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OT Drs: Complex Regional Pain Syndrome

Posted on 1/28/18 at 9:21 pm
Posted by sonoma8
Member since Oct 2006
7666 posts
Posted on 1/28/18 at 9:21 pm
Ive heard a lot of bs diagnosis over the years but what is this about? I heard that my nephew was discharged from the military last month due to CRPS. What the frick is this? A nice way to say fibromyalgia? Is this a new ICD-9 code?
Posted by Rougarou13
Brookhaven MS
Member since Feb 2015
6839 posts
Posted on 1/28/18 at 9:23 pm to
Chronic condition post nerve injury. It has symptoms other than pain that are objective.

Not a doctor though.
Posted by SabiDojo
Open to any suggestions.
Member since Nov 2010
83929 posts
Posted on 1/28/18 at 9:25 pm to
I don't think so. I always thought it was from after a severe injury of some sort.
Posted by starsandstripes
Georgia
Member since Nov 2017
11897 posts
Posted on 1/28/18 at 9:25 pm to
ICD-10 bro, Diagnosis Code G90.5
Posted by starsandstripes
Georgia
Member since Nov 2017
11897 posts
Posted on 1/28/18 at 9:27 pm to
Sounds like one of those ambiguous conditions they like to assign to avoid having it service connected. Better call Saul - seriously, he may need to see an attorney to make sure he gets a correct disability rating from the VA if it's service connected.
Posted by Barrister
Member since Jul 2012
4611 posts
Posted on 1/28/18 at 9:32 pm to
Much worse than fibromyalgia. Imagine the throttle sticking on your car without you pressing the gas. The engine's RPM really do get high and redline....but you are not doing anything to cause it.

This is kinda like CRPS.....the body suffers a small or moderate trauma....but the body's nerves take over like it is in constant pain and keeps sending horrific pain signals to the brain. It is bad stuff.

They are experimenting with putting people into medicated comas to "re-set" the brain and nervous system.
Posted by Coatesbathroom
Baton Rouge
Member since Dec 2012
131 posts
Posted on 1/28/18 at 9:33 pm to
Completely different from fibromyalgia. CRPS usually is occurs after a traumatic injury and has symptoms impossible to fake. Such as changed in color or temperature of the skin as well as dystrophic changed in the skin and nails. Bone scans show increases uptake in affected area. And xrays have bone loss.

Treatment can be just nsaids if mild, but can require steroids if severe.
Posted by sonoma8
Member since Oct 2006
7666 posts
Posted on 1/28/18 at 9:35 pm to
(no message)
This post was edited on 1/29/18 at 7:00 am
Posted by sonoma8
Member since Oct 2006
7666 posts
Posted on 1/28/18 at 9:36 pm to
MRI of affected area was unremarkable
Posted by MrSpock
Member since Sep 2015
4342 posts
Posted on 1/28/18 at 9:37 pm to
quote:

MRI of affected area was unremarkable



There can be no MRI findings for Type 1 CRPS.
This post was edited on 1/28/18 at 9:39 pm
Posted by sonoma8
Member since Oct 2006
7666 posts
Posted on 1/28/18 at 9:38 pm to
Gotcha
Posted by lsucoonass
shreveport and east texas
Member since Nov 2003
68450 posts
Posted on 1/28/18 at 9:42 pm to
he may have received a general discharge.

im assuming he didnt finish his entry training? if so, it will be hard for him to file for va disability and have this rated as a condition related to his discharge.

LINK /

this can be cause from a specific nerve or not. since there are two types of crps.

definately needs pt and ot especially if the hands are involved more specifically a certified hand therapist

LINK
LINK /
Posted by HaveMercy
Member since Dec 2014
3000 posts
Posted on 1/28/18 at 9:44 pm to
Not a dr but I have it and it is most certainly "real" It used to be called reflex sympathetic dystrophy. It occurs usually after a bone break when a limb is immobilized to heal. A nerve is damaged and sensations in the area go haywire. In most cases, the affected are shows physical observable symptoms like swelling, discoloration and excessive hair growth. My toenails were scary. IIf left untreated the nerve can die resulting in loss of mobility in a foot, hand, arm etc. It's awful. The pain is indescribable and pain pills do not help. I felt like my leg was on fire, not sunburn fire, but literally on fire. I cannot express how horrible it was - 100x worse than the initial compound fracture.
I had to get monthly epidurals for 2 years. I'm okay now, but I will get phantom pains and sensations - like Ive stepped in an ant bed. Sometimes my foot will fall asleep while walking or standing - that's always good for a laugh or two.
Neurontin would help this, but that shite makes you fat and dumb, so I won't take it - I just deal with it.
This post was edited on 1/28/18 at 9:50 pm
Posted by DaBeerz
Member since Sep 2004
16922 posts
Posted on 1/28/18 at 9:48 pm to
Made up diagnosis like IBS, fibromyalgia, interstial cystitis, etc... so they can explain something after after every test in the sun has come back normal. Many others, all psychiatric related... he needs to deal with his ptsd if he really did anything.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28429 posts
Posted on 1/28/18 at 9:57 pm to
quote:

Made up diagnosis like IBS, fibromyalgia, interstial cystitis, etc... so they can explain something after after every test in the sun has come back normal. Many others, all psychiatric related... he needs to deal with his ptsd if he really did anything.

Good thing you’re not a doctor.
Posted by DaBeerz
Member since Sep 2004
16922 posts
Posted on 1/28/18 at 9:59 pm to


Posted by Ric Flair
Charlotte
Member since Oct 2005
13653 posts
Posted on 1/28/18 at 10:31 pm to
Type I—RSD, typically an arm or leg
Type 2–Causalgia, follows a nerve/dermatomal distribution.

Look for lack of hair growth, lack of sweat or excess sweat over the region affected. It happens after a prior injury/surgery.
Posted by Ric Flair
Charlotte
Member since Oct 2005
13653 posts
Posted on 1/28/18 at 10:33 pm to
MRI should show osteopenia if compared to other “normal” regions of the body.
Posted by habz007
New Orleans
Member since Nov 2007
3693 posts
Posted on 1/28/18 at 10:40 pm to
Radiologist... yes it's 100% real diagnosis. Why the name change or re-branding? That I can't tell you, but it was previously known as or aka reflex sympathetic dystrophy (RSD), as previous poster stated. It has actual MRI and triple phase bone scan findings that folks can't fake.
This post was edited on 1/28/18 at 10:44 pm
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