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Orlando CRPS Specialists

Orlando CRPS Specialists | RSD Treatment

Complex Regional Pain Syndrome services offered in Clermont, FL


Click here to learn how we treat CRPS with advanced, non-surgical therapies

Complex regional pain syndrome (CRPS), previously known as reflex sympathetic dystrophy syndrome (RSD), isn’t a disease most people recognize, but it can severely impact your life. If you have CRPS symptoms or your current treatments aren’t working, anesthesiologists and interventional pain physicians Todd W. Mautner, DO, and Sameer K. Goel, MD, DABA, at Sunshine Interventional Pain and Wellness Center can help.

RSD treatment may include minimally and non-invasive therapies such as medications, stellate ganglion blocks, lumbar sympathetic blocks, low-dose naltrexone (LDN), spinal cord stimulation (SCS), dorsal root ganglion stimulation (DRGS), peripheral nerve stimulation (PNS), and ketamine infusions.

Telehealth visits are available throughout the state of Florida, and our offices are located near Orlando, FL. Serving Altamonte Springs, Apopka, Casselberry, Celebration, Clermont, Davenport, Doctor Philips, Gotha, Horizon West, Kissimmee, Lake Buena Vista, Lake Mary, Leesburg, Longwood, Maitland, Montverde, Mount Dora, Oakland, Ocoee, Orlando, Oviedo, Saint Cloud, Sanford, Sorrento, Tavares, Windermere, Winter Garden, Winter Park, Winter Springs, and the surrounding areas.

If you or a loved one are suffering from CRPS symptoms and need pain management near Orlando, FL, call 689-407-8647 or schedule an appointment online today. We offer customized treatment solutions to help manage your symptoms and improve your quality of life.

Orlando CRPS Specialists Q & A

Our Pain Medicine Doctors Are Complex Regional Pain Syndrome Experts

Complex regional pain syndrome is a chronic disorder that causes a range of distressing symptoms. Many doctors are unfamiliar with CRPS, so patients frequently receive a misdiagnosis and don’t get the proper treatment.

The main symptom of CRPS is persistent, often severe pain. The pain often begins in an arm, leg, finger, hand, toe, or foot after a major or minor injury. It might gradually spread into the entire limb or other extremities. Other symptoms include:

  • Changes in skin color, temperature, or texture
  • Swelling of the affected limb
  • Joint stiffness
  • Abnormal sweating in the affected limb
  • Changes in nail and hair growth
  • Muscle spasms
  • Muscle atrophy
  • Loss of coordination

The affected limb may also develop problems like allodynia, where even a slight touch feels painful.

These symptoms don’t affect every patient with CRPS, and some only occur when the condition reaches an advanced stage. Early intervention reduces your risk of developing more severe symptoms.

What Causes CRPS?

Most cases develop after a sprain or other soft tissue injury, a fracture, or surgery. While you would anticipate the tissue damage involved to cause pain, with CRPS it’s far more severe than you’d expect when recovering from an injury or surgery.

Why this condition develops isn’t fully understood, but it seems to stem from a nervous system dysfunction. Your peripheral nervous system, which consists of all the nerves around your body sends and receives information from your brain and spinal cord (central nervous system).

When you have CRPS something causes a malfunction in the nervous system that makes it overreact to pain signals. It also affects other nervous system functions, which is why you might sweat excessively or have cold, clammy skin.

Click here to learn how we treat RSD with advanced, non-surgical therapies

How is CRPS Treated?

Our doctors may recommend a range of treatments for complex regional pain syndrome, including:

Antidepressants

Antidepressants are typically used to treat depression and anxiety, but they can also be used to treat other conditions, including chronic pain conditions like CRPS. While the exact mechanism is not fully understood, it is thought that antidepressant medications work by increasing levels of certain chemicals in the brain, which help to improve mood and reduce pain. There is a growing body of evidence to support the use of antidepressants for treating CRPS, and they are generally well-tolerated with few side effects.

Antiseizure Drugs

There are a variety of antiseizure medicines that can be used to treat CRPS. These include gabapentin, pregabalin, carbamazepine, topiramate, and lamotrigine. Each medicine works in a different way to reduce the number of pain signals that the brain receives. Gabapentin is thought to work by inhibiting the release of neurotransmitters that are involved in pain signals. Carbamazepine is believed to increase the level of serotonin and norepinephrine, which can help to reduce pain signals. Lamotrigine is thought to work by blocking voltage-gated sodium channels, which helps to prevent the spread of pain signals. While all three of these medicines can be effective in treating CRPS, they all have potential side effects that should be considered before starting any medication.

Desensitization

Desensitization therapy is a type of physical therapy that is sometimes used to treat CRPS. The goal of this therapy is to help the patient become less sensitive to pain, touch, and temperature changes. Desensitization therapy typically involves exposing the patient to stimuli that would normally trigger pain or discomfort. This exposure is done gradually, starting with very low levels of stimulation and gradually increasing the intensity over time.

Dorsal Root Ganglion Stimulation (DRGS)

CRPS is a type of chronic pain that is often resistant to standard treatments. In some cases, dorsal root ganglion stimulation (DRGS) may be recommended. This treatment involves placing electrodes on the dorsal root ganglia, which are clusters of nerve cells in the spine that transmit information from the body to the brain. DRGS can help to relieve pain by disrupting the transmission of pain signals. In a clinical trial of DRGS for CRPS, patients reported a significant reduction in pain after treatment. Additionally, there were no serious adverse effects reported. These findings suggest that DRGS may be a safe and effective treatment for this debilitating condition.

Ketamine Infusions

Ketamine is an effective medicine for certain pain conditions, including complex regional pain syndrome. In one study, patients who received ketamine infusions had a significant reduction in pain intensity and an improved quality of life. These results suggest that ketamine may be a valuable treatment option for people with CRPS who have not responded to other treatments. In some cases, commercial insurance may cover the cost of ketamine therapy for RSD.

Low-Dose Naltrexone (LDN)

Low-dose naltrexone (LDN) is a medication that has been used to treat a variety of conditions, including Crohn's disease, multiple sclerosis, and fibromyalgia. More recently, LDN has been investigated as a potential treatment for CRPS. Proposed mechanisms of action include reducing inflammation, modulating the immune system, and restoring opioid function.

Mirror Therapy

Mirror therapy is a promising treatment option for those suffering from complex regional pain syndrome (CRPS). Mirror therapy has been shown to help rewire the brain and reduce pain signals. The therapy involves placing a mirror in front of the affected limb and moving the healthy limb in sync with the affected limb. This creates the illusion that the affected limb is moving, which helps to retrain the brain and reduce pain signals. Mirror therapy is non-invasive, does not require medication, and can be done in the comfort of your own home. For these reasons, it is an appealing treatment option for those suffering from CRPS.

Occupational Therapy

Occupational therapy (OT) is one treatment option for CRPS. OT can help patients relearn how to perform activities of daily living and regain a sense of control over their lives. The goal of occupational therapy is to reduce pain and improve function. Treatment may include exercises, heat/cold therapy, massage, and stress management. OT can also provide patients with adaptive equipment to make everyday tasks easier.

Pain Psychology

Many different psychological factors can contribute to the development and maintenance of chronic pain. For example, chronic pain can be exacerbated by negative emotions such as anxiety and depression. Additionally, chronic pain can lead to changes in how an individual perceives and copes with pain, which can further perpetuate the experience of pain. Understanding the psychological factors involved in chronic pain is essential for developing effective treatments.

One treatment approach that has shown promise for treating chronic pain is cognitive-behavioral therapy (CBT). CBT is a type of psychotherapy that helps individuals identify and change negative thought patterns and behaviors that contribute to their distress. CBT has been found to reduce both the intensity and duration of chronic pain. Additionally, CBT can help individuals learn coping strategies for dealing with chronic pain on a day-to-day basis.

Physical Therapy

While there is no cure for CRPS, physical therapy can be an effective treatment option. Physical therapy helps to stretch and strengthen the muscles around the affected area, which can help to reduce pain and improve the range of motion. In addition, physical therapy can help to increase circulation and reduce inflammation. While the condition is often resistant to treatment, physical therapy in combination with other therapies can provide significant relief for many patients.

Spinal Cord Stimulation

Spinal cord stimulation (SCS) is a treatment that has been used for decades to help relieve pain. It involves the placement of electrodes near the spinal cord, which deliver electrical impulses that block pain signals from reaching the brain. SCS has been used to treat a variety of conditions, including complex regional pain syndrome. In a recent study, patients with CRPS who received SCS therapy experienced a significant reduction in pain and an improvement in quality of life. While SCS is not a cure for CRPS, it can provide significant relief for those who are suffering from this debilitating condition.

Sympathetic Nerve Blocks

Sympathetic nerve blocks are a type of treatment that is sometimes used for complex regional pain syndrome. The sympathetic nervous system is a part of the nervous system that helps to regulate bodily functions such as blood pressure and heart rate. CRPS is a condition that causes chronic pain and inflammation. Sympathetic nerve blocks work by temporarily interrupting the signals that are sent from the sympathetic nervous system to the affected area. This can help to reduce pain and inflammation. There is some evidence to suggest that sympathetic nerve blocks may be effective for treating CRPS.

Topical Anesthetics

There is some evidence that topical anesthetics may help to relieve the pain of CRPS. One study found that patients who applied a topical anesthetic cream to their skin experienced a significant reduction in pain intensity. Another study found that patients who used a topical anesthetic spray reported a significant decrease in pain intensity and duration. And yet another study found that patients who used a topical anesthetic patch had a significant reduction in both pain intensity and duration. While the research on this topic is limited, it does suggest that topical anesthetics may be a viable option for treating the pain of CRPS.

If you or someone you love is suffering from complex regional pain syndrome near Orlando, FL, call 689-407-8647 or book an appointment online today. We offer customized treatment plans designed to help control your symptoms and improve your quality of life. Please note that we do not accept Medicaid insurance.

Click here to learn how we treat CRPS with advanced, non-surgical therapies

 

Office Locations

Sunshine Interventional Pain & Wellness Center

297 E. Hwy. 50, Ste. 1, Clermont, FL 34711

M-F: 8 am - 5 pm

689-407-8647

Most Insurances Accepted

Advanced Neurospine Associates

825 E. Oak St., Kissimmee, FL 34744

M-F: 8 am - 5 pm

689-407-8647

Most Insurances Accepted

Advanced Neurospine Associates

601 S. Semoran Blvd., Orlando, FL 32807

M-F: 8 am - 5 pm

689-407-8647

Most Insurances Accepted

Advanced Neurospine Associates

3324 Commerce Ctr. Ln., Sebring, FL 33870

M-F: 8 am - 5 pm

689-407-8647

Most Insurances Accepted

The information on this website is not intended or implied as a substitute for medical advice, diagnosis, or treatment. All content, including text, graphics, images, videos, or other information provided is intended for general information purposes only. Always consult with your physician for diagnosis or treatment.

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