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		<title>New Technique: Lecture is being held in Tampa at the Intercontinental Hotel, Sunday 1/29 at 1:00 pm</title>
		<link>http://rsdscrpsnews.wordpress.com/2012/01/23/new-technique-lecture-is-being-held-in-tampa-at-the-intercontinental-hotel-sunday-129-at-100-pm/</link>
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		<pubDate>Mon, 23 Jan 2012 21:48:05 +0000</pubDate>
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		<description><![CDATA[For those of you in the Central Florida area.  We got a call recently from the office of the Doctor putting on this event.  Seems interesting and is something we are planning on attending to see for ourselves&#8230;  Everyone is &#8230; <a href="http://rsdscrpsnews.wordpress.com/2012/01/23/new-technique-lecture-is-being-held-in-tampa-at-the-intercontinental-hotel-sunday-129-at-100-pm/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1177&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>For those of you in the Central Florida area.  We got a call recently from the office of the Doctor putting on this event.  Seems interesting and is something we are planning on attending to see for ourselves&#8230;  Everyone is welcome to attend.  Please make a note in the comments below if you&#8217;ll be there&#8230; looking forward to seeing everyone.</p>
<p>Lecture is being held in Tampa at the Intercontinental Hotel, Sunday 1/29 at 1:00 pm</p>
<p><a href="http://rsdscrpsnews.files.wordpress.com/2012/01/screen-shot-2012-01-23-at-4-49-34-pm.png"><img class="aligncenter size-full wp-image-1182" title="Screen Shot 2012-01-23 at 4.49.34 PM" src="http://rsdscrpsnews.files.wordpress.com/2012/01/screen-shot-2012-01-23-at-4-49-34-pm.png?w=500&#038;h=639" alt="" width="500" height="639" /></a></p>
<p>Please click below to download a (PDF) brochure about the event:</p>
<p><a href="http://rsdscrpsnews.files.wordpress.com/2012/01/flyer-nrc-lecture-tampa-1-29-12.pdf">Flyer NRC Lecture &#8211; Tampa 1-29-12</a></p>
<p>And here is a letter from the Doctor regarding the treatment/event:</p>
<p><a href="http://rsdscrpsnews.files.wordpress.com/2012/01/van-der-merwe-letter-re-rsd-1-11-12-1.pdf">van der Merwe Letter re RSD 1-11-12 (1)</a></p>
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		<link>http://rsdscrpsnews.wordpress.com/2011/11/30/1163/</link>
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		<pubDate>Wed, 30 Nov 2011 18:58:07 +0000</pubDate>
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		<description><![CDATA[South Yorkshire birthday girl celebrates pioneering treatment Road to recovery: Amy Kennedy with her mum Zoe Matters at home, where she has been bed-bound for three years. Picture: StEVE TAYLOR. Published on Tuesday 29 November 2011 06:01 &#160; A DELIGHTED South &#8230; <a href="http://rsdscrpsnews.wordpress.com/2011/11/30/1163/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1163&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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<h1><a href="http://wp.me/sSPU6-1163" target="_blank">South Yorkshire birthday girl celebrates pioneering treatment</a></h1>
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<div></div>
<div>Road to recovery: Amy Kennedy with her mum Zoe Matters at home, where she has been bed-bound for three years. Picture: StEVE TAYLOR.</div>
<div>
<div>Published on <strong>Tuesday 29 November 2011 06:01</strong></div>
<p>&nbsp;</p>
<p>A DELIGHTED South Yorkshire girl has been out with her pals for the first time in three years as she begins the long road to recovery from a rare illness.</p>
<p>&nbsp;</p>
<p>Amy Kennedy, of Doncaster, has been bed-bound since she was struck with a condition called complex regional pain syndrome.</p>
<p>But after undergoing pioneering medical treatment in America, Amy has now improved enough to enjoy her first evening out to a restaurant with friends, and spent two hours at the weekend in a town centre restaurant on High Street, to celebrate her 15th birthday, which is today.</p>
<p>And the following day she made her first visit to a friend’s house for three years, staying overnight.</p>
<p>She has been back in England for two months after a three-week course of treatment and still suffers pain through her condition – but it has been reduced to the point she is finally able to get out of bed and move about her home on Adlard Road in a wheelchair.</p>
<p>Amy said: “It is something most of my friends do all the time – but going out for the first time in three years meant the world to me. It feels as though my treatment has changed my life. After three years of being bed-bound, I have now had the best weekend ever.</p>
<p>“Now I would love to go to the cinema to see a film, which a few years ago I never thought I would do again.”</p>
<p>The syndrome, which affects 11,500 people in the UK, left Amy with a chronic burning pain in her limbs, unable to take any pressure on her legs.</p>
<p>The disorder is so rare the specialist treatment she has undergone is available only in America.</p>
<p>Her treatment in the US involved the application of an electrical current to pads placed on her body.</p>
<p>She has continued with the treatment with a machine she has brought back from America.</p>
<p>Her mum, Zoe Matters, said she had finally been able to get out with pals for a meal at a restaurant.</p>
<p>“It is going really, really well. She can now touch the top of her leg, which she could not before the treatment started because it was too painful.</p>
<p>“She can now get into a wheelchair and we can take her into other rooms. She is still in pain, but it is tolerable for her now. She can get out of bed and do a couple of hours in a wheelchair.</p>
<p>“We managed to find a taxi that can take wheelchairs, so that we could take her out to see her friends.”</p>
<p>“It is the first time she has been out socially for three years. She has only been out for hospital visits over that time.</p>
<p>“She was looking out of the window at the Christmas lights in wonder &#8211; she has not seen anything but her bedroom wall for three years before this.”</p>
<p>“The machine she has brought back is working wonders.”</p>
<p>Amy had her evening out with eight pals, plus her mum and grandmother.</p>
<p>Earlier the same day, she met injured Doncaster paratrooper Ben Parkinson, who told her about his battle to walk again after his was wounded. Zoe hopes Ben’s story will be an inspiration to her.</p>
<p>The family are now hoping to get their home modified so they can use a wider wheelchair with larger wheels, which would allow Amy to move it herself by pushing the wheels with her hands.</p>
<p>They have been in touch with Doncaster Council over the work, but have been told there is a waiting list.</p>
<p>Her doctor in America has told her she may be able to walk on crutches in three years’ time.</p>
<p>The family raised more than £50,000 from a series of community events to give Amy the chance of specialist treatment.</p>
<p>She first complained of knee pain at around the age of seven but was not diagnosed despite MRI scans and numerous X-rays. Her condition got gradually worse after she fell awkwardly during a dance class.</p>
<p>Click <a href="http://www.thestar.co.uk/news/health/south_yorkshire_birthday_girl_celebrates_pioneering_treatment_1_4013067" target="_blank">here</a> to read the original post online.</p>
<p>.</p>
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		<title>People: Military vet overcomes rare disorder</title>
