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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Leg Pain Due To Reflex Sympathetic Dystrophy Be Treated?

I have CRPS/RSD of my left leg, I woke up with it after knee replacement surgery, almost at three years ago. My pain is severe, constant like my leg is on fire and being pounded with a hammer with trickling water and crawling sensations. What are your first choice medications for CRPS/RSD? I now take gabapentin, Tegretol, flexeril, Percocet, Amitriptyline. Next I would like to try a bisphosphonate or low dose naltrexone. Do you have any suggestions?
Fri, 9 Dec 2016
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General & Family Physician 's  Response
Hello Dear. Because there is no cure for CRPS, the goal of treatment is to relieve painful symptoms associated with the disorder. Kindly go to your doctor and discuss about the following therapies. Therapies used include psychotherapy, physical therapy, and drug treatment, such as topical analgesics, narcotics, corticosteroids, osteoporosis medication, antidepressants, osteoporosis medicines, and antiseizure drugs.

Other treatments include:

1. Sympathetic nerve blocks: These blocks, which are done in a variety of ways, can provide significant pain relief for some people. One kind of block involves placing an anesthetic next to the spine to directly block the sympathetic nerves.

2. Surgical sympathectomy: This controversial technique destroys the nerves involved in CRPS. Some experts believe it has a favorable outcome, while others feel it makes CRPS worse. The technique should be considered only for people whose pain is dramatically but temporarily relieved by selective sympathetic blocks.

3. Intrathecal drug pumps: Pumps and implanted catheters are used to send pain-relieving medication into the spinal fluid.

4. Spinal cord stimulation: This technique, in which electrodes are placed next to the spinal cord, offers relief for many people with the condition.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini
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How Can Leg Pain Due To Reflex Sympathetic Dystrophy Be Treated?

Hello Dear. Because there is no cure for CRPS, the goal of treatment is to relieve painful symptoms associated with the disorder. Kindly go to your doctor and discuss about the following therapies. Therapies used include psychotherapy, physical therapy, and drug treatment, such as topical analgesics, narcotics, corticosteroids, osteoporosis medication, antidepressants, osteoporosis medicines, and antiseizure drugs. Other treatments include: 1. Sympathetic nerve blocks: These blocks, which are done in a variety of ways, can provide significant pain relief for some people. One kind of block involves placing an anesthetic next to the spine to directly block the sympathetic nerves. 2. Surgical sympathectomy: This controversial technique destroys the nerves involved in CRPS. Some experts believe it has a favorable outcome, while others feel it makes CRPS worse. The technique should be considered only for people whose pain is dramatically but temporarily relieved by selective sympathetic blocks. 3. Intrathecal drug pumps: Pumps and implanted catheters are used to send pain-relieving medication into the spinal fluid. 4. Spinal cord stimulation: This technique, in which electrodes are placed next to the spinal cord, offers relief for many people with the condition. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini