Complex Regional Pain Syndrome (CRPS)

CRPS is Fluid and Stress: Calm, Reflection, Progressive Stimulation, Fluidotherapy, Stress Loading
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CRPS is Fluid and Stress: Calm, Reflection, Progressive Stimulation, Fluidotherapy, Stress Loading
Calm, Reflection, Progressive Stimulation (CRPS) fluid and stress
What is CRPS?
Chronic pain and edema that is marked by hypersensitivity to touch, texture, and temp
CRPS can occur __________ but typically starts with....
spontaneously. But typically starts with an injury and worsens/remains after the injury has healed
High risk for CRPS after
injury or stroke
Neuroplasticicty
Nervous system's ability to adapt
CRPS: A nervous system dysfunction where the body's pain response becomes..
a vicious cycle long after the original cause for pain has healed
CRPS: your nervous systems starts misinterpreting all stimuli as..
painful, even things like mild temp changes, textures, vibrations, light, touch, etc.
Luckily, the body works in ______!
Reverse! We help re-establish a positive and non-threatening perception for the area
Comorbidities:
CRPS is typically accompanied by:
We may notice and address early signs of CRPS while the:
Be sure that your treatment for one condition does not:
-inflammation and edema
-Original injury still needs to be consider (like still a healing bone)
-Break a precaution of another
DETAILS (don't memorize) there is a type one and two, but we treat them the same so does not matter which type of CRPS
...
TREATMENT: Main goals: repair the.... -To accomplish this we'll help the brain...-Broken relationship between the pain centers of the brain and affected body part. -Calm down, decrease perceived threat, and desensitize the area as much as possibleThe mnemonic for CRPS: CRPS:C-calm R-reflection P-progressive / S-stimulation fluid and stressCALMPurpose: calm CNS activity Deep breathing Mindfulness/relaxation techniques Cognitive behavior therapy (CBT)ReflectionAddressing the threat level. Purpose: lower perceived threat level Mirror therapy: Touching or moving the unaffected side while looking at its reflection, critical that client attempts to perceive reflection as their actual body partPROGRESSIVE STIMULATIONdesensitization: textures, vibration, etc. start near the painful area and work into it SHOULD NOT BE PAINFUL Building tolerance, not enduring painFluid- FluidotherapyFluidotherapy is the primary modality used with CRPS, it reduces pain and swelling Tactile element of fluidotherapy is useful for desensitizationStress- Stress loadingStress loading is similar to isometric exercises and weight bearing pushing and pulling forces on the arm with minimal movement of the joints Examples: "Scrubbing" tasks: washing a car, table, wall "Carrying" tasks: holding a weight or bagCRPS is FLUID and STRESS Calm, reflective, progressive stimulation fluidotherapy stress loading