Physical therapy is thought to be the corner stone of therapy for patients with Complex Regional Pain Syndrome. Although this is considered most important, as yet little clinical trial evidence exists to develop guide lines for best practice.
Retired Florida Doctor H Hooshmand's website's advice still rings true today. He suggests that two things are counterproductive with physical therapy for CRPS/RSD, (1) too much, too harsh exercise and (2) too little or worse no exercise. He emphasizes pacing and changing activities often.
Washington government protocols 2002,for physical therapy for CRPS suggest establishing a baseline for function, strength and motion and weight bearing where appropriate. Then they suggest a progressive therapy including desensitization program for clinic and home. Progressive assessment and patient home diary is suggested to monitor progress.
The National Pain Foundation also sites active physical therapy as being most important. Stress loading as well as strengthening and stretching is advised.
Professor Edwin Carden, fellow of the American of Pain Management believes the basis of therapy should be the use of passive range of motion and isometric exercises with heat but not ice.
RSD Hope puts forward the idea that "No Pain is all gain" and suggests a combined program of water therapy, cardio and range of motion exercises.
Wikipedia also supports the notion that "inactivity can exacerbate CRPS and perpetuate the pain cycle". It reports that "goal-directed therapy is best, with the patient beginning from an initial point, regardless of how minimal, and then endeavors to increase activity each week." It is felt that the patient should be engaged in doing the therapy for themselves, an active approach.
Google "physical therapy for CRPS" for more information.
Tomorrow I'll post what physical therapy has worked and what is unhelpful for me.
crps/rsd related articles
- Nursing Patients with CRPS/RSD
- Vitamin c and CRPS 2010
- Cleveland Clinic link - twin research
- Complex Regionaal Pain Syndrome and identical twins.
- Familial occurance of CRPS.
- Headache a risk factor for CRPS.
- Ehlers Danlos Syndrome and CRPS
- Brain change in chronic CRPS -Neuron
- Vitamin c as preventative for CRPS - Netherlands study 2007
- Vitamin C and CRPS study ARC Bristol
- BestBETs Best Evidence Topics - Hydrotherapy for Comples Regional Pain Syndrome (CRPS) of the foot and ankle
- Neurotopian - Matthias Weinberger's fantastic blog.
- hope-4crpsrsd - a Christian support group
- podcast - Australian Native Fruits bear sweet antioxidants.
- Explain Pain - David Butler's blog
- CRPS/RSD and Dentistry
- HTCwP - brain control of movement is altered in CRPS - study
- HTCwP - Self Compassion or Self Esteem
- Neuromatrix Training Blog
- Neurodynamics - Physical and Neural Health Blog
- Explain Pain Blog
- JB & JS report - Can Vitamin C Prevent Complex Regional Pain Syndrome in Patients with Wrist Fractures?
- Matthais Weinberger's interview on "how to Cope with Pain" website.
- How to Cope with Pain - Ketamine Coma treatment for CRPS/RSD
- RSDHope - DVD set of three
- North Western University Feinburg School of Medicine "Old Memory Traces May trigger chronic pain."
- HOw to Cope with pain How Pain Affects Families -Tony's story.
- Prevention.com article -"Natural-Born Pain Killers"
- Brain control altered in movement with CRPS -How to Cope With Pain
- How to Cope With Pain - Asking for help.
- Hooshmand and Physical Therapy Part I
- Hooshmand and Physical Therapy Part II
- How to Cope with Pain on Recognize - Here's a way to get ready to move - with less pain.
- American Pain Foundation Booklet: Treatment Options - A Guide for People Living in Pain
- Preventing CRPS after surgery - International Research Foundation for RSD/CRPS
- How to Cope with Pain - great questions about Graded motor movements
- How to Cope with Pain - Recognize podcast
- How to Cope with Pain - Graded motor imagary
- How to Cope with Pain - Think & move & your pain will improve.
- How to Cope with Pain - CRPS - Can mirrors help?
- RSD Canada Online Survey Questionnaire
- For Grace web site
- For Grace Utube site
- How to Cope With Pain - Can mirrors help?
- Noi Group Australia
- Support groups help you cope with pain - HTCWP interview by National Pain Foundation
- How to Cope with Pain Mindfulness video from Utube.
- "How to Cope with Pain's" hilarious video.
- Jason's RSDS/CRPS News & Information blog
- BBC UK News - Vitamin C /crps study - "Mystery pain left me in a wheelchair"
- Dr Moseley's interview on How to Cope with Pain site.
- Virtual Reality as a Rehabilitative Technology for Phantom Limb Experience.
- UK mirror box therapy site.
- Ramachandran's mirror box video
- My interview on "How to Cope with Pain" website.
- Napp Pharmaceuticals donate mirror boxes - WebWire article
- How to Cope with Pain: A guide to coping with pain.
- Hooshmand and Physical Therapy Part II
Gadget by The Blog Doctor.http://www.blogdoctor.me/2009/01/random-rotating-post-gadget-with.html#ixzz0KYNw8qB2&D