		<link>http://rsdscrpsnews.wordpress.com/2011/11/22/people-military-vet-overcomes-rare-disorder/</link>
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		<pubDate>Tue, 22 Nov 2011 20:29:42 +0000</pubDate>
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		<description><![CDATA[***** Click here for full article &#38; watch video on the original article site at KSAT.com  ***** Military vet overcomes rare disorder Air Force vet undergoes risky coma to heal legs Author: Isis Romero , iromero@ksat.com Published On: Nov 21 2011 &#8230; <a href="http://rsdscrpsnews.wordpress.com/2011/11/22/people-military-vet-overcomes-rare-disorder/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1160&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>***** Click <a href="http://www.ksat.com/news/Military-vet-overcomes-rare-disorder/-/478452/4802514/-/gnjpik/-/" target="_blank">here</a> for full article &amp; watch video on the original article site at KSAT.com  *****</p>
<p><a href="http://www.ksat.com/news/Military-vet-overcomes-rare-disorder/-/478452/4802514/-/gnjpik/-/" target="_blank"><img class="aligncenter  wp-image-1161" title="Screen shot 2011-11-22 at 3.24.44 PM" src="http://rsdscrpsnews.files.wordpress.com/2011/11/screen-shot-2011-11-22-at-3-24-44-pm.png?w=500&#038;h=354" alt="" width="500" height="354" /></a></p>
<hgroup>
<div>
<h1 id="">Military vet overcomes rare disorder</h1>
<h2>Air Force vet undergoes risky coma to heal legs</h2>
<div>Author: <a href="http://www.ksat.com/station/-/478050/3525492/-/g5irxb/-/index.html">Isis Romero </a>, <a href="mailto:iromero@ksat.com">iromero@ksat.com</a></div>
<div>Published On: Nov 21 2011 05:41:19 PM CST</div>
<div>Updated On: Nov 21 2011 06:45:35 PM CST</div>
</div>
</hgroup>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>SAN ANTONIO -</p>
<p>&nbsp;</p>
<p>Retired Air Force Veteran Jonathan Haag has walked down a path of pain for years, all stemming from foot surgery back in 1994.</p>
<p>The surgery was supposed to correct his osteoarthritis, which was caused by the steel-toed boots he wore as an Airman. Instead, the surgery sparked something called Reflex Sympathetic Dystrophy, or RSD.</p>
<p>&#8220;I knew immediately one morning when I woke up, something&#8217;s wrong,&#8221; said Haag. &#8220;As soon as I woke up, it was severe pain. Burning pain, like my foot was on fire.&#8221;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>Doctor Julianne Flynn, the Chief of Staff at the South Texas Veterans Health Care System, said the disorder can be triggered anytime there&#8217;s trauma to the body. In Jonathan&#8217;s case, his foot surgery.</p>
<p>&#8220;What happens is, the sympathetic nervous system gets out of control and revved up and doesn&#8217;t turn itself off the way it would normally,&#8221; said Flynn, &#8220;It&#8217;s kind of a classic pain disorder diagnosis, and the pain is very severe.&#8221;</p>
<p>Flynn said each patient exhibits different symptoms, but in Haag&#8217;s case, the RSD caused his legs to grow out of control.</p>
<p>&#8220;The pain, when it spread, and it was at its worst, it was like both of my legs were on fire at the same time,&#8221; Haag said. &#8220;The bones were being crushed and pulled out of my body at the same time, so it was pretty severe pain.&#8221;</p>
<p>That severe pain meant Haag had to do something drastic. He opted for a radical procedure called a Ketamine Coma, which would place him in a coma for six days while injecting him with the drug Ketamine.</p>
<p>The procedure is considered so risky, it&#8217;s not approved by the U.S. Food and Drug Administration, and rarely performed in the United States. Because Jonathan&#8217;s condition was considered so bad, he was not a candidate for travel outside of the U.S.</p>
<p>&#8220;They did it here at the VA hospital,&#8221; said Haag. &#8220;Because there was no way I could go 10,000 feet to Germany or Mexico.&#8221;</p>
<p>One year after the treatment, Haag&#8217;s legs are improving.</p>
<p>He&#8217;s able to walk around, though still uses the help of a wheelchair.</p>
<p>Haag said he&#8217;s focusing now a new path of faith, family, and forgetting the pain.</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>Click <a href="http://www.ksat.com/news/Military-vet-overcomes-rare-disorder/-/478452/4802514/-/gnjpik/-/" target="_blank">here</a> to read the original article online at KSAT.com</p>
<p>&nbsp;</p>
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		<title>Living with reflex sympathetic dystrophy</title>
		<link>http://rsdscrpsnews.wordpress.com/2011/11/16/living-with-reflex-sympathetic-dystrophy/</link>
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		<pubDate>Wed, 16 Nov 2011 14:39:20 +0000</pubDate>
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		<description><![CDATA[Living with reflex sympathetic dystrophy Cold weather can worsen this chronic condition Anne VanCuren, 59, traces the onset of her reflex sympathetic dystrophy to a 2006 fall. It took four years for her to be correctly diagnosed. The condition is &#8230; <a href="http://rsdscrpsnews.wordpress.com/2011/11/16/living-with-reflex-sympathetic-dystrophy/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1156&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<h4><strong>Living with reflex sympathetic dystrophy</strong></h4>
<p><strong>Cold weather can worsen this chronic condition</strong></p>
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<h6 style="text-align:center;">Anne VanCuren, 59, traces the onset of her reflex sympathetic dystrophy to a 2006 fall. It took four years for her to be correctly diagnosed. The condition is so bad that she is unable to work as a nurse.</h6>
<h6 style="text-align:center;">THE NEWS JOURNAL/JENNIFER CORBETT</h6>
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<h3><strong>Living with reflex sympathetic dystrophy</strong></h3>
<p><strong>Cold weather can worsen this chronic condition</strong></p>
<p>The flipflops on Anne VanCuren&#8217;s feet last week had nothing to do with the recent run of warm temperatures.</p>
<p>VanCuren, 59, of Pike Creek, wears the slip-on shoes year-round because any other footwear is too painful for her swollen, aching feet.</p>
<p>It&#8217;s just one of the small ways her life has changed since VanCuren developed reflex sympathetic dystrophy, or RSD, after a fall in 2006.</p>
<p>Also known as complex regional pain syndrome, RSD is a chronic pain condition that results from a malfunction of the nervous system. Those who live with the progressive disorder endure severe, burning pain in parts of their bodies, usually their extremities.</p>
<p>What&#8217;s worse, their pain can be exacerbated by the weather. Something as simple as feeling a rush of cool air from outside can turn their skin spotty shades of purple and red, while simultaneously giving them the sensation of being being poked all over by a sharp skewer.</p>
<p>Even in mild weather, VanCuren covers herself with a blanket when her husband, Wayne, opens the door to let their dogs out. Moving around is painful so she uses a cane; areas of her knee are so sensitive even parts of her jeans can&#8217;t touch them. She spends most of her days in the couple&#8217;s lower-level den, rarely venturing out of the house alone and never when it&#8217;s cold.</p>
<p>&#8220;I&#8217;m basically like a bear in the winter. I hibernate,&#8221; said VanCuren. &#8220;Even as I talk right now, my leg feels like it&#8217;s on fire. I guess I just get used to it.&#8221;</p>
<p><strong>First, trauma</strong></p>
