Regional Pain Syndrome

In February of 2016 I was diagnosed with amplified musculoskeletal pain syndrome (AMPs) by Dr. Bentley at Children’s Specialized Hospital. I was only diagnosed when I was 14 years old but I learned that it had caused me many years of pain, I just didn’t know what it was and figured it was normal. Little did I know that it was not normal to constantly be feeling pins and needles all over my skin all day or to not want to hug people because it hurt, or not want to go to school because it just hurt so bad. The pain started to escalate after a surgery in November of 2015. I had just gotten a surgery on my foot because I had broken a bone, and no matter what narcotic they put me on I remained in pain. From then on everything escalated very quickly

A progress note from Dr. Chweyah, dated 06/26/2017, indicated that the claimant presented for follow-up of gout, muscle weakness, and weight loss. He had ongoing weakness of the legs with knee pain. He stated that her weight drop had stopped. His current weight was 210 pounds. Objective findings showed a pulse rate of 105 with a blood pressure of 92/60. His BMI was 28.56. He was diagnosed with an acute pain in both knees, muscle weakness in the legs, chronic gout, and weight loss. A referral to neurology and medications were recommended.

History: She has had problems with joints for many years, getting gradually worse. She had her right hip replaced in the last few years and has been left with chronic lateral hip pain and has been told she has a trochanteric bursitis. The latter was injected with good result, however, the response was only a few weeks. She complains of pain in her shoulders, hands, knees, and feet. Her jaw gets sore, more on the right. Her joints ache all the time, especially at night and often keep her awake.

There was a girl who loved playing volleyball, she played all the time hoping to get better. Due to this, she had to fall on her knees a lot so as to not let the ball touch the ground. After some time she noticed her knees stayed swollen and it hurt. Worried her knees will stay like that, she went to the doctor to be diagnosed. They told her it is a disease called Osgood-Schlatter and she shouldn’t worry too much, it will probably disappear eventually. Although, she will need to reduce her hours of exercise for some time, since she could injure her knee more.

In order to establish a treatment, plan it is important to set goals for this patient. In general goals for RA include early recognition and diagnosis, referral to a rheumatologist, and tight control and low disease activity (Cohen & Cannella, 2017). There are also scales that need to be completed by the NP and patient to determine how the treatment is working for a patient. When setting goals, it is important to determine a successful way to evaluate this patients' pain. In the older population it is common for pain to be under treated and part of the cause of this is because the assessment for pain is not matching the patients' needs. Once a successful evaluation has been chosen for this pain it would be important to use this same

Complex Regional Pain Syndrome (CRPS), previously known as Reflex Sympathetic Dystrophy Syndrome (RSD), is a chronic neuro-inflammatory disorder (Sebastian, 2011). This disorder is characterized by persistent, on-going pain and disability. According to the Reflex Sympathetic Dystrophy Syndrome Association (RSDA), up to two hundred thousand people in the United States are affected with the disorder every year (“Telltale Signs and Symptoms of CRPS/RSD,” n.d.). Although anyone can be diagnosed with this syndrome, it is most commonly seen in women versus men (3.5:1), and in individuals around age forty (“Complex Regional Pain Syndrome Fact Sheet,” 2013; Goebel, 2011). Unlike most syndromes, diseases, or other illnesses, there is no statistical data available for the mortality rates of CRPS since people do not die from the syndrome. However, those with CRPS may die due to the complications associated with CRPS on the various bodily organ systems including: the cardiac system, respiratory system, musculoskeletal system, endocrine system, urological system, and gastrointestinal system (Schwartzman, 2012).

