1. Complex Regional Pain Syndromes A discussion of complex regional pain syndromes including RSDS, RSD, Sudeck's Atrophy, casualgia and Category Health Conditions and Diseases......Information about complex regional pain syndromes and other common conditions ofthe foot! You need a Java enabled browser! complex regional pain syndromes. http://www.omanenterprises.com/conditions/CRPS.htm

2. Complex Regional Pain Syndromes Offers a list of synonyms of complex regional pain syndromes, a discussion and look at microvascular investigations. http://www.clinicalphysics-blt.org.uk/com-rp.htm

Complex Regional Pain Syndromes Synonyms: Sudeck's atrophy, Reflex Sympathetic Dystrophy, Shoulder-Hand Syndrome). A number of cases of persistent and intense limb pain, frequently following some local injury, are associated with vasomotor disturbances and trophic changes, due to irritation/damage of the peripheral sympathetic nerves. This results in abnormal distribution of blood flow between the skin and the deep tissues of the limb, including the bone. The persistent vasoconstriction of the bone arterioles may be responsible for the bone rarefaction, sometimes shown by radiographs in severe cases. Although this sign was once used as a diagnostic criterion, its rarity produces a considerable number of false negatives. Microvascular Investigations Thermography of the upper or lower limbs is a highly sensitive diagnostic tool for the Complex Regional Pain Syndrome. Limbs with sympathetically mediated pain tend to exhibit an erratic vasomotor behaviour, which is sometimes demonstrated as marked thermal instability by a high-sensitivity Infrared Thermographic Camera. This abnormal behaviour is best elicited by means of a mild cold stress to the contralateral (non-affected) limb. The affected side, instead of a parallel decrease of the limb temperature as observed in normal subjects, exhibits a temperature increase. In other less severe cases, areas of abnormal sympathetic activity are elicited subsequent to direct cold stress applied to the affected side. Finger Nailfold Capillaroscopy is usually performed when Thermography is normal, since a number of Connective Tissue Disorders with marked arthralgia can mimic the clinical features of Complex Regional Pain Syndrome.

3. Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-t A workshop on Reflex Sympathetic Dystrophy/ complex regional pain syndromes (CRPS) Stateof-the-Science, December 15, 2001. http://accessible.ninds.nih.gov/news_and_events/Reflex_Sympathetic_Dystrophy_200

News and Events - National Institute of Neurological Disorders and Stroke (NINDS) Skip menus Main sections of the NINDS web site Home About NINDS Disorders ... Find People News and Events section pages and search Image Description Science For the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system. Select Topic Disorder Quick Links Alzheimer's Autism Cerebral Palsy Chronic Pain Epilepsy Headache Multiple Sclerosis Parkinson's Stroke Traumatic Brain Injury Press releases Current Archived Events Proceedings ... NINDS Notes News articles Current Archived Online events Upcoming Archived Of interest ... Labs at NINDS NINDS Search (search help) Contact us My privacy NINDS is part of the National Institutes of Health Contact us Content for this page Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-the-Science Get Web page suited for printing Email this to a friend or colleague Table of Contents (click to jump to sections) Meeting Summary Background Scientific Presentations New Research Directions ... References Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-the-Science December 15, 2001

4. Complex Regional Pain Syndromes Resource for people suffering from complex regional pain syndromes. http://www.medtronic.com/servlet/ContentServer?pagename=Medtronic/Website/Condit

5. EMedicine - Complex Regional Pain Syndromes : Article By Manish K Singh, MD complex regional pain syndromes Complex regional pain syndrome (CRPS) may developas a disproportionate consequence of a trauma affecting the limbs without http://www.emedicine.com/pmr/topic123.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Physical Medicine and Rehabilitation Upper Limb Musculoskeletal Conditions Complex Regional Pain Syndromes Last Updated: November 28, 2001 Rate this Article Email to a Colleague Synonyms and related keywords: complex regional pain syndrome I or RSD (ICD 9 code-upper limb 337.21, lower limb 337.22, other specified site 337.29); complex regional pain syndrome II or causalgia (ICD 9 code-upper limb 354.4, lower limb 355.71, NOS 355.9); mimo-causalgia, Sudeck atrophy of bone, shoulder-hand syndrome, algoneurodystrophy, reflex dystrophy, reflex neurovascular dystrophy AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Manish K Singh, MD , Assistant Professor, Department of Neurology, Pain Management, Medical College of Pennsylvania Hahnemann University Coauthor(s): Jashvant Patel, MD

6. EMedicine - Complex Regional Pain Syndromes : Article Excerpt By: Manish K Singh Excerpt from complex regional pain syndromes. Synonyms, Key Words, and Related Terms complex regional pain syndrome I http://www.emedicine.com/pmr/byname/complex-regional-pain-syndromes.htm

