Intense pain after wrist fracture — predicting CRPS

CRPS Clinics | London & New Malden

A recent study concluded that “… excessive baseline pain in the week after wrist fracture greatly elevates the risk of developing CRPS. Clinicians can consider a rating of greater than 5/10 to the question “What is your average pain over the last 2 days?” to be a “red flag” for CRPS”. Most of what we need […]

Complex Regional Pain Syndrome Update | #CRPS October 2014

CRPS Clinics | London & New Malden

Welcome to the latest review of complex regional pain syndrome research. Eur J Pain. 2014 Oct 16 Optokinetic stimulation increases limb pain and forehead hyperalgesia in complex regional pain syndrome. Knudsen LF, Drummond PD. Abstract BACKGROUND: Ambiguous visual stimuli increase limb pain in patients with complex regional pain syndrome (CRPS), possibly due to afferent sensory […]

CRPS – the narrative holds the clues |#CRPS

CRPS Clinics | London & New Malden

The story told by the patient with CRPS provides insight into their suffering, characterised and brought to life by their chosen language, body posturing, body language, and changing facial expressions. The priming for a condition frequently arises months or years before from an illness, a stressful event, a previous injury or painful event. The way in […]

Complex Regional Pain Syndrome | CRPS Research Update 31/5/12

Welcome to the May research update – see more at www.crpsuk.com ++++++++++ Pain Physician. 2012 May;15(3):255-66. Skin biopsy in complex regional pain syndrome: case series and literature review. Kharkar S, Venkatesh YS, Grothusen JR, Rojas L, Schwartzman RJ. BACKGROUND: Accumulating experimental and clinical evidence supports the hypothesis that complex regional pain syndrome type I (CRPS-I) […]

Using neuroscience to understand and treat pain

Neuroscience to treat pain and injury

I love neuroscience. It makes my job much easier despite being a hugely complex subject. Neuroscience research has cast light over some of the vast workings of our brains and helped to explain how we experience ourselves and the richness of life. An enormous topic, in this blog I am briefly going to outline the way in […]

Mastering your rehabilitation – Part 1: why exercise & train?

Specialist Pain Physio Clinics in London for pain, complex pain and injury

When we sustain an injury or experience a painful condition, our movement changes. In the early stages this can be obvious, for example we would limp having sprained an ankle. Sometimes the limp, medically termed an ‘antalgic gait’, persists without the individual being aware. This is the same for other forms of guarding that is part of […]

Neuropathic pain Update

I have looked at recent papers that focus on neuropathic pain, one of the common pain types seen in CRPS. I’m afraid that some of the research is ‘sciency’ but of course it has to be, so do not worry of you don’t fully understand the methods or the physiology. At the end of the […]

Physiotherapy Clinic in Chelsea

Chelsea Physiotherapy - Specialist Pain Physio Clinics for pain in London

Situated just off Sloane Square in Chelsea at 2, Lower Sloane Street, the physiotherapy clinic is in a convenient location close to the tube (Sloane Square) and bus stops. The Specialist Pain Physio Clinics are dedicated to treating pain and injury with modern strategies and therapies based upon the latest neuroscience to promote normal movement and healthy […]

Treatment Update

Come and see the updated treatment programme page. We are regularly updating the site so do check back. This is when there is new knowledge or research that adds to our understanding of pain and how we can best treat on-going problems.

Complex Regional Pain Syndrome – ‘it feels weird’

Brain changes

Complex Regional Pain Syndrome (CRPS) often presents with a number of signs and symptoms. The main complaints are usually pain, colour change (minute to minute sometimes), temperature change, swelling, sweating changes, skin/nail/hair changes (trophic) and an altered perception of the affected part. It is this last sense that I am going to focus upon in […]