The Experts in CRPS and Chronic Pain
The Experts in CRPS and Chronic Pain
Holistic Centered Treatment's CRPS | Chronic Pain Intensive is a 2-week outpatient program, approximately 5 hours per day, and it's followed by a 90-day home program. Our Intensive is the equivalent of 3-4 months at other clinics - all compressed into our 2-week program. We are addressing all aspects of CRPS, chronic pain and coexisting conditions.
The Holistic Centered Treatment protocol is designed to assist you in getting out of 'fight or flight' (sympathetic overload), breaking the pain loop, managing stress and anxiety, increasing restorative sleep, and giving you the tools and resources to have long-term outcomes.
Our program takes a whole-body approach. We are working with the biology and physiology of the body and putting in treatment modalities that assist with systemic neural adaption, balancing the autonomic nervous system, and returning the body to homeostasis while addressing PTSD.
This is a multi-modality, evidence based, outcome based, non-invasive and drug free protocol that is individualized to meet your specific needs and goals. We are addressing all aspects of chronic pain – physically, mentally, and emotionally. All while individualizing the treatment to meet your specific needs and goals.
• Brain Training
• Neuroplasticity Training
• Vagus Nerve Toning/Stimulation
• Clinical Hypnosis
• and more...
Contact us today to schedule a free consultation.
Complex Regional Pain Syndrome (CRPS), formerly known as Reflex Sympathetic Dystrophy (RSD), is a chronic neuro-inflammatory disorder.
It is classified as a rare disorder by the United States Food and Drug Administration. However, up to 200,000 individuals experience this condition in the United States, alone, in any given year.
CRPS is a form of chronic pain that usually affects an arm or a leg. The reality is - CRPS can occur anywhere in the body. CRPS generally follows a musculoskeletal injury, a nerve injury, surgery or immobilization, but it can also follow a sprain or strain. The pain is out of proportion to the severity of the initial injury.
CRPS is uncommon, and its cause isn't clearly understood. Treatment is most effective when started early. Yet, it can take some patients years to get a diagnosis.
CRPS occurs when the nervous system and the immune system malfunction as they respond to tissue damage from trauma. The nerves misfire, sending constant pain signals to the brain. Essentially, think of it as the perfect storm in the brain.
The level of pain is measured as one of the most severe on the McGill University Pain Scale. Most patients describe it as a burning, stabbing, gnawing pain.
The symptoms of CRPS can greatly impact the function of your affected limb or area, sleep, daily activities and overall mental health.
The persistent pain and disability associated with CRPS require coordinated / patient-centered care to achieve pain reduction and better function.
While there is no cure at this time - it is possible to gain long-term remission.
Signs and symptoms of CRPS include:
Symptoms may change over time and vary from person to person. Pain, swelling, redness, noticeable changes in temperature and hypersensitivity (particularly to cold &/or hot and touch).
Over time, the affected area can become cold and pale. It may undergo skin and nail changes as well as muscle spasms and tightening. Once these changes occur, the condition is often irreversible.
CRPS occasionally may spread from its source to elsewhere in the body, such as the opposite limb.
The cause of CRPS isn't completely understood. It's thought to be caused by an injury to or difference in the peripheral and central nervous systems.
CRPS occurs when the nervous system and the immune system malfunction as they respond to tissue damage from trauma. The nerves misfire, sending constant pain signals to the brain. Essentially, think of it as the perfect storm in the brain. [Think of it as malware in the brain.]
CRPS occurs in two types, with similar signs and symptoms, but different causes:
Many cases of CRPS occur after a forceful trauma to an arm or a leg. This can include a crushing injury or a fracture.
Other major and minor traumas — such as surgery, heart attacks, infections and even sprained ankles — also can lead to CRPS.
It's not well understood why these injuries can trigger CRPS. Not everyone who has such an injury will go on to develop CRPS. It might be due to an interaction between your central and peripheral nervous systems that isn't typical and different inflammatory responses.
How is CRPS diagnosed?
Since CRPS is rare and healthcare providers don’t totally understand it, it’s often misdiagnosed.
There’s no specific test to diagnose CRPS. Healthcare providers mainly diagnose it through a careful medical history, physical examination and review of your symptoms. Your provider will ask you if you’ve had a recent injury or surgery.
Your provider may also order other tests to rule out other diagnoses/conditions that cause similar symptoms. For example, electromyography (EMG) may reveal other causes of neuropathy, which may result in some similar pain scenarios.
Once other possible diagnoses are ruled out, your provider will us the Budapest criteria to make the diagnosis.
Budapest criteria for CRPS
There are currently no medical tests for Complex Regional Pain Syndrome (CRPS). A clinical diagnosis is based entirely upon an accepted set of guidelines. At a medical conference in 2004, the International Association for the Study of Pain (IASP) adopted a new set of guidelines for diagnosing CRPS, superseding guidelines which had been in place for the previous decade. As the conference took place in Budapest, the new guidelines were named the Budapest Criteria.
