CRPS

The pain is greater than the degree of tissue injury and occurs long after the injury has healed. 

Type 1: with or without nerve damage. Can be from minor soft tissue injuries bone fracture or surgery, frostbite or burn, stroke, MI, immobilization, etc. Changes to the sensory nerves causing paresthesia. Can cause autonomic changes: swelling and edema, abnormal blood flow, temperature changes. Can cause trophic changes: thick and brittle nails, increased hair growth, fibrosis, osteoporosis. Can cause motor dysfunction: weakness of all muscles, stiffness, tremor, reduced ROM, atrophy. Can cause increased pain. 

Type 2: following nerve damage and can cause similar characteristics. Symptoms can spread beyond the lesion nerve in type 2 which can cause central sensitization. 

The majority of people with CRPS have bilateral differences in skin temperature. 

PT can consist of any of the following:
-TENS
-Aquatic therapy
-Mirror therapy
-Desensitization
-Gradual weight bearing
-Stretching
-Fine motor control

Recognise app by NOI

Adrian Louw: https://www.youtube.com/watch?v=BctZdsMyjOY, https://www.youtube.com/watch?v=LO1hg2ya3Js 

Contrast bath: 
https://www.advancedcarefootandanklecorona.com/storage/app/media/contrast-bathing-patient-instructions.pdf 
Location: 4244WCMG+C3

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Modalities

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Electrotherapy TENS (Conventional high-rate/sensory TENS) Frequency: 100-150 pps. Pulse Duration: 50-80  µs. Amplitude: sensory. Treatment Time: whenever there is pain. Duration of Action: only while on. Typical Conditions: acute injury or repetitive strain. Duration of application: unlimited. TENS  (Low-rate/motor TENS) Frequency: <10 pps. Pulse Duration: 200-300  µs. Amplitude: small muscle contractions. Treatment Time: maximum 20-30 minutes every 2 hours. Duration of Action: 4-5 hours aftertreatment. Typical Conditions: chronic conditions. Duration of application: 20-30 minutes maximum.  Interferential Current  (Acute pain) Frequency: 100-150 Hz. Time: throughout duration of pain. May be used for 24 hours/day if needed. Modulation: use if available. Amplitude: to produce tingling. Interferential Current  (Chronic pain) Frequency: 2-10 Hz. Time: 20-30 minutes. Modulation: none. Amplitude: to visible contraction. Neuromuscular Electrical Stimulation (NMES)  Muscle Strengthening:  P
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