Complex Regional Pain Syndrome Treatment

Complex Regional Pain Syndrome can be one of the most severe and debilitating conditions a human can endure. Any nerve injury can lead to the symptoms of complex regional pain syndrome.

Medical and injection therapies have been fairly ineffective for Complex Regional Pain Syndrome Treatments historically. Surgery is extremely invasive and can have significant side effects. People have even endured the removal of an entire limb to try to ameliorate the symptoms of CRPS.

Regenerative Experience For Complex Regional Pain Syndrome Treatment

Dr. Hanson has been treating Complex Regional Pain Syndrome since 2009. Regenerative injection therapies – particularly PRP/its derivations and VAC (Vascular Aspirate Concentrate) have been very effective. Get to know more about the Regenerative Experience as a treatment for CRPS.

Protocols for Complex Regional Pain Syndrome Treatments of started level for patients with severe injuries that lasted greater than five years and were considering limb resection. This theoretical approach has been an effective alternative in my practice for the last 12 years. This is true for both CRPS type I and type II.

Discover the Regenerative Approach

Every level of the neurologic system needs to be assessed and typically addressed for CRPS. The most important aspects of these interventions are the spinal sympathetic level including the site of injury and the injured tissue itself.

Levels of Neurologic Intervention Involved in –

1) Sympathetic Nervous System

These are addressed at the level of injury – if possible and in key locations such as the stellate ganglion. The stellate ganglion has fibers that go to the brain directly, and thus, can decrease the sympathetic response in the Central Nervous System.

2) Central Nervous System

Besides the sympathetic contribution as mentioned above, very carefully tailored and refined autologous biologic agents have been successfully introduced into the Central Nervous System via a lumbar puncture over the last 12 years. Given that we are abrupt in the blood-brain barrier, no cells are introduced into this region, only growth factors, platelet lysate, or exosomes.

3) Nerve Roots

Nerves exit from the spinal cord at each level of the spine on both sides. These nerve roots combined together to make compound peripheral nerves. Nerve roots at every level of the spine can be reached by epidural injection and/or selective nerve root block. Occasionally when these procedures are completed, dorsal root ganglion injection is also completed.

4) Compound Peripheral Nerves

The nerve plexus is particularly of the brachial plexus and the femoral/sciatic plexus are commonly treated as early in their course as can be safely approached. There are common regions of involvement before injury leading to CRPS including adhesions in fascial planes. Where there is abnormal distention of any of these large nerves, intra-neural injection is completed.

5) Single Peripheral Nerves

Wherever the symptomatology of CRPS is most significant, one or more single peripheral nerves can be dissected in their fascial planes to release abnormal physical tension as well as injecting inside the nerve when there’s abnormal distention and appearance under ultrasound. A very particular approach and clinical acumen to enter neural injection were first developed in 2012 by Dr. Hansen. Few practitioners throughout the country are aware of or skilled in doing these procedures.

6) Subcutaneous Neural Prolotherapy

The set of procedures was introduced to us by a pair of German brothers in the 1920s. The work was lost but then resurrected by a physician named Marc Harris in Bozeman Montana in 1990. Superficial peripheral nerves that have become entrapped or abnormal in their function can cause pain more deeply in the tissues via long axons that penetrate deeply. Calm and resetting of the superficial sensory nerves can be a significant adjunct in the treatment of CRPS.

In addition to levels of the neurologic system described above, peripheral tissue that has had an abnormal sympathetic function and/or previously had an infection can be extremely abnormal. There can be significant amounts of adhesions and scarring abnormally stressing the tissue directly in the nerves in the fascial planes. Dissection of abnormal tissues to restore fascial plan integrity is critical in the treatment of complex regional pain syndrome.

Regenerative Masters Inclusions

This degree of severity of abnormal function requires optimization of all other regions and levels of bodily function.

Abnormal inflammation from nine different sources throughout the body needs to be assessed and addressed, particularly neurogenic inflammation, which is nearly always present in CRPS.

The deep emotional and energetic function is nearly always moderately to severely affected in these individuals. Suicidal thoughts and attempts are very common in this population due to the severity of pain and its effect on life. Our five-member team helps to improve deep energetic and emotional function along with the physiologic, neurologic, and structural offerings that are critical aspects of care for this condition.

The administration of ketamine for complex regional pain syndrome has been helpful and has been reported in the literature. We have the availability to add ketamine to our treatments for complex regional pain syndrome.