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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Painful Complex Regional Pain Syndrome Be Treated?

I have had CRPS for nine years.My previous Dr. Had me on MScontin 100mg Q12hrs. And oxycodone 15 6hrs as well. Long story short my NEW Dr. Reduced me to MS60 and oxy 15 q 6 now. I have very LITTLE pain relief now.I ave undergone 7days of Ketamine IV and numerous spinal blocks etc without relief too.(I am a retired R.N. FROM ER). I need a Dr. That will give me back the same Meds,or at least 80 mg. of MS to enable me to live a normal life-I m 70 yrs old.PLEASE HELP
Fri, 20 Jul 2018
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Internal Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

It may be treated with many drugs like NSAIDs, CCB, beta blockers, Clonidine, Pregabalin, Gabapentin, Tricyclic anti- depressants, Morphine etc. Injections of local anesthetic around the sympathetic paravertebral ganglia that project to the affected body part (sympathetic ganglion blocks). Regional IV applications of Guanethidine, Bretylium, or reserpine (all of which deplete Norepinephrine in the Norepinephrine axon) to an isolated extremity blocked with a tourniquet .
Symptomatic ganglion block, intravenous region sympathetic block, Ketamine infusion or Phentolamine infusion, intravenous immunoglobulin etc.

Please consult your doctor he will examine and treat you with appropriate medication accordingly.
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How Can Painful Complex Regional Pain Syndrome Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It may be treated with many drugs like NSAIDs, CCB, beta blockers, Clonidine, Pregabalin, Gabapentin, Tricyclic anti- depressants, Morphine etc. Injections of local anesthetic around the sympathetic paravertebral ganglia that project to the affected body part (sympathetic ganglion blocks). Regional IV applications of Guanethidine, Bretylium, or reserpine (all of which deplete Norepinephrine in the Norepinephrine axon) to an isolated extremity blocked with a tourniquet . Symptomatic ganglion block, intravenous region sympathetic block, Ketamine infusion or Phentolamine infusion, intravenous immunoglobulin etc. Please consult your doctor he will examine and treat you with appropriate medication accordingly.