Neurological Associate Pain Management Center

Vero Beach, Florida

Management  of CRPS

Doctor Hooshmand and Eric M. Phillips have co-authored the following article: The Management of Complex Regional Pain Syndrome (CRPS).

Below is an abstract from the article The Management of Complex Regional Pain Syndrome (CRPS).

Please click on the link below to view the full text of this article in PDF-format.





H. Hooshmand, M.D. and Eric M. Phillips

Neurological Associates Pain Management Center

Vero Beach, Florida


Abstract. The first step in the management of complex regional pain syndrome (CR PS) is coming to the arrival at an accurate diagnosis. CRPS is diagnosed by inclusion and not by exclusion. No laboratory tests can diagnose CRPS 100% of the time. The use of scintigraphic triphasic bone scans (STBS) m ay help diagnose CR PS in approximately 55% of the cases in the first six months(1). The research of Chelimsly et al., found STBS to be abnormal in no m ore than 25% of CR PS patients (2). The use of infrared thermal imaging (ITI) is useful in the diagnosis and management of CR PS pain. It provides an overall picture of temperature changes in superficial

and deep structures (27 m m) (3-5).  ITI provides useful clinical information when applied with proper technique. It provides diagnostic and therapeutic information limited to diseases involving autonomic, neuro vascular, and neuroinflamm atory changes (3, 6, and 7).

C R P S is a clinical diagnosis corroborated by test such as laser doppler, STB S, and ITI. Early diagnosis is essential for successful treatment of CR PS (8-1 0).

Descriptors. complex regional pain syndrome (CR PS), epidural nerve block, early diagnosis, infrared thermal imaging (ITI), scintigraphic triphasic bone scans (STBS), sympathetic ganglion block (SGB)