CRPS - Complex regional pain syndrome

[nzgreen]

In the last year I have had 3 patients on treatment with Complex regional pain syndrome. Two lower limb problems, one upper limb problem diagnosed CRPS type 1 cortical (neglect like syndrome). Apart from Exercise perscription, TENS, acupuncture and mirror therapy has anyone else had marked success treating these types of patients with other techniques? I have just changed the TENS setting for one patient from spinal gating to more acupuncture type tens to see if we get better results as night pain is still a problem although he is painferr during the day. Any other suggestions would be appreciated.

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[wernerspine]

Consider referring the patient back to the doctor for consideration of ganglion blocks.
Also, there is the view now that a more passive approach may provide some effects.