Pain and Integrative Strategies Flashcards
CRPS
C omplex (signs/symptoms are dynamic) R egional (extend beyond area of injury) P ain (disproportional) S yndrome (occurs in variable combinations)
CRPS Type I
known as the traditional RSD
occurs without an identifiable nerve injury
CRPS Type II
known as causalgia
there is nerve involvement
allodynia
pain that is disproportionate to the event (pain with a stimulus that is not normally painful)
hyperpathia
abnormally painful reaction to a stimulus
often includes extended duration of pain, frequently with delay
hyperalgesia
increased sensitivity to stimulation
CRPS - pain symptoms
severe, constant, burning, throbbing, tearing, cutting, shooting and/or deep aching pain
allodynia is common
CRPS - skin color
white, red, blue
CRPS - skin changes (8)
- shiny
- dry/scaly
- brittle nails
- hair may grow course
- temp difference between extremities
- sweating
- swelling
- movement disorders
CRPS - “STAMP”
Sensory Trophic Autonomic Motor Pain
- Sensory (allodynia, hypo/hyperalgeisa, hypo/hyperesthesia)
- Trophic (skin, hair, nail changes)
- Autonomic (swelling, edema, sweating)
- Motor (weakness, contractures, atrophy)
- Pain
CRPS - diagnostic tests (3)
- Triple Phase Bone Scan
- thermography
- sympathetic blocks
Horner’s sign
droopy eye from Stellate Ganglion Nerve Block
good sign - means good block
temporary
may also be hoarse
CRPS - things to note (2)
- the symptoms may spread
2. bone changes may occur
CRPS treatment team (4)
- physician
- pain management
- psychology
- rehab
CRPS - OT (6)
- education
- ADLs
- modalities
- pain management
- functional range (encourage movement and ROM)
- patient advocate