<p>RSD usually develops following an accident, injury, surgery or other trauma. In children, the culprit often is a sports injury or fracture, but adults can develop the syndrome following surgery, such as for knee replacement or carpal tunnel syndrome.</p>
<p>Rather than healing over time, the trauma instead causes the sympathetic nervous system &#8212; responsible for the body&#8217;s fight-or-flight response &#8212; to respond in an abnormal way. For people with RSD, this can include intense pain, skin sensitivity, swelling of their tissues, tremors or other movement problems.</p>
<p>More than 1 million people are estimated to have RSD, with about 50,000 people in the United States are diagnosed each year, said James Broatch, executive director of the Reflex Sympathetic Dystrophy Syndrome Association, based in Milford, Conn.</p>
<p>The impact of living in such intense pain tends to be underestimated. Broatch said survey of RSD patients done by researchers at Johns Hopkins University found that 47 percent of patients reported they had considered suicide.</p>
<p>Cold weather often is a trigger for a flare-up, but some people also are affected by heat.</p>
<p>&#8220;It&#8217;s a very perplexing syndrome,&#8221; Broatch said. &#8220;Most people really do get well, but there is a strong subset of 20 to 30 percent of people who never get rid of it.&#8221;</p>
<p>Because there are no medical tests for RSD, patients may have to endure pain for years, seeing an average of five doctors before they get an accurate diagnosis. Broatch said one of the challenges facing patients is the subjective nature of pain, which can be hard to measure. Physicians also typically aren&#8217;t trained in how to treat patients with chronic pain, and some may view their patient&#8217;s discomfort as psychological rather than physical.</p>
<p><strong>Depressed, too</strong></p>
<p>Even after working as a licensed practical nurse for 35 years, VanCuren had never heard of RSD. Apparently, neither had most of the dozen physicians she saw in the years following her fall. She underwent knee surgeries to repair torn meniscus and remove a cyst, while another doctor told her she needed a total knee replacement. All the while, both of her knees continued to swell and take on a purplish hue.</p>
<p>Eventually, the pain made it too hard to continue working, and VanCuren went out on disability.</p>
<p>Depression settled in &#8212; a common occurrence for those battling RSD &#8212; and she continued to seek out a health care professional who could figure out what was wrong. Even after she was diagnosed two years ago, sustained relief was hard to find.</p>
<p>But earlier this year, VanCuren spent five days at Hahnemann University Hospital in Philadelphia, where she underwent five days of treatment with intravenous lidocaine, a local anesthetic that stops nerves from sending pain signals. The treatment reduced her pain as well as her depression symptoms.</p>
<p>Six months later, the effects have faded. Doctors have recommended another infusion, but her insurance won&#8217;t cover the $42,000 cost.</p>
<p>As she looks at other options, she takes nine kinds of medicines, including anti-depressants and pain medication. None are narcotics because she has a sensitivity to them.</p>
<p>&#8220;She puts on a brave face because she&#8217;s very tolerant of pain. But I can tell by the tone of her voice how she&#8217;s feeling,&#8221; said Wayne VanCuren, who has been married to Anne for 13 years. &#8220;It&#8217;s an invisible affliction.&#8221;</p>
<p><strong>&#8216;It&#8217;s really hell&#8217;</strong></p>
<p>Pain modification is key for people with RSD, Broatch said. Medications can help, but physical or occupational therapy can make a difference, although in some cases the therapy can cause more pain before it eventually decreases. Sleep also is critical.</p>
<p>Autumn Stevens, 32, of Harrington, has lived with RSD after a rollover vehicle accident when she was 21. It took her five years to get a diagnosis. On occasion, she&#8217;s had to go to the hospital because the pain is so intense, yet she&#8217;s faced skepticism from medical personnel who don&#8217;t know about her condition and don&#8217;t realize her sensitivity to being touched.</p>
<p>&#8220;I&#8217;ve had doctors think I was faking. You&#8217;re treated as a drug-seeker,&#8221; said Stevens, who takes a low dose of narcotics.</p>
<p>Even simple acts like getting her two kids to and from school are painful in the colder months. &#8220;If the air temperature isn&#8217;t right, it just burns,&#8221; she said. &#8220;It&#8217;s really hell.&#8221;</p>
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<p>Click <a href="http://www.delawareonline.com/article/20111115/HEALTH/111150338/Living-reflex-sympathetic-dystrophy" target="_blank">here</a> to read the original article online.</p>
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		<title>People: Therapy Overcomes Complex Regional Pain Syndrome : Anita L. Davis</title>
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		<pubDate>Mon, 11 Jul 2011 02:54:20 +0000</pubDate>
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		<description><![CDATA[&#160; Therapy Overcomes Complex Regional Pain Syndrome By Greg Thompson Posted on: June 28, 2011 Kicking a soccer ball without shoes does not usually lead to complex regional pain syndrome (CRPS), but for one 13-year-old girl the seemingly innocuous incident yielded &#8230; <a href="http://rsdscrpsnews.wordpress.com/2011/07/11/people-therapy-overcomes-complex-regional-pain-syndrome-anita-l-davis/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1148&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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<h1 id="ctl01_cphContent_PagedEditorialViewer1_articleDates_lblArticleTitle"><span style="color:#000000;">Therapy Overcomes Complex Regional Pain Syndrome</span></h1>
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<p id="ctl01_cphContent_PagedEditorialViewer1_articleDates_lblByline"><span style="color:#000000;">By Greg Thompson</span></p>
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<div><span style="color:#000000;">Posted on: June 28, 2011</span></div>
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<div id="ctl01_cphContent_PagedEditorialViewer1_MerionAds1_adDiv"><span class="Apple-style-span" style="color:#000000;">Kicking a soccer ball without shoes does not usually lead to complex regional pain syndrome (CRPS), but for one 13-year-old girl the seemingly innocuous incident yielded a sprain, hairline fracture and a lot of misery. After a year of largely unsuccessful therapy, the young woman ended up in the capable hands of Anita L. Davis, PT, DPT, a physical therapy coordinator at Jacksonville, FL-based Brooks Rehabilitation.</span></div>
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<p><span style="color:#000000;">Nine sessions filled with weight-bearing exercises, resisted walking, balance drills and jumping activities helped the girl return to running and kicking a soccer ball. All the while, pain ratings gradually decreased.</span></p>
<p><span style="color:#000000;">Unlikely triggers are all part of the chronic pain landscape, but most CRPS conditions stem from traumatic injuries and sprains, with fractures and post-surgical complications topping the list of causes. &#8220;I have seen cases where an arthroscope on an ankle just to debride some tissue led to CRPS,&#8221; said Dr. Davis. &#8220;A routine bunionectomy may yield complications that lead to the condition.&#8221;</span></p>
