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CRPS Skin Blisters: Another Painful Side Effect

July 17, 2018

By Dr. Michael J. Cooney, Clinical Director

When complex regional pain syndrome (CRPS) is discussed, the primary focus is the extreme and widespread nerve pain caused by the disease.

The neuropathy can quickly affect mobility, being able to work or attend school, diminish socialization and decrease the overall quality of life.

In cases where the person’s CRPS has exacerbated over a long period of time, some people develop skin abnormalities which can take on varying presentations and can also cause a great deal of discomfort.

For some people, the skin issues result in blisters or lesions that do not heal.

CRPS Skin Manifestations

Approximately 71 percent of patients with CRPS for a duration of at least five years have skin manifestations in varying degrees of severity.

These skin changes usually present in the combination of a rash, mottling, cyanosis or erythema resulting in circular lesions generally up to one inch in diameter.

Some patients’ lesions appear as spontaneous recurring bruises which may or may not be near the pain site/s.

During the course of the condition, the skin can also become shiny and highly sensitive to touch, or even the wind.

Fingernails are ridged, thin, and break easily. Overall, there may also be eventual muscle atrophy (weakness).

In addition to CRPS-specific changes, patients may also experience often have concomitant venous stasis (slow blood flow in the veins, usually the legs), cellulitis (a bacterial infection under the skin surface characterized by redness, warmth, swelling and soreness), and skin ulceration.

Calmare’s Role in Healing Skin Lesions

I have performed Calmare Therapy since 2011. About 40 percent percent of our RSD / CRPS patients arrive at our clinic with some kind of skin abnormality.

The cause of these skin blisters / lesions or malformations is unclear, but my opinion is that they may be attributed to the ongoing result of brain misinterpretation or ongoing blood flow issues.

While we are not sure of the etiology, we have seen a surprisingly rapid decrease (healing) of these skin issues in CRPS patients for whom Calmare is successful.

As you can see from the examples below, the results are very significant after just a 2-week course of 10 Calmare Therapy treatment sessions.

Bridget (name changed for patient privacy):

Bridget Overcomes Full Body CRPS Physical Side Effects with Calmare Pain Therapy

Before 10 scrambler therapy treatments performed over a 2-week period:

After undergoing 10 Calmare Therapy treatments:

 

Austin 

This 18-year-old male patient had open sores on his affected areas for such a long period of time, he could not recall when they first presented.

Before 10 scrambler therapy treatments performed over a 2-week period:

After undergoing 10 Calmare Therapy treatments:

Have CRPS Treatment Efforts Failed You?

The majority of our patients have already tried all the medications, painful treatments, Ketamine, spinal cord stimulators (SCS), etc., without success.

But even with all these disappointments, they have not given up hope.

If you are battling CRPS, I will speak with you personally about your case and together, we will come to a mutual determination if Calmare might be a suitable therapy option for you.

calmare, pain management, chronic pain, scrambler therapyShould you wish to speak with one of our CRPS patient volunteers who has already had Calmare Therapy, we will be happy to make a referral for you via our exclusive Patient-2-Patient program.

Feel free to contact me directly by calling (201) – 933-4440 or privately email us at Calmarenj@gmail.com.

We will reply to your message within 48 hours.

Until then, wishing you a low pain day, and many more on the road ahead.

Featured post

Bridget Overcomes Full Body CRPS Physical Side Effects with Calmare Pain Therapy

September 30, 2015

By Dr. Michael J. Cooney, Clinical Director, Calmare Therapy NJ

One of the challenges treating (and fighting) chronic pain is that you usually can’t see it. Often, there are no outward signs of the neuropathy—no visible bruises, cuts or other physical symptoms.

But for some patients battling complex regional pain syndrome (CRPS) and other conditions, the discomfort from physical symptoms can actually rival the chronic pain.

CRPS is a notoriously difficult condition to treat using medications or various therapeutic options. It usually develops either following injury to a peripheral nerve (type II) or as a result of trauma without obvious peripheral nerve damage (type I). It presents with a characteristic constellation of sensory, motor, autonomic and vascular signs.

“Bridget” (not her real name for privacy reasons), a registered nurse no longer able to work, came to us with one of the most severe cases of CRPS (also called RSD) lesions we have seen since Michael was here a few years ago. She sent us these images (below) before she came to NJ to ensure we understood the severity of her skin condition.

Kelly before stomach
Bridget before 3
Bridget before 4
I was not deterred; we had treated this side effect in other patients battling RSD and CRPS.  Prior to coming to New Jersey, the 40-year-old told us that she spent “most of her time in bed.” 

Bridget Tries Several CRPS Treatments Prior to Scrambler Therapy in NJ

Working with several physicians and pain management specialists, Bridget took the usual regimen of pain medications, including Neurontin, to treat her neuropathy.

She also underwent these invasive treatments:

  • Stellate ganglion blocks (sympathetic nerve block administered into the front of the neck by injection)
  • Spinal cord stimulator (SCS) a device implanted into the spinal column (she has since removed the batteries from the device, no longer needing it)
  • Ketamine infusions

Severe CRPS Lesions

Bridget before 5Now suffering from fully body CRPS after sustaining a fall in 2012, Bridget was also dealing with increasingly large and inflamed lesions on her left flank and abdomen.

Due to the severity of the lesions, she had to be hospitalized during a period when they became infected. 

Bridget arrives at Calmare Therapy NJ at a 10/10 pain level

She was in extreme discomfort when she arrived her– her pain level was unrelenting and nearly unbearable.

In addition to the lesions shown here, Bridget was also forced to deal with these ongoing side effects:

  • Allodynia
  • Numbness in different parts of her body
  • Tingling / pins and needles sensations, sweating spells 24/7
  • Skin burning sensations and intermittent swelling
  • Electrical shock sensations
  • Severe sensitivity to temperature changes

Not surprisingly, she was virtually unable to sleep–which added another set of debilitating symptoms to face–including mental exhaustion and depression.

After Calmare Therapy: She heads home without pain for the first time in 3 years

Bridget finished up her treatment cycle a few weeks ago. (Due to the severity of her case, she underwent additional treatments). By the end, she had achieved a true pain-free state for the first time in over three years. She felt so pleased with her condition, Bridget removed the batteries from her SCS.

The majority of her symptoms noted above were gone. You can also see the overall improvement in her lesions below as well.  I expect them to continubridget after 3e to dimBridget after 1inish so long as she follows our post-treatment protocol.

Bridget left us mobile and able to perform a regular daily routine without help.  One of her last statements to me before leaving was, “It feels so weird to be pain-free. I’m just stunned.”

Might Calmare Therapy Be Right for You?

Welcome to a healthcare practice that is different from most others you may be experienced. At Calmare Therapy NJ, we specialize in drug-free treatments for severe chronic pain on a personalized, one-on-one basis. And, more often than not, you’ll talk at length with me–not a nurse or a staff member–about your condition. (If I don’t think the scrambler is right for you, I’ll tell you..)

Fill out the information below and I’ll be happy to you or a loved one to chat.  .

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