified based on duration as either acute pain, which resolves with healing, or chronic pain, which persists longer than 3 months and is associated with disability and mood changes. Chronic pain often requires a multidisciplinary treatment approach.
Sudeck's osteodystrophy - Dr Bipul Borthakur
This document provides an overview of Sudeck's osteodystrophy, also known as complex regional pain syndrome. It defines the condition as chronic regional pain disproportionate to any injury, characterized by sensory, motor, and trophic changes. It classifies the condition and outlines risk factors, pathophysiology, staging according to signs and symptoms, diagnostic criteria including bone scans and response to sympathetic blocks, differential diagnosis, and management approaches including pharmacotherapy, nerve stimulation, nerve blocks, sympathectomy. The prognosis is best if treated within the first 3 months to prevent irreversible changes.
Case presentation on pain
pain definition , types and sub types of pain , mechanism of pain , pain assesment , pain assesment scales and general treatment .
COMPLEX REGIONAL PAIN SYNDROME.pptx
This document presents a case study of a 25-year-old woman diagnosed with Complex Regional Pain Syndrome (CRPS) type 1. She experienced persistent pain and skin changes in her left hand following a wrist sprain one year prior. Her symptoms met the diagnostic criteria for CRPS based on her history of trauma and symptoms including pain, skin changes, and neurological abnormalities. Treatment for her condition involved stellate ganglion blockade and infrared therapy.
Complex regional
This document discusses Complex Regional Pain Syndrome (CRPS), beginning with its historical background and definitions. It describes the clinical features and stages of CRPS, including pain, skin changes, swelling, and movement disorders. It discusses the diagnosis of CRPS using the Budapest criteria. The main pillars of CRPS management are described as physical/vocational therapy, psychological therapy, medical management including medications and procedures, and spinal cord stimulation.
Pain control in operative dentistry
This document discusses pain control in operative dentistry. It begins with definitions of pain from various sources and discusses changing concepts of pain, including recognizing pain as more of an experience than just a sensation. It describes the somatosensory system and neural pathways of pain. It then covers causes of orofacial pain, diagnosis and assessment of pain, factors influencing pain, and differential diagnosis. Methods to control pain are discussed.
Pain management
This document discusses pain management. It defines pain and describes the signs and symptoms of pain. It categorizes pain based on location, intensity, etiology, and duration. Acute pain is short-term while chronic pain lasts over 6 months. Treatment involves pharmacological interventions like NSAIDs, acetaminophen, and opioids as well as non-pharmacological methods such as heat/cold therapy, distraction, and massage. Proper pain assessment and determining the type and severity of pain guides treatment decisions.
CRPS-an update on pathogenesis.pdf
Complex regional pain syndrome is a multifactorial syndrome of pain affecting mainly limbs (Upper>lower) and other body parts. Females are affected more than males (4:1). No definitive investigation is available. Early treatment is better to avoid consequences and complications.
Nervous System 4.ppt
This document discusses several peripheral nervous system disorders including multiple sclerosis, myasthenia gravis, amyotrophic lateral sclerosis, Guillain-Barre syndrome, post-polio syndrome, trigeminal neuralgia, and Bell's palsy. For each disorder, it describes the pathophysiology, signs and symptoms, diagnostic tests, therapeutic interventions, nursing care considerations, and potential nursing diagnoses.
Pain new
1. The document discusses pain pathways and management. It defines pain and describes the etiology, classification, pathophysiology involving peripheral and central mechanisms, clinical presentation, and treatment including analgesics and non-pharmacological options.
2. The pathophysiology involves sensitization of primary afferent nociceptor terminals and propagation of impulses through the ascending spinothalamic pathway and modulation by descending pathways.
3. Treatment involves a stepwise approach using NSAIDs, opioids, and non-pharmacological alternatives like acupuncture, ayurveda, yoga and meditation.
CTS^J compt syn^J MD^J Neuro.pptx
Carpal tunnel syndrome is a condition caused by compression of the median nerve in the wrist, leading to pain, tingling, and numbness in the hand. Risk factors include repetitive wrist motions and medical conditions like diabetes. Treatment involves wrist splints, anti-inflammatory drugs, corticosteroid injections, and potentially carpal tunnel release surgery if symptoms persist. Post-surgery, physical therapy may be needed to regain strength and range of motion.
Acupuncture for fibromyalgia
1) Fibromyalgia is a chronic pain condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and other symptoms. It is considered a central sensitization syndrome where the central nervous system amplifies sensory processing and pain perception.
2) Treatment involves both pharmacological and non-pharmacological strategies including exercise, stress management, cognitive behavioral therapy, and acupuncture. Acupuncture aims to regulate the central neurotransmitters involved in pain processing and sensory amplification associated with fibromyalgia.