<p><span style="color:#000000;">Diane Hartley, PT, DPT, recalls one patient who got hit in the heel with a grocery cart, yet another minor event that led to major suffering. &#8220;Trauma is the number-one cause,&#8221; said Dr. Hartley, owner of Hartley Physical Therapy, St. Petersburg, FL. &#8220;With the grocery cart, the heel cord was not torn. It was a minor soft-tissue injury that developed into severe CRPS.&#8221;</span></p>
<p><span style="color:#000000;">Severe cases are Dr. Hartley&#8217;s specialty, and she believes that for too long therapists believed such patients were beyond help. Rehab specialists often treaded too lightly because they feared exacerbating symptoms. <img src="http://physical-therapy.advanceweb.com/SharedResources/Images/2011/062711/Therapy_300x.jpg" alt="" align="right" border="10" hspace="6" vspace="6" /></span></p>
<p><span style="color:#000000;">&#8220;You should not be afraid to exercise patients,&#8221; said Dr. Hartley. &#8220;Moderation is the key. If you overstimulate the sympathetic nervous system with pain, then you are going to have more pain &#8211; and the CRPS is going to get worse.&#8221;</span></p>
<p><span style="color:#000000;">But how much pain is too much? Rachel Feinberg, PT, DPT, believes PTs are operating under a fundamental misconception that pain will worsen CRPS. &#8220;We are taught not to put people in high levels of pain,&#8221; said Dr. Feinberg, director of physical therapy, Feinberg Medical Group, Palo Alto, CA. &#8220;But until you understand the disease, you must know that part of the treatment is, unfortunately, to cause people a lot of pain &#8211; and have them work through that high level of pain.&#8221;</span></p>
<p><span style="color:#000000;"><strong>Symptoms and Strategies</strong></span></p>
<p><span style="color:#000000;">Dr. Feinberg contends that the most difficult part of treating CRPS is dealing with subjective levels of intense pain. This subjectivity can lead to disbelief among many medical professionals, many of whom are not familiar with complex chronic pain diseases such as CRPS.</span></p>
<p><span style="color:#000000;">&#8220;There are objective symptoms such as temperature, sweating and color changes,&#8221; explained Dr. Feinberg. &#8220;But if these symptoms are not present during the 15 minutes that patients are in the doctor&#8217;s office, the patient can sound like a hypochondriac. Sometimes CRPS is not sparked by a traumatic event. You can get if from a hangnail or stubbing your toe. If the doctor is not familiar with CRPS, it can look like the patient is making it up.&#8221;</span></p>
<p><span style="color:#000000;">Patients usually arrive at Dr. Feinberg&#8217;s office after referrals from orthopedic physicians, pain management docs, physiatrists or anesthesiologists. One patient came her way after trigger-finger surgery proved unsuccessful. In fact, the surgery made the woman&#8217;s right hand worse, leaving her unable to use her third, fourth and fifth digits.</span></p>
<p><span style="color:#000000;">The index finger and thumb were only operating at about 10 percent of normal, with all fingers in a contracted position. The first strategy was a heavy dose of education. &#8220;Some patients think they are going crazy, so I assure them that symptoms are normal, which calms them down,&#8221; said Dr. Feinberg. &#8220;I move on to relaxation breathing, which includes mental imagery, because I am going to ask them to work through high levels of pain. At that point, I see where they are starting from. If it&#8217;s an upper extremity, I see how much range of motion they are capable of. If it&#8217;s lower extremity, I see how much weight they can bear.&#8221;</span></p>
<p><span style="color:#000000;">Dr. Feinberg typically does not touch patients or force movements when working through CRPS manual therapy. Instead, she leaves patients in control, believing that this ability to dictate the pace ultimately pushes boundaries.</span></p>
<p><span style="color:#000000;">&#8220;Desensitization follows,&#8221; added Dr. Feinberg. &#8220;This can include rubbing hands against a piece of cloth or jeans. We continue to build from there.&#8221;</span></p>
<p><span style="color:#000000;">Building a foundation for healing can often involve reforming the crucial mind-body connection. In the case of CRPS, these brain-based methods include innovations such as mirror box therapy, originally used for phantom-limb syndrome. Dr. Feinberg used it with her hand patient, and she believes it has potential.</span></p>
<p><span style="color:#000000;">Imagine standing at a full-length mirror, but the mirror is facing the right hand, and blocking the left hand. It may be a bit hard to visualize, but the mirror makes the right hand look like the left hand.</span></p>
<p><span style="color:#000000;">&#8220;You are looking in the mirror and seeing your right hand, but actually you are seeing a left hand that is OK and moving well,&#8221; explained Dr. Feinberg. &#8220;You are using the vision pathway to trick the brain into thinking that your left hand is OK. You are changing a pathway in the brain that has been sending inhibitory and painful signals. You are telling it through the vision pathway that you are fine.&#8221;</span></p>
<p><span style="color:#000000;"><strong>Cure or Manage?</strong></span></p>
<p><span style="color:#000000;">The stakes are high with CRPS, because cases left untreated can lead to severe disability. &#8220;I&#8217;ve heard of people who have even committed suicide,&#8221; lamented Dr. Hartley.</span></p>
<p><span style="color:#000000;">&#8220;There are people who can&#8217;t walk again because they can&#8217;t have any limb touch the ground. They don&#8217;t leave their house because clothing can&#8217;t touch their skin,&#8221; she said.</span></p>
<p><span style="color:#000000;">With so much riding on successful treatment, just how much can be done? In most cases, there are no quick fixes. For Dr. Hartley, who herself suffered from CRPS brought on by a whiplash injury, diagnosis came early but recovery took a long time. &#8220;It took me several years,&#8221; she revealed. &#8220;The key was balancing proper sleep with pain control, all while exercising &#8211; but not to the point that it overstimulated the sympathetic nervous system.&#8221;</span></p>
<p><span style="color:#000000;">Can CRPS be totally cured? Ask three PTs and you are likely to get three different answers. In Dr. Hartley&#8217;s opinion, the answer is an unequivocal yes. &#8220;You can be totally cured,&#8221; she said. &#8220;I have absolutely no signs or symptoms of CRPS, and I&#8217;ve gone through several other surgeries to different parts of the body, plus other bad traumas. It won&#8217;t be quick, but patients can overcome it.&#8221;</span></p>
<p><span style="color:#000000;">Dr. Feinberg disagreed, contending that minimizing and managing the condition is the best hope. &#8220;I do not think CRPS is curable,&#8221; she said. &#8220;In the very best case, it is in remission and you can get back to almost your full life. That is even rare from what I have seen, but I tend to see the worst cases. Usually it is more about managing the symptoms. I compare it to diabetes because patients can usually relate to that, although they are completely different from a clinical perspective.&#8221;</span></p>
<p><span style="color:#000000;">Dr. Davis took a middle ground on the question, preferring to peg full recovery as a lack of clinically significant symptoms.</span></p>