(advertisement) Excerpt from Complex Regional Pain Syndromes Synonyms, Key Words, and Related Terms: complex regional pain syndrome I or RSD (ICD 9 code-upper limb 337.21, lower limb 337.22, other specified site 337.29); complex regional pain syndrome II or causalgia (ICD 9 code-upper limb 354.4, lower limb 355.71, NOS 355.9); mimo-causalgia, Sudeck atrophy of bone, shoulder-hand syndrome, algoneurodystrophy, reflex dystrophy, reflex neurovascular dystrophy Please click here to view the full topic text: Complex Regional Pain Syndromes Background: Complex regional pain syndrome (CRPS) may develop as a disproportionate consequence of a trauma affecting the limbs without nerve injury (CRPS I or reflex sympathetic dystrophy [RSD]) or with obvious nerve lesions (CRPS II or causalgia). In the seventeenth century, Ambroise Pire presented the earliest description of RSD with severe burning pain following peripheral nerve injury. Pire, a surgeon, treated King Charles IX for smallpox by inducing bleeding with a lancet applied to the arm. After this treatment, the King suffered from persistent pain, muscle contracture, and inability to flex or extend his arm. In 1864, Mitchell coined the term causalgia, which means burning pain, to describe persistent symptoms following gunshot wounds to peripheral nerves during the American Civil War.

7. Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-t A workshop on Reflex Sympathetic Dystrophy/ Complex Regional PainSyndromes (CRPS) Stateof-the-Science, December 15, 2001. http://www.ninds.nih.gov/news_and_events/Reflex_Sympathetic_Dystrophy_2001.htm

National Institute of Neurological Disorders and Stroke Accessible version Science for the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system Press releases Current Archived Events Proceedings ... NINDS Notes News articles Current Archived Online events Upcoming Archived Of interest.. Labs at NINDS Search NINDS... (help) Contact us My privacy NINDS is part of the National Institutes of Health Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-the-Science Get Web page suited for printing Email this to a friend or colleague Table of Contents (click to jump to sections) Meeting Summary Background Scientific Presentations New Research Directions ... References Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-the-Science December 15, 2001 Washington, DC Meeting Summary On December 15, 2001, the National Institute of Neurological Disorders and Stroke and the NIH Office of Rare Diseases convened a workshop on RSD/CRPS chaired by Dr. Jon Levine (UCSF) and Dr. Cheryl Kitt (NINDS). The participants included neurologists, neuroscientists, patient advocates and NINDS staff. The goal of the meeting was to bring together leading pain researchers to consider RSD/CRPS in the context of their own research paradigms, determine the state of the science and identify new directions for research on this disorder. Top Background Reflex Sympathetic Dystrophy (RSD), also known as Complex Regional Pain Syndrome (CRPS) Type I (here called RSD/CRPS), is a chronic condition characterized by burning pain and abnormalities in the

8. SmartEngine - SmartGuide ( DISEASE : Complex Regional Pain Syndrome ) L'algodystrophie et la causalgie sont désormais regroupées sous le terme de CRPS (Complex regional pain syndrom). Leur physiopathologie n'a toujours pas 4. BOAS R.A. complex regional pain syndromes symptomas, signs, and differential diagnosis in JANIG W., STANTONHICKS http://disease.smartengine.com/shell/smartpage/Complex_Regional_Pain_Syndrome

SmartGuide Web Auctions DISEASE : Complex Regional Pain Syndrome Featured Web Pages Complex Regional Pain Syndrome - http://www.rsdhelp.com Amazon.com - The Book Source - http://www.amazon.com Amazon, the Internet bookseller. Bestsellers, hardback, paperback, used books and more. Discount prices on "Complex Regional Pain Syndrome." Categories (1-2 of 2) Health: Conditions_and_Diseases: Neurological_Disorders: Autonomic_Nervous_System: Complex_Regional_Pain_Syndromes Health: Conditions_and_Diseases: Neurological_Disorders: Muscle_Diseases: Reflex_Sympathetic_Dystrophy Web Pages Oman Enterprises A discussion of complex regional pain syndromes including RSDS, RSD, Sudeck's Atrophy, casualgia and reflex sympathetic dystrophy. - http://www.omanenterprises.com/conditions/CRPS.htm Health: Conditions and Diseases: Neurological Disorders: Autonomic Nervous System: Complex Regional Pain Syndromes American Family Physician An in depth report about complex regional pain syndrome authored by Donna M Pittmann, MD and Miles J Belrade, MD from Sister Kenny Institute and Abbott Northwestern Hospital, Minneapolis Minnesota. - http://www.aafp.org/afp/971200ap/pittman.html

9. Peripheral Opioid Infusions For Complex Regional Pain Syndromes (RSD) Continuous Axillary Brachial Plexus Analgesia with Low Dose Morphinein Patients with complex regional pain syndromes Abstract European http://www.helpforpain.com/brachialopioids.htm