3) Management of fibromyalgia requires a multimodal approach targeting symptoms like pain and fatigue, as well as underlying mechanisms of central sensitization. The goal is to improve patient function through a combination of lifestyle management and integrated medical therapies.
CRPS (Complex regional pain syndrome)
This document summarizes a seminar presentation on Complex Regional Pain Syndrome (CRPS). It discusses the history and classification of CRPS, epidemiology, pathophysiology, clinical presentation including stages and features, diagnosis, differential diagnosis, and treatment approaches. The key points covered include the IASP diagnostic criteria for CRPS I and II, evaluation methods like bone scans and thermography, multimodal treatment targeting pain control with medications, vitamin C, and physical therapy.
Fibromyalgia: its etiology, symptoms and prevention
Fibromyalgia, or fibromyalgia syndrome, is a condition that causes aches and pain all over the body.
It is defined as a disease complex or syndrome.
Complex Regional Pain Syndrome (CRPS)/ Causalgia
This document provides an overview of Complex Regional Pain Syndrome (CRPS). It defines CRPS as a multi-symptom syndrome affecting one or more extremities that is usually out of proportion to the inciting cause. CRPS involves pain, changes in skin temperature or color, swelling, or restricted joint movement. It discusses the stages of CRPS from initial pain and swelling to potential long-term tissue damage. The document also outlines medical and surgical treatment options.
Complex regional pain syndrome
Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that causes severe pain, swelling, and changes in skin color and temperature in an extremity. It usually develops after an injury, surgery, stroke or heart attack. CRPS is diagnosed based on reported symptoms and signs observed during physical exam. Treatment requires a multifaceted approach including medications, nerve blocks, physical therapy, and psychological support, with the goal of reducing pain and improving function. Early diagnosis and treatment within the first year leads to the best outcomes.
Similar to CRPS ( Complex regional pain syndrome ) (20)
Agents for fever, pain, cough, cold and allergic rhinitis
Agents for fever, pain, cough, cold and allergic rhinitis
pain physiology , pathology, types , assessment, management , recent advances
pain physiology , pathology, types , assessment, management , recent advances
Fibromyalgia: its etiology, symptoms and prevention
Fibromyalgia: its etiology, symptoms and prevention
Recently uploaded
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
Whether you're new to SEO or looking to refine your existing strategies, this webinar will provide you with actionable insights and practical tips to elevate your nonprofit's online presence.
HYPERTENSION - SLIDE SHARE PRESENTATION.
IT WILL BE HELPFULL FOR THE NUSING STUDENTS
IT FOCUSED ON MEDICAL MANAGEMENT AND NURSING MANAGEMENT.
HIGHLIGHTS ON HEALTH EDUCATION.
Information and Communication Technology in Education
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 2)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐈𝐂𝐓 𝐢𝐧 𝐞𝐝𝐮𝐜𝐚𝐭𝐢𝐨𝐧:
Students will be able to explain the role and impact of Information and Communication Technology (ICT) in education. They will understand how ICT tools, such as computers, the internet, and educational software, enhance learning and teaching processes. By exploring various ICT applications, students will recognize how these technologies facilitate access to information, improve communication, support collaboration, and enable personalized learning experiences.
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐫𝐞𝐥𝐢𝐚𝐛𝐥𝐞 𝐬𝐨𝐮𝐫𝐜𝐞𝐬 𝐨𝐧 𝐭𝐡𝐞 𝐢𝐧𝐭𝐞𝐫𝐧𝐞𝐭:
-Students will be able to discuss what constitutes reliable sources on the internet. They will learn to identify key characteristics of trustworthy information, such as credibility, accuracy, and authority. By examining different types of online sources, students will develop skills to evaluate the reliability of websites and content, ensuring they can distinguish between reputable information and misinformation.
How to Fix [Errno 98] address already in use
This slide will represent the cause of the error “[Errno 98] address already in use” and the troubleshooting steps to resolve this error in Odoo.
A Visual Guide to 1 Samuel | A Tale of Two Hearts
These slides walk through the story of 1 Samuel. Samuel is the last judge of Israel. The people reject God and want a king. Saul is anointed as the first king, but he is not a good king. David, the shepherd boy is anointed and Saul is envious of him. David shows honor while Saul continues to self destruct.
Temple of Asclepius in Thrace. Excavation results
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
Gender and Mental Health - Counselling and Family Therapy Applications and In...
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Accounting for Restricted Grants When and How To Record Properly
In this webinar, member learned how to stay in compliance with generally accepted accounting principles (GAAP) for restricted grants.
