Cymbalta and Savella block the pain signals going from the spinal cord to the extremity, with the presenter liking Savella best (Savella tends to need an anti-nausea drug and an anti-headache drug in combo). I personnally prefer Cymbalta.
Exercise and PT are crucial, must do daily with the Goal of Restoring Function---there is a fine balance between honoring the pain and ignoring the pain.
Full Immobilization increases RSD symptoms and should be avoided--however there are many ways to protect, slightly immobilize, and then allow function
PT Goals are to Restore function and learn how to properly adjust limb movements
PT with a new RSD onset must stay below pain level, varies day to day
PT with a Chronic RSD must be more about restoring function
Time focused PT---at times avoid pain, at times push through pain
Marketed in Europe
Marketed as Normast or PeaPure
Used for Neuropathic pain
Presently being experimented with
DMSO 50% successful if applied with other topicals 5 times day
Better affect in warm RSD
Must get 99.9% purity
NAC is an Antioxidant
It is better used in Cold RSD
Use Vitamin C 500mg for 45 days, and with flares
I have attached below an email from a patient actively looking for help with her CRPS. I provided the checklist and she outlined all of the treatments she was working with. It takes a tremendous effort to gain back your life. The notes from this conference as I retype constantly remind me how little I know, but definitely the medical world and those who are suffering are being to find answers.