People with chronic pain often report that their symptoms are exacerbated by weather conditions, such as cold. Some studies find that this sensitivity to ambient temperature is reported more frequently by people with fibromyalgia than other pain conditions. A study published in Pain Medicine has shown that both patients with fibromyalgia and with complex regional pain syndrome can have trigger or increase of pain following cold or hot environmental temperatures.
Will CRPS Spread to Other Parts of the Body?
While it is not guaranteed, it is common for CRPS to spread in many cases. If CRPS does spread, it is usually to nearby areas. For example, if you have CRPS in your arm, it may spread to your hand or shoulder. If you have pain in your leg, it may spread to your foot or buttocks.
Will CRPS Go Away on its Own?
Unfortunately, CRPS will not simply go away. This is why early diagnosis and treatment is critical. In some cases, people can go undiagnosed with CRPS for years; if there is a possibility that a person may have CRPS, going to see a doctor is imperative.
Is CRPS a Life Long Disease?
There is no universal answer to this question. There are a variety of factors that may contribute to whether CRPS goes into remission or if a person will experience the symptoms for their entire life Chances may increase that a person achieves remission by having CRPS diagnosed by an expert as soon as symptoms are noticed.
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THERAPIES FOR SUDECKS SYNDROME
Can Physical Therapy Help?
Physical therapy plays a vital role in the treatment of CRPS. Your physical therapist will work with you to develop a treatment plan to help address your individual condition. Because the symptoms of CRPS vary, the approach to care will also vary. CRPS treatment is generally based on the chronicity and severity of the episode.
Physiotherapy
Physiotherapy plays a central role in the treatment of Sudeck's disease. It aims to correct patterns of pathological or elusive movements caused by pain and gradually mobilize the patient. It takes a lot of patience and encouragement for the patient to try to move the affected limb even in pain. Physiotherapy measures also include lymphatic drainage and so-called proprioceptive neuromuscular facilitation (PNF). Daily physiotherapy exercises are also recommended.
Psychotherapy
Sudeck's psychotherapy is often helpful because chronic pain can lead to depression and hopelessness. In psychotherapy, affected people learn techniques to better manage the psychological effects of their illness. For example, specific relaxation procedures or techniques are formed with which they can better cope with mental and physical stress and possible fears. For patients who already had psychological problems before Sudeck's disease, psychotherapeutic treatment in addition to purely physical therapy makes sense.
Intervention therapy
Intervention therapy is an intervention in which the disease is treated using specific intervention techniques. Sudeck intervention therapy should only be performed by specialists due to possible complications. These therapies include blockages of the sympathetic nervous system, electrical stimulation of the spinal cord, and the introduction of baclofen into the spinal canal. The sympathetic block and the stimulation of the spinal cord aim to relieve pain. Baclofen is a drug used to relieve severe muscle tension.
Movement therapy.
Mobilization of the affected body part, begun immediately following a diagnosis of CRPS, is crucial to help prevent contractures (the tightening of muscles or joints), and to maintain function. Therapy may include a combination of passive and active movements; the best treatment for your specific condition will be determined by your physical therapist.
Mirror Box Therapy
Usually introduced as the third step in a typical GMI protocol, mirror box therapy requires an individual to exercise their unaffected limb in front of a mirror, while watching the reflection, as if their affected limb were performing the exercise.
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