<p><span style="color:#000000;">&#8220;I think we can take CRPS patients to a point where they don&#8217;t present with signs and symptoms strong enough to meet the diagnostic criteria,&#8221; said Dr. Davis. &#8220;They may still have small impairments in strength, mobility, temperature or color from time to time, but it would be clinically insignificant. With my young lady who played soccer, her temperature differences on discharge were less than a degree, which is within normal range. And her color differences were much better.&#8221;</span></p>
<p><span style="color:#000000;">Functionally, she&#8217;s playing like a young teenager again, added Dr. Davis.</span></p>
<p><span style="color:#000000;">&#8220;We&#8217;ve definitely got her on the right track. However, as she progresses to adulthood, that ankle may be vulnerable if it gets sprained again in the future. Under the right circumstances, some of those patterned reflexes of pain may initiate much more readily in her than in somebody else who has not had her previous experience.&#8221; </span></p>
<p><span style="color:#000000;"><em>Greg Thompson is a freelance writer in Fort Collins, CO.</em></span></p>
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<p><span style="color:#000000;"><strong>A Question of Terms</strong></span></p>
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<p><span style="color:#000000;">PTs who have been around the block may remember the term reflex sympathetic dystrophy (RSD). More than a decade ago, the constantly evolving rehab vernacular morphed RSD into complex regional pain syndrome (CRPS). Rachel Feinberg, PT, DPT, director of physical therapy at the Feinberg Medical Group, Palo Alto, CA, said the International Association for the Study of Pain redefined the lingo in 1993 when the RSD term no longer fully described the condition. Meanwhile, the Reflex Sympathetic Dystrophy Syndrome Association (RSDSA) opted to keep its name, and can still be found at <a href="http://www.rsds.org/"><span style="color:#000000;">www.rsds.org</span></a></span></p>
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		<title>People: Handcrafted with Love</title>
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		<pubDate>Thu, 30 Jun 2011 20:38:35 +0000</pubDate>
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		<description><![CDATA[If you haven&#8217;t been to this site, it&#8217;s worth a look and there are a lot of interesting pieces to choose from. From the site: &#8220;&#8220;Handcrafted with Love&#8221; started with a passion of mine&#8211; Designing Awareness Jewelry. This is what &#8230; <a href="http://rsdscrpsnews.wordpress.com/2011/06/30/people-handcrafted-with-love/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1143&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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<p>If you haven&#8217;t been to this site, it&#8217;s worth a look and there are a lot of interesting pieces to choose from.</p>
<p>From the site:</p>
<p>&#8220;<span class="Apple-style-span" style="line-height:27px;font-size:medium;font-family:Tahoma, Geneva, sans-serif;">&#8220;Handcrafted with Love&#8221; started with a passion of mine&#8211;</span></p>
<div align="center"><span style="font-family:Tahoma, Geneva, sans-serif;"><span style="font-family:Tahoma, Geneva, sans-serif;"><span style="font-size:medium;"><span style="color:#622d68;"><span style="font-size:medium;"><em>Designing Awareness Jewelry</em>.</span></span></span></span></span></div>
<p align="center"><span style="font-size:small;">This is what I do to unwind and relax my body, mind and soul</span></p>
<p align="center"><span style="font-size:small;">despite living with the chronic pains of <a href="http://handcraftedawarenessjewelry.com/CRPSRSDDefinition.aspx">CRPS</a>/RSD and Fibromyalgia.<br />
</span></p>
<p align="center"><span style="font-size:small;">Do I have a favorite piece of jewelry you ask&#8211; well the answer is no,<br />
</span></p>
<p align="center"><span style="font-size:small;">as I create from the heart so they all have a special feeling and meaning to me.</span></p>
<p align="center"><span style="font-size:small;"> </span></p>
<p align="center"><span style="font-size:small;">My designs include CRPS/RSD and other Awareness jewelry, key chains, a lapel pin </span></p>
<p align="center"><span style="font-size:small;">along with additional creations of non-awareness jewelry for added bling.</span></p>
<p align="center"><span style="font-size:small;">I design as I go but also enjoy working with you to create whatever piece you desire,<br />
</span></p>
<p align="center"><span style="font-size:small;">so please ask if you&#8217;d like to help design your piece of jewelry.</span></p>
<p align="center">
<p align="center">God has given me this talent and it is my job to carry it through.</p>
<div align="center"><span style="font-size:small;">God bless and thanks for your interest in my designs.&#8221;</span></div>
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<p><a href="http://rsdscrpsnews.files.wordpress.com/2011/06/halfmoonbaymez.jpeg"><img class="aligncenter size-full wp-image-1145" title="halfmoonbaymez" src="http://rsdscrpsnews.files.wordpress.com/2011/06/halfmoonbaymez.jpeg?w=500" alt=""   /></a></p>
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<p>Click <a href="http://handcraftedawarenessjewelry.com/default.aspx" target="_blank">here</a> to visit Belle&#8217;s site.</p>
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		<title>News: Woman finds pain relief with a treatment here in the Valley</title>
		<link>http://rsdscrpsnews.wordpress.com/2011/06/29/news-woman-finds-pain-relief-with-a-treatment-here-in-the-valley/</link>
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		<pubDate>Wed, 29 Jun 2011 13:43:49 +0000</pubDate>
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		<description><![CDATA[Woman finds pain relief with a treatment here in the Valley by Brandy Aguilar, Special Projects Producer azfamily.com Posted on September 21, 2010 at 9:56 PM Updated Tuesday, Sep 21 at 10:02 PM    When your body is in pain, &#8230; <a href="http://rsdscrpsnews.wordpress.com/2011/06/29/news-woman-finds-pain-relief-with-a-treatment-here-in-the-valley/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1138&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<h1>Woman finds pain relief with a treatment here in the Valley</h1>
<p><a href="http://rsdscrpsnews.files.wordpress.com/2011/06/screen-shot-2011-06-29-at-9-40-30-am.png"><img class="aligncenter size-full wp-image-1139" title="Screen shot 2011-06-29 at 9.40.30 AM" src="http://rsdscrpsnews.files.wordpress.com/2011/06/screen-shot-2011-06-29-at-9-40-30-am.png?w=500" alt=""   /></a></p>
<div id="storyInfoHolder">
<p>by Brandy Aguilar, Special Projects Producer</p>
<p>azfamily.com</p>
<p>Posted on September 21, 2010 at 9:56 PM</p>
<p>Updated Tuesday, Sep 21 at 10:02 PM</p>
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<p>When your body is in pain, feeling better is important. But for one Valley woman, it&#8217;s a struggle she&#8217;s battled for years. 3TV shows us the treatment that&#8217;s giving her a second chance and why she no longer has to trek across the country to find relief.</p>
<p>“If you touch me I would literally fall to the floor,” Barby Ingle said. “It takes your breath away.”</p>
<p>Ingle suffers from a neurological condition called Reflex Sympathetic Dystrophy or RSD. It affects everything from muscles, joints, bones even your skin.</p>
