Complex Regional Pain Syndrome (CRPS)

DOI: 11/16/2015. Patient is a 57-year-old right hand dominant male mechanic who sustained injury while he was lifting a metal roller when he lost his balance and fell backwards. Per OMNI, he was initially diagnosed with head laceration which required 7 sutures and right shoulder full thickness supraspinatus tendon tear, confirmed by 12/29/15 MRI.

Chronic pain is one of the common reasons for medical consultation. It is of complex natural history, unclear etiology and poor response to treatment. It causes significant morbidity, suffering, disability and over utilization of health care systems. CPS is a poorly defined condition. Most authors consider ongoing pain lasting longer than 6 months as diagnostic, and others have used 3 months as the minimum criterion.

Muscular pain muscle spasms, restless leg syndrome, pins and needles, buzzing, numbness, electrifying pain, tearing pain, poking pain, hammering, biting,

In order to minimize the pain, the patients are administered opioids and analgesics, which are accompanied with general side effects such as nausea, sedation, respiratory recession etc. (Brennan, 2011). Pain management requires more than simple treatment of the tissue injury. The management strategy for pain costs and burdens the postoperative care, as there is a lack of knowledge and resources for treating pain (Harsoor, 2011). It has known to be associated with poor wound healing and demoralization of the patient, leading to slow recovery and increased care costs (Woldehaimanot, Eshetie, & Kerie, 2014).

Client has pain when extending the neck towards the sternum, lateral extension of the right side, and reduced range of motion in rotation of the neck towards the left side of the body. Patient explains that prior to her injury she could touch her chin to her sternum area, easily rotate her head from right to left and look over her shoulder. She complains of lack of sleep due to pain, headaches, problems with driving and inability to bend neck to read, eat, and engage in office/school work. Client loves to take long drives, put together puzzles, and play video

The protective cartilage on the ends of bones breaks down, causing pain, swelling and problems moving the joint. Bony growths can develop, and the area can become inflamed. The major symptoms are joint pain and stiffness. Some people can have swelling, tenderness and grating or crackling sound when moving (NHS,n.d). These are the symptoms Mohamed reported to the doctor.

Treating a Patient with Rhabdomyolysis N.T., a 72 year old female with a past medical history of hypertension, COPD hyperlipidemia, and hip surgery was diagnosed with rhabdomyolysis after the patient made a visit to the ER several days following a severe fall. A CMP was ordered which revealed elevated glucose, creatinine, BUN, CO2, and AST values. Also noted were decreased potassium and ALB values as well as severely elevated creatinine kinase levels. Pathophysiology Rhabdomyolysis is described as the breakdown of muscle tissue as a result of major muscle trauma. This muscle injury can occur due to excessive overworking of the muscles or from direct trauma.

The ache related to arthralgia can be a chronic, pulsating agony. It may be accompanied by way of a stiffness in the affected joint as good as redness and fever. Other signs may just incorporate fatigue or a general feeling of tiredness and sleeplessness. Typically arthralgia victims complain of melancholy and/or feelings of nervousness along with the joint suffering. Joint pain may come on all of the sudden or accumulate over a longer period of time.

Carpal tunnel syndrome is a painful progressive condition affecting 4-10 million Americans. It is the most common nerve disorder experienced today. The main symptoms of carpal tunnel syndrome are numbness, tingling, and weakness in the fingers. The numbness is caused by compression of a key nerve in the wrist, the median nerve. The median nerve runs from the forearm into the palm of the hand and passes through a narrow, rigid passageway of ligament and bones at the base of the hand (NIH). This area of the wrist is called the carpal tunnel, thickening from irritated tendons and swelling here causes compression on the median nerve resulting in carpal tunnel syndrome.

DOI: 8/12/2015. Patient is a 38-year old male journeyman carpenter who sustained injuries to his right cheek/lips/jaws and shoulders/upper back when he was struck by a hook that broke from come-along pin.

For example, if a player were to dislocate an elbow like Malcolm Mitchell recently did in early 2016, that often requires complex dislocation surgery to put the joint back in place, and to repair damage to the blood vessels and nerves in the joint during the

• You have fluid, blood, or pus coming from your wound. • You notice a change in the color of your skin near the injury site. • You need to change the dressing frequently due to bleeding or drainage from the wound. • You develop a new rash. • You develop numbness around the injury

Happeny (2015) stated “Physical therapists are the health care provider to see when you have musculoskeletal pain” (para. 6). Musculoskeletal agony is frequently created by harm to the bones, joints, muscles, tendons, ligaments, or nerves. Bury and Stokes (2012) said “where direct access was permitted, it was seen to have a positive bearing on the scope of practice of physical therapists in terms of assessment, diagnosis, and referral to specialists” (para. 18). As a result, patients with direct access can increase their healing process faster of any medical need compared to a referral and delaying the healing process of a medical problem. For example, Hawryluk (2015) suggested “if patients can manage chronic back pain with physical therapy rather than getting MRIs that lead to back surgery, therapists could make an even stronger case for direct access” (para. 29).

The doctor will evaluate the areas of the body that are affected or injured and discuss what triggers the pain. When he has conducted a thorough physical examination and taken x-rays to determine any misalignments in the neck and back, the doctor will evaluate all of the information that has been

The patient stated that pain is relieved by medications and aggravated by sitting and standing. He rates the pain 4/10 at its best and 10/10 at worst. UDS and CURES report showed that