Signs and Symptoms
The Budapest Criteria differentiates between ‘signs’, which are seen or felt by the person carrying out the examination and ‘symptoms’ which are reported by the patient.
Under the Budapest Criteria, for a diagnosis of CRPS, a patient must have at least one symptom in three of the following four categories:
At the time of clinical examination, at least one sign must be present in two or more of the following categories:
Finally, it is important that no other diagnosis can explain the signs and symptoms.
While a diagnosis is fundamental if appropriate treatment is to be obtained, a common diagnostic problem is that not all symptoms and signs are always present at the same time.
In traditional allopathic medicine they will look at the following treatments:
Most CRPS patients are not getting relief from traditional allopathic treatments. As a matter of fact – most CRPS patients are getting worse with traditional treatments.
Just treating the symptoms is not working. Then the patients are left feeling hopeless.
CRPS is not a sprain, strain or fracture. The body will typically heal in 6-8 weeks following a surgery, fracture or injury. CRPS surpasses the initial injury and healing process - CRPS persists. Therefore, it must be treated with a different approach.
Effectively Treating CRPS
You need a top-down approach.
Biology & Physiology of the Body
Biology of Pain
Treating the Whole Person
A holistic approach to treating CRPS ultimately means treating the whole person.
This includes addressing:
This is how the body can heal.
Think of our multi-modality protocol as a blueprint that is individualized to meet your specific needs and goals.
Holistic Centered Treatment is the only program created by a CRPS survivor. Unlike other programs – we can truly say we understand CRPS.
I believe that causing pain actually pushes the body further into fight/flight.
This is what makes us different and allows us to see remarkable changes in our patients.
Chronic pain can be described as ongoing or recurrent pain, lasting beyond the usual course of acute illness or injury or more than 3 to 6 months, and which adversely affects the individual’s well-being. A simpler definition for chronic or persistent pain is pain that continues when it should not. (IASP 2004).
People of all ages are diagnosed with chronic pain every year. Pain does not discriminate. In the United States over 100 million people are diagnosed with some type of chronic pain. This is greater than cancer, heart disease and diabetes combined. However, pain reaches far past our borders and affects an astonishing 1.5 billion people worldwide. Pain is a universal experience, serious and costly.
Chronic pain patients want to be heard and understood. Their pain is real, and they need solutions. They don’t want to be told not to worry, that they don’t look sick or that it’s all in their head.
Chronic pain can be effectively treated when we look at treating the whole person and not just the symptoms.
At Holistic Centered Treatment, we understands chronic pain. Dr. Traci Patterson - lived with type 2 CRPS for 7 years prior to gaining long-term remission.
Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.
Symptoms sometimes begin after a physical trauma, surgery, infection or significant psychological stress. In other cases, symptoms gradually accumulate over time with no single triggering event.
Women are more likely to develop fibromyalgia than are men. Many people who have fibromyalgia also have tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression.
While there is no cure for fibromyalgia - it is possible to gain long-term remission.
Small fiber neuropathy (SFN) is a condition that affects certain nerves in your body. These nerves help you have senses such as touch and pain. These nerves also help control functions such as blood pressure, digestion, and body temperature. SFN can happen with other forms of neuropathy.
What increases my risk for SFN?
What are the signs and symptoms of SFN?
Symptoms usually begin in adolescence or early adulthood. Severe pain attacks usually begin in your hands and feet. As you get older, the pain attacks happen in other areas of your body. The pain attacks are usually worse at night or while you are resting. You may also have any of the following:
If SFN is caused by diabetes or prediabetes, the treatment will include getting your blood sugar levels under control. Treatment may also include medicine such as anti-seizure, antidepressant, or pain medicines to treat symptoms.
When lifestyle change and/or medications don't provide relief - then stepping outside the box to alternative treatments can provide relief.
Phantom pain is pain that feels like it's coming from a body part that's no longer there. Doctors once believed this post-amputation phenomenon was a psychological problem, but experts now recognize that these real sensations originate in the spinal cord and brain.
Most people who've had a limb removed report that it sometimes feels as if the amputated limb is still there. This painless phenomenon, known as phantom limb sensation, isn't the same as phantom pain.
For some people, phantom pain gets better over time without treatment. For others, managing phantom pain can be challenging.
Utilizing an integrative treatment plan that addresses the mind-body connection as proven effective in treating phantom limb pain.
Chronic Migraine means living with 15 or more headache and migraine days per month. That's different than living with them every once in a while—or episodic migraine.
3.3 million Americans live with chronic migraines.
A migraine can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound.
Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.
For some people, a warning symptom known as an aura occurs before or with the headache. An aura can include visual disturbances, such as flashes of light or blind spots, or other disturbances, such as tingling on one side of the face or in an arm or leg and difficulty speaking.
If you have seen a specialist to rule out underlying causes for chronic migraines and they continue to persist - it may be time to look at alternative treatment options.