Hello, I am Lisa Proctor and this is After CRPS (WEBCAST). Today I thought I could talk to you about "Complex Regional Pain Syndrome and what I have learned it is." ............. Complex Regional Pain Syndrome aka "The Suicide Disease" is a neurodegenerative disorder characterized by the following criteria... Pain which is out of proportion to the injury; autonomic dysregulation; neuropathic edema; movement disorder, as well as atrophy and dystrophy of the muscular tissue........................ It is most often caused by a fracture, soft-tissue injury or surgical procedure. CRPS was previously known within the medical community as reflex sympathetic dystrophy CRPS type 1 and Causalgia CRPS type 2...... Interestingly enough, the differences

I hurt…Over the many year’s now of dealing with the disease commonly referred to today as Complex Regional Pain Syndrome (CRPS), this simple yet weighted term of “I hurt” has become imprinted upon my brain. This term has also become synonymous in describing how I feel to every physician, family member, and friend, when describing the chief symptom with CRPS. What is also troubling, is all the additional place's I hurt now since being diagnosed with this disease.

Complex regional pain syndrome (CPRS) formerly known as reflex sympathetic dystrophy is an autonomic and central nervous system disease that results in an individual’s experiencing chronic pain (Ferrillo, 2016). Pain usually happens in one or more generalized region of the extremities, such as the arms, hands, legs, or feet, but can also affect other parts of the body. Although the particular origin of the disease is undetermined, the majority of the time CRPS is caused by a significant trauma; such as a fracture, sprain, burn, cut, bruise, limb immobilization, or a surgical procedure (Ferrillo, 2016). CRPS stems from a neurological dysfunction that generates severe pain, mild or dramatic changes in skin color, temperature, and swelling in the affected area (National Institute of Neurological disorders and Stroke, 2015). There are two types of complex regional pain syndrome, type I is no apparent nerve injury and may it develop following a noxious event that may or may not have been traumatic. Types II develop after a nerve injury of the affected area (Carr, Cerda, & Fiala, 2016).

Ivy, a 60 years old Asian woman sustains an ankle fracture from a fall in a shopping mall. After the surgery, Ivy goes to an Orthopedic surgeon for follow up, who does an initial history and physical checkup. Ivy has an active life. She walks every day about two miles and stays busy with household works. She has habits of drinking a few cups of coffee and a moderate amount of wine and also smoking. About two years ago she was diagnosed with rheumatoid arthritis.

RUQ pain could be caused by a variety disease conduction. In Mr. M. W’s case, these included acute pancreatitis, torsion of the testes, right-sided diverticulitis, acute cholecystitis, ilues, perforated cecal carcinoma, nephrolithiasis, colonic adenocarcinoma, and rupturing aortic aneurysm (Jacobs, 2014; Millham, 2016). Pneumoperitoneum on the CT scan indicate the perforated bowel which may associate with the following conditions perforated peptic ulcer, hemorrhagic pancreatitis, ischaemic bowel, complicated diverticulitis, bowel obstruction, and trauma.

Mr.’s Jones suffers from the following symptoms, painful joints particularly her knee, and hip, fingers and back, joint stiffness, limited joint movement and swollen feet and enlarged joints. These symptoms are due to significant problems with Rheumatoid Arthritis (RA) and Osteoarthritis (OA).

Intersection syndrome is a condition that causes pain on the thumb side of the back of the forearm, about 2–3 inches above the wrist. In this part of the forearm, muscles that help move the thumb cross over muscles that help move the wrist. These muscles may swell when they rub together frequently, which interferes with movement of the bands of tissue that attach muscles to bones (tendons). This causes pain when the wrist is moved, because tendons of the wrist and thumb cannot move freely.

Further, consideration for the child’s age includes assessment of whether the leg pain is actually bone, joint or muscle pain. Children of this age group are often helpful, cooperative and eager to be involved. However, they can see illness or in this case pain as

Shirley Caretaker is a 56 year-old widow who spent the last twenty-five (25) years working in the health care field as a Certified Nurse’s Assistant and Licensed Practical Nurse. Ms. Caretaker’s job-related knee pain was worsened by a work related accident, which also injured her hip and back. She cannot sit or stand for more than 30 minutes at a time, or walk for more than 10 minutes. Pain in her upper back radiates up her neck and through her fingers, which causes her arms and fingers to periodically feel