AOCPMR 2022 Mid-Year Meeting-306289

Video Transcription

Video Summary

The lecture by Dr. Mitch Friedman focused on Complex Regional Pain Syndrome (CRPS), detailing case studies and treatment strategies. Dr. Friedman, a recognized authority from the Rothman Institute and Thomas Jefferson University Hospital, shared insights into CRPS, a challenging pain syndrome often following a trauma. Diagnostically, CRPS is assessed through symptoms like pain disproportional to an injury, sensory changes, vasomotor instability, and trophic changes. Two types exist: Type 1 (without nerve injury) and Type 2 (with clear nerve injury).<br /><br />Throughout the lecture, Dr. Friedman illustrated these complexities using patient cases, stressing early diagnosis and tailoring treatments, which include therapies like range of motion exercises, desensitization, and sympathetic nerve blocks. He also discussed surgical interventions when appropriate, and highlighted the variable efficacy of spinal cord stimulators and ketamine treatments. Emphasizing a holistic treatment approach, Dr. Friedman underlined the need for psychological support and interdisciplinary care to improve patient outcomes. Despite some success stories, he acknowledged many patients experience chronic pain and functional limitations long-term. The session concluded with a brief Q&A focusing on technical aspects of CRPS management.

Keywords

Complex Regional Pain Syndrome

CRPS

treatment strategies

case studies

early diagnosis

sympathetic nerve blocks

spinal cord stimulators

interdisciplinary care

psychological support