<p>“You’re going to have constant burning pain, but you also have other types of pain that come in shooting, stabbing, cutting, searing, deep bone pain,” Ingle said. “Sometimes I feel like I&#8217;m getting hit with electricity.”</p>
<p>Doctors said something as simple as a mild injury can trigger RSD. In Ingle’s case, she said her pain started eight years ago after she was rear-ended.</p>
<p>“I started with whiplash and all the surgeries I didn&#8217;t need caused it to spread,” Ingle said.</p>
<p>Ingle could no longer keep up with the demands of being a cheerleading coach. Unfortunately it took three years to find out RSD was the culprit.</p>
<p>“There was time that I lost my hope,” Ingle said.</p>
<p>Then last year, Ingle’s hope was restored after she got Ketamine infusions. Her pain went into remission, but to keep it that way, she&#8217;s had to get booster treatments on a regular basis. The problem is she had to fly to Drexel University hospital in Philadelphia, but today she no longer has to travel across the country to get rid of her pain.</p>
<p>Doctor Steven Siwek at The Pain Center of Arizona is the first in the Valley to offer these booster treatments for people suffering with RSD.</p>
<p>“Ketamine is a medication that is specifically acting on receptors that have been disrupted,” Dr. Siewek said. “We&#8217;re going to give her the ketamine infusions over the next couple of days.”</p>
<p>That process is time consuming. It takes four hours a day, over a two day period to administer one of the booster treatments. But for Ingle, it&#8217;s time well spent.</p>
<p>“I&#8217;m a still a cheerleader and I can give other people hope,” Ingle said. “I&#8217;m cheering for people in the human connection and making everybody&#8217;s life as good as it can be.”</p>
<p>September is National Pain Awareness Month. Ingle’s Power of Pain Foundation is teaming up with the Arizona Diamondbacks this Sunday to strike out chronic pain.</p>
<p>The Power of Pain Foundation will team up with the Arizona Diamondbacks to Strike Out Chronic Pain on Sunday, September 26 at Chase Field Ballpark (Diamondbacks vs. LA Dodgers) at 1:10 p.m. Discount tickets are available by calling (480) 882-1342 or by going to<a href="http://www.powerofpain.org/" target="_blank">Power of Pain</a>.</p>
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<p>Click <a href="http://www.azfamily.com/news/health/Woman-finds-pain-relief-with-a-treatment-here-in-the-Valley-103493019.html" target="_blank">here</a> for the original article online.</p>
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		<title>People: Pain sufferer heads for treatment</title>
		<link>http://rsdscrpsnews.wordpress.com/2011/05/10/people-pain-sufferer-heads-for-treatment/</link>
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		<pubDate>Tue, 10 May 2011 18:07:39 +0000</pubDate>
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		<description><![CDATA[Pain sufferer heads for treatment By Rob Kuznia Staff Writer Posted: 04/05/2011 07:27:57 PM PDT Updated: 04/07/2011 10:39:30 AM PDT For Joseph Martinez, life has been a downward spiral for the past six months, dragging the Torrance teen from a state of &#8230; <a href="http://rsdscrpsnews.wordpress.com/2011/05/10/people-pain-sufferer-heads-for-treatment/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1134&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<h1 id="articleTitle">Pain sufferer heads for treatment</h1>
<div id="articleByline">By Rob Kuznia Staff Writer</div>
<div id="articleDate">Posted: 04/05/2011 07:27:57 PM PDT</div>
<div id="articleDate">Updated: 04/07/2011 10:39:30 AM PDT</div>
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<p>For Joseph Martinez, life has been a downward spiral for the past six months, dragging the Torrance teen from a state of normalcy into one of constant, inexplicable pain that has robbed him of an entire school year and left him bed-bound since fall.</p>
<p>But on Tuesday, the 14-year-old, whose plight was detailed by the Daily Breeze on March 25, finally caught a break.</p>
<p>Aided by ambulance crews, the former baseball player and student at the St. Catherine Laboure school was loaded by gurney into a medical aircraft, moaning in pain all the while. The plane was headed for Lucile Packard Children&#8217;s Hospital in Stanford, one of a handful of U.S. medical centers equipped to treat children with complex regional pain syndrome, the rare disorder bedevilling him.</p>
<p>Previously, the family&#8217;s health-care provider had refused to authorize treatment for Joseph on the grounds that the plan only covered expenses for services rendered within the network, which is limited to the South Bay.</p>
<p>Late last week, however, the health provider &#8211; THIPA &#8211; had a change of heart. As a result, Joseph and his mother, Susan, boarded the plane Tuesday morning at Torrance Municipal Airport, as five teary-faced members of his family looked on.</p>
<p>&#8220;This is the start of the journey he should have been on five months ago,&#8221; said his grandmother, Virginia <span class="Apple-style-span" style="font-size:13px;line-height:22px;">Dilliner.</span></p>
<p>Dilliner added that just seven months ago, when she came to visit the family from her home in New Mexico, Joseph was well enough to answer the door.</p>
<p>&#8220;By January, he couldn&#8217;t even walk,&#8221; she said. &#8220;Everybody misses him so much.&#8221;</p>
<p>Afflicting between 200,000 and 1.2 million Americans, complex regional pain syndrome is characterized by severe and relentless pain due to misfiring nerves, which in turn send pain signals to the brain, according to the Reflex Sympathetic</p>
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<div><a href="http://www.dailybreeze.com/portlet/article/html/imageDisplay.jsp?contentItemRelationshipId=3682890" target="_new"><img title="" src="http://extras.mnginteractive.com/live/media/site577/2011/0405/20110405__painmartinez2_400.JPG" alt="" width="400" height="235" border="0" /></a></p>
<div>Joseph Martinez writhes in pain in the ambulance before being air transported to Northern California where he will undergo treatment for his chronic pain syndrome. (Brad Graverson / Staff Photographer)</div>
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<p>Dystrophy Syndrome Association.So extreme is the misery of the sufferers that the association once used the following slogan to describe the condition, formerly known as reflex sympathetic dystrophy: &#8220;If hell were a medical condition, it would look like RSD.&#8221; (In 2008, the association changed the slogan to &#8220;Take Flight with Hope.&#8221;)</p>
<p>In Joseph&#8217;s case, doctors within his network were perplexed by his symptoms. Some erroneously suggested it was psychological &#8211; pain experts say it is neurological &#8211; and others prescribed heavy-duty pain medications such as methadone, which briefly turned him into an addict.</p>
<p>Meanwhile, Joseph&#8217;s classmates organized a fundraising drive. Since the March 21 launch, they&#8217;ve raised $26,000.</p>
<p>&#8220;We are still working to raise more money, because we know how expensive the treatment is,&#8221; said Kathleen Gorze, the school&#8217;s principal, adding that the treatment is estimated to cost $17,000 a week. &#8220;And we know insurance isn&#8217;t going to cover it all.&#8221;</p>
<p>Gorze said she has been amazed by the public outpouring.</p>
<p>&#8220;We&#8217;ve had some people walk in off the street with $40 and say, `Sorry I can&#8217;t give more,&#8221;&#8216; she said.</p>
