What is Complex Regional Pain Syndrome?

What is Complex Regional Pain Syndrome?

Complex Regional Pain Syndrome is a disproportionate response of the sympathetic nervous system (think fight or flight) following an injury. This abnormal feedback to the brain has been associated with injuries to bone, nerve, soft tissue, and blood vessels. It is most commonly seen in the hand and foot after immobilizing a painful injury in that region or after a stroke or heart attack.

Someone who has Complex Regional Pain Syndrome (CRPS) will complain of a continuous throbbing or burning pain in their arm, hand, leg, or foot. They may have increased sensitivity to touch, cold, and have changes to their skin color. These skin changes can range from blue, to red, to white blotches. The joints affected may be stiff and swollen as well. People with this syndrome may experience muscle spasms, tremors, and weakness. 

There are two types of CRPS that one can develop:

• Type 1: This type is found in the vast majority of CRPS patients, about 90%. It occurs after an injury that did not directly damage any nerves in the affected region. 

• Type 2: This less common form occurs after a direct injury to a nerve in the affected limb.

There is no general timeline for symptoms of this condition as it can last anywhere from a few months to a year. CRPS can lead to ongoing chronic pain which is a potential risk factor for developing clinical psychological depression. 

Early management is crucial in order to support a good prognosis. There are some disabling complications that can develop if this issue is not taken care of early enough. The most common ones include muscle wasting and muscle contractures. When you visit your doctor, they will direct your treatment toward disrupting the increased sympathetic response and a nerve block medication will likely be administered. While medication will help ease the pain, it does not provide long term relief. 

While medicated, it is important to see a physical therapist who will help you exercise through pain free ranges of motion. A physical therapist will help you loosen up joints that are stiff in order to prevent muscle and joint deterioration. They will also work with you to reduce the risk of contractures, which is caused by the tightening of muscles. In addition, various therapeutic techniques may be utilized to reduce swelling and reduce pain. 

Medication alone will not help someone with CRPS get better for the long run. However, it significantly improves a patient’s ability to cooperate and perform better in a physical therapy session. 

Are you or someone you know experiencing CRPS? Call us today to make an appointment. Our therapists will work with you to reduce the risk of complications, and help you get back to living your life to the fullest. Call to schedule an appointment! 1-718-258-3300

About Evolve Physical Therapy in Brooklyn-

Brooklyn's Premier Holistic Physical Therapy Clinics:

There’s physical therapy, there’s training, and then there’s EVOLVE. We use the science of biomechanics merged with fitness to help our patients get better and stay better!

First we evaluate, then we heal, then we strengthen our clients so they can reach their goals, feel better, and live happier lives. We do so by utilizing a range of core techniques and specialized treatments to reduce pain, improve mobility, enhance physical strength and deal with the underlying issues, not just the pain itself.

Multiple Locations!

1-718-258-3300

https://EvolveNY.com 

How Can Physical Therapy Help My Arthritis?

By Nick Mazzone, PT, DPT, CSCS

What is Osteoarthritis?

Osteoarthritis is a major cause of chronic pain and disability in our society today. People with arthritis typically report deep, aching pain in the joints affected as well as stiffness and inability to get up and get right out of bed in the morning. The most common treatments for this painful condition include cortisone injections aimed at decreasing inflammation, over-the-counter NSAIDs (non-steroidal anti-inflammatory drugs), and knee replacement surgery once the condition significantly worsens.

What is going on in my joints that causes this pain?

Osteoarthritis is a degenerative condition that leads to wearing away of the outer layers of cartilage and bone as you can see in the image above. This causes an inflammatory process to be induced by the body which leads to swelling, increased sensitivity to touch and pressure, and pain. On an X-ray, you will see decreased space between the bones and potentially bone spurs, which the body lays down in response to excess pressure in the area. This inflammatory condition typically leads to inactivity, which then leads to decreased range of motion along with muscle weakness.

What will physical therapy accomplish?

The hallmarks of arthritis include joint stiffness, swelling, muscular weakness, and pain. In physical therapy, your therapist will prescribe specific exercises that will help improve range of motion, and therefore, stiffness, as well as exercises for strengthening the surrounding muscle groups. These exercises will also act to help decrease the central nervous system’s hypersensitivity to pressure and touch, which will allow you to perform your daily tasks with much greater ease. Your therapist will also work on improving your patterns of movement in order to ensure that you are decreasing the pressure on your arthritic joints and using the most efficient pattern available to your body. There are also modalities and other methods used that will help to decrease the amount of swelling in the joint, which then leads to decreased pain.

Great. Stronger muscles, improved range of motion. How exactly is this helping my condition?

Good question. I would like to start by saying that there is currently no way to reverse the arthritic condition. That being said, I would like you to consider this example. Think about a stiff and swollen knee joint. When a person bends their knee, the stiffness in the muscles and fibers of the joint force the bones to glide along a smaller surface area. This will eventually lead to more breakdown of the cartilage and outer layers of bone, which means progression of the osteoarthritis. Now imagine we have a knee joint that has been sufficiently stretched and has less swelling. These bones glide in a smoother manner across a larger surface area (due to less range of motion restrictions). Now that the force can be spread evenly across the bony surfaces, there is a much less chance of increasing breakdown of the cartilage and bone.

Strengthening the muscles helps to ensure that while walking or performing other functional daily tasks, the joint is kept in a position that ensures proper alignment and efficiency of muscle function. This formula along with a prescribed home exercise program will prevent progression of the condition and assist in avoiding knee replacement surgery.

Check out this brief video which shows how to utilize a “hip-first pattern” to help offset pressure on the knee joint when bending down and squatting.

For more information or any questions, give us a call at 718-258-3300 or contact us today!

or click here to find out more about physical therapy for arthritis

Nick Mazzone received his doctorate in Physical Therapy from Stony Brook University. He has a strong background in strength and conditioning and aims to bridge the gap between strength training and physical therapy. Nick believes that a lifestyle centered around physical fitness and mental well-being are vital to one’s successes and happiness. For this reason, he educates his patients on pain science and helps empower them and motivate them to reach their goals every day. You can find him at Evolve Physical Therapy in Mill Basin, Brooklyn.