Home Back to Pain News Continuous Axillary Brachial Plexus Analgesia with Low Dose Morphine in Patients with Complex Regional Pain Syndromes Abstract European Journal of Anaesthesiology Volume 17 Issue 3 Page 185 - March 2000; S. C. Azad, A. Beyer, A. W. Römer, A. Galle-Röd, K. Peter and P. Schöps. In this prospective pilot study, nine patients suffering from complex regional pain syndrome of the arm were treated with morphine 0.16 mg h1 (3.84 mg day1) applied continuously through an axillary brachial plexus catheter. In all of them an oral analgesic medication including the less potent opioid tramadol had not provided sufficient pain relief. During regional treatment, patients were kept in hospital and physiotherapy was carried out frequently in order to improve strength and function of the affected arm. Pain at rest and during movement as well as grip strength were assessed at first visit, during morphine infusion and at a long-term follow-up visit. All assessments improved significantly during plexus analgesia. There were no major opioid related side-effects. Results: This pilot study indicates that continuous axillary brachial plexus analgesia with low dose morphine might be beneficial in patients suffering from complex regional pain syndrome of the arm.

10. Complex Regional Pain Syndrome complex regional pain syndromes (CRPS) type I and type II formally known as Reflex Sympathetic Dystrophy (RSD) and http://www.ispub.com/journals/IJPSP/Vol2N1/cps.html

ISPUB.com subscribes to the Pain, Symptom Control and Palliative Care TM ISSN: 1528-8277 Printable Version Complex Regional Pain Syndrome: A Clinical Review Meraj N Siddiqui, M.D Fellow Anesthesiology Pain Management Jackson Memorial Hospital/ University of Miami Shazia M Siddiqui, M.D Resident Anesthesiology Pain Management Jackson Memorial Hospital/ University of Miami J. Sue Ranasinghe, M.D Assistant Professor/ Director research/Fellowship OB anesthesia Anesthesiolgy Pain Management Jackson Memorial Hospital/ University of Miami Fred Furgang, M.D Assitant Professor/ Director Pain relief center Anesthesiology Pain Management Jackson Memorial Hospital/ University of Miami Citation: Meraj N Siddiqui, Shazia M Siddiqui, J. Sue Ranasinghe, Fred Furgang: Complex Regional Pain Syndrome: A Clinical Review . Pain, Symptom Control and Palliative Care. 2001. Volume 2 Number 1. Table of Contents Abstract Background Epidemiology Etiology and Risks Factors ... References Abstract Complex regional pain syndrome is the most complicated neuropathic type pain syndrome. The pathophysiology of the disease is poorly understood and the treatment mostly based on anicdotal experience. In this article we tried to explain the possible pathophysiological mechanisms of the disease and review the current treatments and their scientific evidences. Background Epidemiology ) There appears to be higher occurrence of CRPS in females. The ratio of female: male is 3:1. (

11. BioMed Central | Abstract | Complex Regional Pain Syndromes-Reflex Sympathetic D Report complex regional pain syndromesReflex Sympathetic Dystrophy and CausalgiaPPrithvi Raj MD, FRCA, DABPM Department of Anesthesiology, 3601 4th Street http://www.biomedcentral.com/1531-3433/2/242/abstract

Welcome guest user home journals A-Z journals by subject advanced search ... Issue 4 Viewing options Abstract Full text PDF Other links: E-mail to a friend Download references Post a comment Search PubMed For Raj PP Report Complex Regional Pain Syndromes-Reflex Sympathetic Dystrophy and Causalgia PPrithvi Raj MD, FRCA, DABPM Department of Anesthesiology, 3601 4th Street, Texas Technical University Health Services Center School of Medicine, Lubbock, Texas, 79430, USA. Current Pain and Headache Reports Abstract Terms and Conditions Privacy statement Information for advertisers Contact us

12. BioMed Central | Abstract | Complex Regional Pain Syndromes Report complex regional pain syndromes Ralf Baron MD, and Gunnar Wasner MD Niemannsweg147, Klinik für Neurologie ChristianAlbrechts-Universität Kiel, Kiel http://www.biomedcentral.com/1531-3433/5/114/abstract

Welcome guest user home journals A-Z journals by subject advanced search ... Issue 2 Viewing options Abstract Full text PDF Other links: E-mail to a friend Download references Post a comment Search PubMed For Baron R Wasner G Report Complex Regional Pain Syndromes Ralf Baron MD, and Gunnar Wasner MD Current Pain and Headache Reports Abstract Complex regional pain syndromes (CRPS) (formerly reflex sympathetic dystrophy and causalgia) are neuropathic pain conditions that are initiated by an extremity trauma or peripheral nerve lesion. Clinical definition and scientific understanding of CRPS are still evolving; however, both the clinical picture and therapeutic options are significantly influenced by a dysfunction of the sympathetic nervous system. Recent investigations suggest functional central abnormalities and a peripheral inflammatory component in the pathophysiology of CRPS. Interdisciplinary treatment includes physical, pharmacologic, and invasive inter- ventional therapy, as well as stimulation techniques. Terms and Conditions Privacy statement Information for advertisers Contact us