How to Download & Install Module From the Odoo App Store in Odoo 17
Custom modules offer the flexibility to extend Odoo's capabilities, address unique requirements, and optimize workflows to align seamlessly with your organization's processes. By leveraging custom modules, businesses can unlock greater efficiency, productivity, and innovation, empowering them to stay competitive in today's dynamic market landscape. In this tutorial, we'll guide you step by step on how to easily download and install modules from the Odoo App Store.
220711130100 udita Chakraborty Aims and objectives of national policy on inf...
Aims and objectives of national policy on information and communication technology(ICT) in school education in india
How to Manage Reception Report in Odoo 17
A business may deal with both sales and purchases occasionally. They buy things from vendors and then sell them to their customers. Such dealings can be confusing at times. Because multiple clients may inquire about the same product at the same time, after purchasing those products, customers must be assigned to them. Odoo has a tool called Reception Report that can be used to complete this assignment. By enabling this, a reception report comes automatically after confirming a receipt, from which we can assign products to orders.
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
Andreas Schleicher, Director of Education and Skills at the OECD presents at the launch of PISA 2022 Volume III - Creative Minds, Creative Schools on 18 June 2024.
Recently uploaded (20)
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...
220711130088 Sumi Basak Virtual University EPC 3.pptx
220711130088 Sumi Basak Virtual University EPC 3.pptx
Information and Communication Technology in Education
Information and Communication Technology in Education
Gender and Mental Health - Counselling and Family Therapy Applications and In...
Gender and Mental Health - Counselling and Family Therapy Applications and In...
Accounting for Restricted Grants When and How To Record Properly
Accounting for Restricted Grants When and How To Record Properly
How to Download & Install Module From the Odoo App Store in Odoo 17
How to Download & Install Module From the Odoo App Store in Odoo 17
220711130097 Tulip Samanta Concept of Information and Communication Technology
220711130097 Tulip Samanta Concept of Information and Communication Technology
220711130100 udita Chakraborty Aims and objectives of national policy on inf...
220711130100 udita Chakraborty Aims and objectives of national policy on inf...
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...
CRPS ( Complex regional pain syndrome )
- 1. CRPS Complex Regional Pain Syndrome DURGESH K SECOND YEAR MBBS ARUNAI MEDICAL COLLEGE AND HOSPITAL
- 2. Complex Regional Pain Syndrome Neuropathic pain disorder involving long lasting pain that is out of proportion to underlying cause Etiology and Risk factors Often preceded by any fracture, injury or surgery but may be spontaneous Especially involve distal extremities Genetics HLA gene play a role
- 3. Pathophysiology 1. Inflammatory elevated pro inflammatory cytokines & neuropeptides ↓ vasodilatation 2. Immunological Auto-antibodies against alpha 1 & beta 2 adrenergic receptor& muscuranic 2 receptors 3. Pain sensitization reduction in pain threshold in periphery and central 4. Autonomic dysregulation Increased sympathetic receptors
- 4. TYPES Type I ( reflex sympathethic dystrophy ) Occurs without peripheral nerve damage Type II ( causalgia ) Damage / trauma to peripheral nerve Both has same clinical presentation Subtypes Warm CRPS Involves vasodilation Cold CRPS Doesn’t involve vasodilatation
- 5. Signs and symptoms Pain Occurs within a region Continue and long lasting Hyperalgesia Disproportionate to the underlying injury Exagerated pain Allodynia Pain ellicited by stimuli that should not cause pain Functional impairment Weakness Reduced ability of motion
- 6. Erythema & edema Hyperhidrosis Excessive sweating in the affected area Sleep disturbance due to pain Dermatological Hair thinning or complete loss Skin thickening and nail changes Pyschiatric Anxiety and depression Chest pain Symptoms may last for one year
- 7. Stage I: Acute • May last up to three months • Swelling and joint stiffness • Increased warmth and redness • Changes in the skin’s color, appearance, and texture Stage II: Dystrophic • Can last 3 to 12 months • Swelling, increased stiffness, brittle and cracked nails, weakening of muscles, the disappearance of skin wrinkles • Increased sensitivity Stage III: Atrophic • Occurs after a year of developing early symptoms • The affected area’s skin becomes pale, dry, stiff, tightly stretched, and shiny • The muscles and tendons undergo atrophy STAGES OF CRPS
- 8. BUDAPEST CRITERIA – For diagnosis
- 9. Some patients may improve spontaneously • Supplementation with Vitamin C may prevent CRPS or improve recovery • Smoking cessation reduces risk of CRPS Lifestyle • Physiotherapy, occupational therapy, exercise to aid in function • Patient education regarding pain Pharmacotherapy • NSAIDs • Topical capsaicin • Bisphosphonates • Gabapentin, amitriptyline (low-quality evidence) Other Therapies: Spinal cord stimulation, Dorsal Root Ganglion Stimulation Treatment