Twice Monthly CRPS Clinic Emphasizes Pain Control and Functional Rehabilitation

Complex Regional Pain Syndrome (CRPS), formerly known as Reflex Sympathetic Dystrophy (RSD) and causalgia, is a painful condition that usually affects one or more extremity. It usually follows trauma (sometimes minor) or surgery, though no clear inciting event has been identified in some patients. The pain is often difficult to manage and appears to be neuropathic (due to a dysfunction of nerves). In addition to pain, loss of limb function is the main concern in many patients.

The main treatment is geared at rehabilitation of the affected limb(s). Often, however, the pain with exercise is disabling and prevents proper progress with occupational or physical therapy. Interventional procedures are then attempted to control pain and allow rehabilitation. In addition, CRPS frequently affects the mood and psyche of patients and psychological interventions are often necessary. Hence, a multidisciplinary (across specialties) approach to CRPS management is optimal to ensuring best possible outcomes.

At University Hospitals Cleveland Medical Center, a multidisciplinary CRPS Clinic takes place every 2nd and 4th Friday afternoon of the month in the offices of the Pain Medicine clinic located in Mather Pavilion B270.

The physician members of the CRPS Clinic include:

  • Dr. Thomas Chelimsky, Professor of Neurology and Director, Autonomic Disorders
  • Dr. Jeffrey Janata, Associate Professor of Psychology
  • Dr. Salim Hayek, Associate Professor of Anesthesiology and Chief, Division of Pain Medicine

The clinic emphasizes functional rehabilitation of patients and achieving good pain control. A large amount of questionnaire and clinical data is gathered from patients and that may help in the treatment of future patients. Building on the varied expertise of the Clinic members, unique and state of the art treatment modalities are employed to achieve the desired functional results

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