13. Complex Regional Pain Syndrome Back to Top. complex regional pain syndromes. Baron R, Wasner G CurrPain Headache Rep. 2001;5114123 complex regional pain syndromes http://www.medscape.com/viewarticle/431199

14. References DC. StantonHicks M, Baron R, Boas R. complex regional pain syndromesguidelines for therapy. Clin J Pain. 1998;14155-166. DuPen http://www.medscape.com/content/2002/00/43/05/430537/430537_ref.html

15. Complex Regional Pain Syndrome (CRPS). [NGC:1131] complex regional pain syndromes are painful conditions that usually affectthe distal part of an upper or lower extremity and are associated with http://www.guideline.gov/FRAMESETS/guideline_fs.asp?guideline=1131&sSearch_strin

16. IASP Press - Reflex Sympathetic Dystrophy a fairly large door open to new research in the pain field in order to specify inclusiveand exclusive criteria for defining complex regional pain syndromes. http://www.halcyon.com/iasp/rsd.html

17. ClinicalTrials.gov - Linking Patients To Medical Research: Study Details clinic visit. Condition. complex regional pain syndromes Healthy. MEDLINEplusrelated topics Reflex Sympathetic Dystrophy. Study Type http://www.clinicaltrials.gov/ct/gui/show/NCT00033969?order=7

18. ClinicalTrials.gov - Linking Patients To Medical Research: Browse: National Inst 35. Recruiting, Study of Proteins Associated with Complex Regional PainSyndrome Conditions complex regional pain syndromes; Healthy. 36. http://www.clinicaltrials.gov/ct/gui/screen/BrowseAny?recruiting=true&path=/brow

19. Clinical Study: 02-D-0169, Complex Regional Pain Syndrome Proteomics Study Keywords Normal Control Complex Regional Pain Syndrome CRPS RSD Healthy VolunteerHV Conditions complex regional pain syndromes Healthy Investigational Drug(s http://clinicalstudies.info.nih.gov/detail/A_2002-D-0169.html

Protocol Number: 02-D-0169 Title: Complex Regional Pain Syndrome Proteomics Study Number: 02-D-0169 Summary: This study will try to learn more about complex regional pain syndrome, or CRPS (previously known as reflex sympathetic dystrophy, spreading neuralgia, and sympathalgia), by examining the release of small proteins in the blood of patients with this condition. Patients with CRPS usually have three types of symptoms: - Sensory abnormalities - increased sensitivity to pain or a painful reaction to a harmless stimulus - Perfusion abnormalities - alterations in blood flow, temperature abnormality, swelling, decrease or increased nail growth, and hair and skin changes - Motor abnormalities - weakness, guarding (Holding the limb in such a fashion that it minimizes accidental or intentional contact from possible sources of pain), and atrophy (wasting) The cause of CRPS is unknown, and there are no definitive diagnostic tests for the condition. Because early treatment improves the prognosis of CRPS, a test that enables early diagnosis would be important for optimal medical management. The findings of this study may contribute to the development of such a test and possibly new drug treatments. Normal healthy volunteers and patients of any age with complex regional pain syndrome who are in otherwise good general health may be eligible for this study.

20. 7-1 can identify a specific pain sensitivity profile in patients with complex regionalpain syndrome, and to distinguish complex regional pain syndromes from other http://shum.huji.ac.il/~nirelr/proj071.htm

EXPERIMENTAL PRESSURE PAIN IN PATIENTS WITH COMPLEX REGIONAL PAIN SYNDROME, TYPE I (REFLEX SYMPATHETIC DYSTROPHY) J. A. Vatine(1), J. Tsenter(1) and R. Nirel(2) (1) Mt. Scopus Hadassa Medical Center (2) Department of Statistics The Hebrew University of Jerusalem September 1998 ABSTRACT The aim of the present investigation was to examine if pressure algometry can identify a specific pain sensitivity profile in patients with complex regional pain syndrome, and to distinguish complex regional pain syndromes from other chronic pain dysfunction syndromes. Pressure pain threshold and pain tolerance measured at the sternum in 17 patients with complex regional pain syndrome, Type I (reflex sympathetic dystrophy), were compared with values obtained in 13 patients suffering from other chronic pain dysfunction syndromes and in a control group of 24 pain-free volunteers. Send mail to msnardi@mscc.huji.ac.il with questions or comments about this web site. Last modified: 28/02/01

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