<p>Among the donors was a 3-year-old girl who went door to door in her neighborhood with her parents to raise money for the family. The girl recently came to the principal&#8217;s office to deliver her yield: $21.50.</p>
<p>As for the medical provider, it reversed course in part due to the wheedling of Dr. Lonnie Zeltzer, director of the pediatric pain program at Mattel Children&#8217;s Hospital at UCLA. Zeltzer was the 19th doctor the family had visited, and the first to tell Joseph in no uncertain terms that she believed him, the family said.</p>
<p>On Tuesday, Zeltzer said most insurance companies and health-care providers do not understand complex regional pain syndrome.</p>
<p>&#8220;They think it&#8217;s psychological, not real pain,&#8221; she said Tuesday. THIPA, she said, was the same way. &#8220;It&#8217;s not that they were evil, it&#8217;s just that they didn&#8217;t understand.&#8221;</p>
<p>Fortunately, Zeltzer said, the director of the medical group had previous training in pain management, and so understood the gravity.</p>
<p>&#8220;She was an advocate within the system, and explained it to the CEO,&#8221; she said. &#8220;She needed a lot of documentation from me.&#8221;</p>
<p>Zeltzer said that by the time Joseph came into her office in January, he&#8217;d gone for too long without proper treatment.</p>
<p>&#8220;When I saw him in the waiting room, he was screaming; he kept apologizing between the screams,&#8221; she said.</p>
<p>Because Zeltzer&#8217;s program doesn&#8217;t have an in-patient component, she can&#8217;t treat him. She said she regularly sends children with the disorder to the Stanford program, which is headed up by Dr. Elliot Krane.</p>
<p>&#8220;I&#8217;ve referred many patients to him, and they&#8217;ve all gotten better, even though they were train wrecks when they first got there,&#8221; she said. &#8220;He&#8217;s superb.&#8221;</p>
<p>Zeltzer said she expects Joseph will stay in Stanford for at least three weeks. There, he will undergo intensive physical therapy, with specialists reteaching him how to walk. Psychologists and psychiatrists will help him with depression and anxiety.</p>
<p>Complex regional pain syndrome tends to be triggered by a traumatic event, such as a car accident or medical procedure. In Joseph&#8217;s case, the family believes the catalyst was an episode of food poisoning that left him with flu-like symptoms.</p>
<p>There is no cure for CRPS, but the disease can be slowed, according to PubMed Health, a consumer health website produced by a division of the National Institutes of Health.</p>
<p>The Martinez family is a single-income household, with Susan holding down a job as a project dispatcher at Triumph Aerostructures in Hawthorne. The father, Justin &#8211; who himself suffers from a spinal disease &#8211; is Joseph&#8217;s primary caretaker during the day.</p>
<p>On the airport runway Tuesday, Justin&#8217;s three siblings, father and grandmother hugged tearfully as the plane carrying Joseph and Susan roared away.</p>
<p>Matthew, the eldest, said it seems like yesterday when he&#8217;d come home from school to find his smiling brother in the living room, playing video games such as &#8220;Call of Duty.&#8221;</p>
<p>&#8220;He&#8217;s really good at it,&#8221; said Matthew, who will attend California State University, Long Beach, as a freshman in the fall. &#8220;Now he&#8217;s just moaning and screaming.&#8221;</p>
<p>Justin said he has been overwhelmed by the community&#8217;s response.</p>
<p>&#8220;The economy&#8217;s bad, people are jobless are out there,&#8221; he said. And yet &#8220;we have people out there (who say) `I can&#8217;t afford to send much, here&#8217;s $20.&#8217; &#8230; It&#8217;s just amazing. It feels good.&#8221;</p>
<p><a href="mailto:rob.kuznia@dailybreeze.com">rob.kuznia@dailybreeze.com</a></p>
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<div>Click <a href="http://www.dailybreeze.com/ci_17778772?IADID=Search-www.dailybreeze.com-www.dailybreeze.com" target="_blank">here</a> for the original article online.</div>
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		<title>Article: Fresh hope through the looking glass : Another look at Mirror Therapy for RSDS/CRPS</title>
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		<pubDate>Sun, 03 Apr 2011 22:51:26 +0000</pubDate>
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		<description><![CDATA[Fresh hope through the looking glass Julia Medew September 3, 2010 AUSTRALIAN hospitals are using a remarkable new treatment that effectively tricks the brain of an injured patient into thinking their problem has deteriorated or gone away. Austin Health physiotherapist &#8230; <a href="http://rsdscrpsnews.wordpress.com/2011/04/03/article-fresh-hope-through-the-looking-glass-another-look-at-mirror-therapy-for-rsdscrps/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1131&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<h1>Fresh hope through the looking glass</h1>
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<div>
<h5>Julia Medew</h5>
<p><cite>September 3, 2010</cite></div>
<div>
<p>AUSTRALIAN hospitals are using a remarkable new treatment that effectively tricks the brain of an injured patient into thinking their problem has deteriorated or gone away.</p>
<p>Austin Health physiotherapist Anne Daly said the technique, which involves the use of mirrors, was helping patients recover from Complex Regional Pain Syndrome, a gruelling condition that causes unrelenting pain in a person&#8217;s limb, usually after they have suffered an injury.</p>
<p>She said research showed that getting patients with the syndrome to practise exercises with both their non-affected and affected limbs while looking in a mirror had helped to reprogram the cause of their syndrome deep within their brains.</p>
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<p>The technique, she said, appeared to be unravelling changes in the brain that had started to couple particular movements in the affected limb with sensation and pain.</p>
<p>&#8221;The brain is so complex that a lot of this is underneath what someone can think their way in or out of,&#8221; she said.</p>
<p>&#8221;Around a third of the patients that I have used this with are significantly better, a third are somewhat better, and about a third don&#8217;t seem to change. When you are looking at outcomes in chronic pain, that is very good.&#8221;</p>
<p>Dr Eric Visser, a pain medicine specialist and anaesthetist at Fremantle Hospital, said the therapy had also been used successfully with amputees who experienced sometimes excruciating &#8221;phantom limb pain&#8221; when the brain continues sending faulty signals to the limb that is no longer there.</p>
<p>By using a mirror to reflect the healthy limb, patients could start to feel as though they are seeing and moving their missing limb to relieve discomfort.</p>
<p>&#8221;We are becoming more holistic when it comes to treating pain,&#8221; Dr Visser said.</p>
<p>&#8221;Most people &#8211; and that includes doctors &#8211; have a very traditional idea of what pain is, i.e. a nerve impulse travels to the brain and we feel pain. But treatments like nerve blocks and medication are often not successful and more and more research is showing that pain is much more of a whole-person experience.&#8221;</p>
<p>One of Ms Daly&#8217;s patients, Wendy Mackellow Barker, said she was sceptical about the therapy at first, but it had started to relieve the symptoms of the syndrome in her foot.</p>
<p>The sensation of moving her unaffected foot in the mirror drew some of the discomfort away from her affected foot.</p>
