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E. Frazee wrote:

>I don't know the names of the causes of my pain except to say some were caused

by cancer and some caused by the high dose chemotherapy used to treat the

cancer.

,

It is probably all those factor that suppressed your immune system and triggers

can cause RSD or CRPS (complex regional pain syndrome) , This information is

long but I think informative to all including me. It is from the rsds.org

website: Of course, I am not a Doctor but it seems a " trigger event " is always

involved in chronic or intractable pain.

I hope you are doing better and get back to NM soon and relief. You are a very

well written member and you describe us so well and I feel the same as you.

It is like having a " band of brothers " so to speak that understand.

Have Doctors ever discussed CRPS or RSD with you? I am just curious and wanted

to include this. I have special interest as I was a radiation therapist and

responses to treatment are always interesting to me.

I hope you pain free days, and welcome to all the new members, there have

been a bunch and that is good as we need some good off topics once in awhile to

keep our humor in tact.

Bennie

About CRPS

Complex Regional Pain Syndrome (CRPS), also known as Reflex Sympathetic

Dystrophy, is a chronic neurological syndrome characterized by:

• severe burning pain

• pathological changes in bone and skin

• excessive sweating

• tissue swelling

• extreme sensitivity to touch

[For a complete description of CRPS symptoms, please read the Diagnosis section

of the Clinical Practice Guidelines section of this website.]

There are Two Types of CRPS - Type I and Type II

• CRPS Type I (also referred to as RSD) - cases in which the nerve injury

cannot be immediately identified

• CRPS Type II (also referred to as Causalgia) - cases in which a distinct

" major " nerve injury has occurred

• CRPS is best described in terms of an injury to a nerve or soft tissue (e.g.

broken bone) that does not follow the normal healing path

• CRPS development does not appear to depend on the magnitude of the injury.

The sympathetic nervous system seems to assume an abnormal function after an

injury.

• Since there is no single laboratory test to diagnose CRPS, the physician must

assess and document both subjective complaints (medical history) and, if

present, objective findings (physical examination).

Criteria for Diagnosing

Complex Regional Pain Syndrome Type I (RSD)

• The presence of an initiating noxious event, or a cause of immobilization

• Continuing pain, allodynia, or hyperalgesia with which the pain is

disproportionate to any inciting event

• Evidence at some time of edema, changes in skin blood flow (skin color

changes, skin temperature changes more than 1.1°C difference from the homologous

body part), or abnormal sudomotor activity in the region of the pain (such as

cancer, my comment, I am curious)

• This diagnosis is excluded by the existence of conditions that would

otherwise account for the degree of pain and dysfunction

Complex Regional Pain Syndrome Type II (Causalgia)

• The presence of continuing pain, allodynia, or hyperalgesia after a nerve

injury, not necessarily limited to the distribution of the injured nerve

• Evidence at some time of edema, changes in skin blood flow (skin color

changes, skin temperature changes more than 1.1°C difference from the homologous

body part), or abnormal sudomotor activity in the region of pain

• This diagnosis is excluded by the existence of conditions that would

otherwise account for the degree of pain and dysfunction.

Complex Regional Pain Syndrome

from ABC TV Science

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