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Complex Regional Pain Syndrome

Chronic Pain As a Complex Regional Pain Syndrome (CRPS) injury attorney in California, I have seen how CRPS can develop after a motor vehicle collision, slip and fall accident, or some other trauma causing event. This condition involves regionalized pain in an area in which the person suffered trauma. It most often involves a limb that has been injured and results in chronic pain. The syndrome is thought to be caused by damage to the peripheral and central nervous systems. A person who suffers from CRPS may experience pain that is excessive and prolonged. They may also have swelling and changes in temperature and skin color in the injured area.

CRPS Symptoms

The primary symptom of CRPS is ongoing pain that may be constant. The pain may be severe for some sufferers. It can be experienced as a burning sensation or like something is squeezing the affected limb. The pain may involve the entire limb, including beyond the site of injury. It may also move to the limb on the opposite side. People may find that even a light touch is extremely painful. Other symptoms that people may also experience include the following:

  • Intermittent or constant temperature changes in the affected limb
  • Intermittent or constant color changes in the affected limb
  • Intermittent or constant swelling of the affected limb
  • Skin texture changes
  • Joint stiffness
  • Abnormal sweating
  • Reduced ability to move the affected limb
  • Tremors, jerking or fixed abnormal limb postures
  • Changes in the patterns of hair and nail growth on the affected limb
  • Co-occurring psychological issues, including the development of anxiety, depression or post-traumatic stress disorder
CRPS Causes

Not everyone with an injury will develop CRPS, and medical experts are not certain why some people end up developing it while others who have similar injuries do not. CRPS results from a clear injury or trauma in more than 90 percent of the people who are diagnosed with it. Common injuries that can lead to CRPS include sprains, fractures, soft tissue injuries, surgical and medical procedures, and limb immobilizations. The syndrome is an excessive pain reaction to the injury.

People who have been diagnosed with CRPS have abnormalities in their peripheral nerves that send pain signals to their brains. The hyperexcited nerve fibers release substances that experts believe lead to abnormalities in the blood vessels and inflammation. The blood vessels may either become too dilated, which can cause the area to swell and redden. They may also constrict too much, causing the skin to feel cold and to look blue. Inflammatory chemicals called cytokines have been found to be present in abnormally high amounts in people with CRPS. These chemicals may lead to the warmth, swelling and redness that a large number of sufferers report.

Diagnosis of CRPS

Doctors primarily base diagnoses of CRPS on the patients’ reported symptoms, medical history and history of injuries. They may use triple bone scans to look for excessive bone resorption, which is present in many people who have CRPS. This is a process in which bone cells are broken down and calcium is released into the bloodstream.

Treatment of CRPS and Management of Pain

The treatment of CRPS is very difficult. It may involve multiple types of therapies that sufferers will have to do on an ongoing basis. Occupational therapy may be necessary in order to learn how to move the affected limb so they can complete daily tasks. Rehabilitative therapy is sometimes used to help improve blood flow through exercise. To address psychological issues that many people experience, psychotherapy may be needed. Victims may also take a variety of different kinds of medication, including the following:

NSAIDs, such as ibuprofen, sodium naproxen and aspirin
  • Corticosteroids for swelling and inflammation
  • Certain anti-seizure medications that have been shown to help with pain
  • Injections of botulinum toxin
  • Prescription narcotics
  • Topical creams
  • Psychotropic medications for anxiety or depression
  • Calcitonin for deep pain in the bones
  • Ketamine or dextromethorphan

People may also receive blocks of sympathetic nerves or surgical destruction of some sympathetic nerves. They may also be treated with stimulation of the spinal cord or the placement of drug pumps. Treatment for CRPS should be expected to be ongoing, lasting for as long as a person suffers from the disorder. While some people eventually recover or show marked improvement over time, others do not.

How a Personal Injury Attorney Might Help

When a person has been seriously injured in a car crash or slip and fall accident, he or she may end up developing CRPS in addition to having the underlying injury. A personal injury attorney values his or her clients’ cases. This process includes calculating the medical expenses that have already been incurred as well as those that should be expected in the future due to the need for ongoing treatment. In addition to the costs involved with long-term pain management treatment, a personal injury lawyer will also seek compensation for his or her client for the emotional distress, physical pain and the reduction in the quality of life the client has suffered.

Client Reviews
I have known Steven for some time now and when his services were required he jumped in and took control of my cases. I had two and they were handled with the utmost professionalism and courtesy. He went the extra mile regardless of the bumps in the road. I can not see me using any other attorney and I would recommend him to any of my family and friends. Josie A.
Steven was vital during our most trying time. He was referred by a friend after an accident that involved a family member. While he was critical and lying in the hospital, Steven was kind, patient and knowledgeable about what we were going through. Following our loss, Steven became a tough and aggressive negotiator and made sure that we receive a huge compensation. I would refer Steven in fact, this happened 2 years ago and I still speak highly of his service. Cheryl S.
Mr. Sweat is a pitbull in the courtroom as well as settlement negotiations - You can't have a better equipped attorney in your corner! It is a pleasure working as colleagues together on numerous cases. He can get the job done. Jonathan K.
Because of Steven Sweat, my medical support was taken care of. Plus, I had more money to spare for my other bills. Steven is not only an excellent personal injury lawyer, providing the best legal advice, but also a professional lawyer who goes beyond his call of duty just to help his clients! He stood up for me and helped me get through the process. I would definitely recommend. I couldn't think of any better lawyer than him. MiraJane C.
I must tell anyone, if you need a great attorney, Steve sweat is the guy! I had an awful car accident and had no idea where to turn. He had so much to deal with because my accident was a 4 car pile up. Not to mention all the other cars were behind me and they were not wanting to settle in any way! He never stopped working for me and had my best interest at heart! Audra W.
I believe I made the best choice with Steven M Sweat, Personal Injury. I was very reluctant to go forward with my personal injury claim. I had a valid claim and I needed a professional attorney to handle it. I felt so much better when I let Steven take my case. His team did everything right and I am very satisfied. Stia P.
I have to say that Steve has been exemplary! I met Steve at a point with my case that I was ready to give up. He took the time and dealt with all of my concerns. Most importantly, he was present and listened to what I was going through. He was able to turn things around, put me and my case on the right track! The results were better that expected! Highly recommend!! Cody A.