<p>&#8221;It can actually feel quite nice when you do it,&#8221; she said. &#8221;It&#8217;s a slow process but it&#8217;s making me feel like I&#8217;m regaining control.&#8221;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>Click <a href="http://www.brisbanetimes.com.au/national/fresh-hope-through-the-looking-glass-20100902-14rof.html" target="_blank">here</a> for the original article online.</p>
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		<title>News: Vancouver woman sentenced for pharmacy robbery</title>
		<link>http://rsdscrpsnews.wordpress.com/2011/02/28/news-vancouver-woman-sentenced-for-pharmacy-robbery/</link>
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		<pubDate>Mon, 28 Feb 2011 19:16:51 +0000</pubDate>
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		<description><![CDATA[&#160; Steve Corzine and his wife, Larae Corzine, were featured in an April 2009 Columbian article about the fallout of the Payette Clinic&#8217;s losing its ability to prescribe painkillers. Larae Corzine, implicated in the robbery of a pharmacy and the &#8230; <a href="http://rsdscrpsnews.wordpress.com/2011/02/28/news-vancouver-woman-sentenced-for-pharmacy-robbery/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=rsdscrpsnews.wordpress.com&amp;blog=13069234&amp;post=1128&amp;subd=rsdscrpsnews&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
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<h5 style="text-align:center;">Steve Corzine and his wife, Larae Corzine, were featured in an April 2009 Columbian article about the fallout of the Payette Clinic&#8217;s losing its ability to prescribe painkillers. Larae Corzine, implicated in the robbery of a pharmacy and the attempted robbery of another, was sentenced Monday to 16 months in prison.</h5>
<h2></h2>
<h2>Vancouver woman sentenced for pharmacy robbery</h2>
<h3>Vancouver resident, who became addicted to Oxycontin as a patient at pain clinic, gets</h3>
<div>
<p>By <a href="http://www.columbian.com/staff/laura-mcvicker/">Laura McVicker</a><br />
Columbian Staff Reporter</p>
<p>Originally published February 7, 2011 at 5:14 p.m., updated February 7, 2011 at 6:25 p.m.</p>
</div>
<div>
<div>
<h4>More like this</h4>
<p><a href="http://www.columbian.com/news/2010/aug/27/woman-accused-in-pharmacy-robberies-officials-say/">Woman accused in Bi-Mart pharmacy robberies</a></p>
<p><a href="http://www.columbian.com/news/2010/jun/18/woman-robs-bi-mart-crashes/">Alleged Bi-Mart robber flees, hits SUV, deputies say</a></p>
<p><a href="http://www.columbian.com/news/2011/jan/07/four-file-lawsuit-against-vancouver-pain-clinic/">Four file lawsuit against Vancouver pain clinic</a></p>
<p><a href="http://www.columbian.com/news/2010/jun/27/collins-faces-16-years-on-more-charges/">Collins faces 16 years on more charges</a></p>
<p><a href="http://www.columbian.com/news/2010/sep/10/federal-way-man-gets-10-years-for-pharmacy-robberi/">Federal Way man gets 10 years for pharmacy robberies</a></p>
</div>
<p>Having become addicted to Oxycontin as a patient of a controversial pain clinic, a Vancouver woman robbed a pharmacy last June, then tried to rob another less than two hours later.</p>
<p>On Monday, Larae Corzine, 40, pleaded guilty to charges relating to both events and was sentenced to 16 months in prison.</p>
<p>She was a patient at the Vancouver-area Payette Clinic, now called Walnut Grove Medical &amp; Mental Health Clinic, which forfeited its ability to prescribe painkillers in March 2009 following a state and federal investigation that found practitioners were overprescribing opioids.</p>
<p>The enforcement action suddenly cut off hundreds of patients’ prescriptions for pain medications, triggering what some doctors later termed a public health crisis.</p>
<p>Corzine pleaded guilty to second-degree attempted robbery relating to an incident at the Vancouver Clinic pharmacy, 501 S.E. 172nd Ave., and second-degree robbery relating to a holdup at the Bi-Mart pharmacy, 11912 N.E. Fourth Plain Blvd. Both crimes occurred on June 18.</p>
<p>She also pleaded guilty to attempt to elude an officer because she fled from police following the Bi-Mart robbery, crashed her Ford Taurus and broke her foot.</p>
<p>She was still using a wheelchair Monday because of the injury.</p>
<p>“She was being prescribed giant dosages,” her attorney, Brian Walker, said in court. “It drove her to this crime.”</p>
<p>“She does not recognize herself,” Walker added to Clark County Superior Court Judge Roger Bennett. “This is simply not something she would do.”</p>
<p>Bennett imposed the sentence, which will include credit for the 230 days she’s spent in the Clark County Jail. He said he appreciated knowing about Corzine’s drug addiction, but that it wouldn’t soften the sentence.</p>
<p>“It gives us a motive, but not an excuse,” Bennett said.</p>
<p>Corzine was featured in an April 2009 article about the Payette Clinic on The Columbian’s front page, in which she told a reporter that her husband, Steve, was a patient there. She omitted the fact that she also had been a patient for three years.</p>
<p>She told the reporter that her husband suffered from reflex sympathetic dystrophy and was in pain, was not an addict, and needed help.</p>
<p>“The pain is 10 times worse than it’s ever been,” Corzine told The Columbian in 2009. “He’s vomiting and shaking. I’m surprised he hasn’t gone into seizures.”</p>
<p>Corzine was arrested following the Bi-Mart robbery in June. After she was taken to Southwest Washington Medical Center and later jailed, investigators linked Corzine to the other robbery attempt through surveillance video and witness identifications, according to court documents.</p>
<p>Deputy Prosecutor Alan Harvey said that during the Bi-Mart robbery, she told a clerk that “she’s going to shoot them in the head” if she didn’t receive Oxycontin.</p>
<p>She took off with an undisclosed number of pills.</p>
<p>An hour and a half before this robbery, Harvey said, Corzine tried to rob the Vancouver Clinic and a pharmacy clerk told police that she had a gun in her waistband.</p>
<p>Harvey said investigators couldn’t find more-concrete evidence on whether Corzine was armed, preventing him from pursuing a first-degree robbery charge at trial.</p>
<p>There was also evidence that Corzine might have been the bandit in two previous Bi-Mart robberies, Harvey said. But her defense attorney said surveillance video showed a person with different physical features.</p>
<p>The Payette Clinic drew controversy after the highly publicized December 2008 overdose death of an Oregon teenager was linked to Payette. The girl, Rachel Daggett, had been smoking an oxycodone pill originally prescribed to a Payette patient.</p>
<p>A wrongful death suit in her case is pending in Multnomah County Circuit Court. A medical malpractice suit with four plaintiffs also is pending in Clark County.</p>
<p>In spring 2009, hundreds of Payette patients, suddenly cut off from their opioid prescriptions, swarmed hospitals and urgent care centers, causing what some physicians called a public health crisis.</p>
<p>They were described as severely addicted or suffering extreme withdrawal symptoms.</p>
<p>Laura McVicker: 360-735-4516 or <a href="mailto:laura.mcvicker@columbian.com">laura.mcvicker@columbian.com</a>.</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>Click <a href="http://www.columbian.com/news/2011/feb/07/vancouver-woman-sentenced-for-pharmacy-robberies/" target="_blank">here</a> for the original article online.</p>
<p>&nbsp;</p>
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