Tactile discrimination, but not tactile stimulation alone, reduces chronic limb pain

Tactile acuity at the back View more documents from BodyIn Mind. Lorimer Moseley G(a)(b); Zalucki Nadia M(c)(d); Wiech Katja(b) (a) Pain Imaging Neuroscience Group, Department of Physiology, Anatomy & Genetics, Le Gros Clark Building, University of Oxford, South Parks Road, Oxford OXI 3QX, United Kingdom (b) FMRIB Centre, University of … [Read more...]

Graded motor imagery is effective for long-standing complex regional pain syndrome

Graded Motor Imagery for Chronic Pain View more documents from BodyIn Mind. Abstract Complex regional pain syndrome type 1 (CRPS1) involves cortical abnormalities similar to those observed in phantom pain and after stroke. In those groups, treatment is aimed at activation of cortical networks that subserve the affected limb, for example mirror … [Read more...]

Reflections, imagery, and illusions: the past, present and future of training the brain in CRPS

RSDA

More than a century ago, Harvard Professor Charles Burnett described a set of experiments in which healthy volunteers moved their hands in front of a mirror(1). He reported that watching the reflection of their own bodies disrupted the movement and perceived position of their limbs. Since then, many philosophers and psychologists have used … [Read more...]

Is successful rehabilitation of complex regional pain syndrome due to sustained attention to the affected limb?

Graded Motor Imagery for Chronic Pain View more documents from BodyIn Mind. Abstract In complex regional pain syndrome (CRPS1) initiated by wrist fracture, a motor imagery program (MIP), consisting of hand laterality recognition followed by imagined movements and then mirror movements, reduces pain and disability, but the mechanism of effect … [Read more...]

Visual distortion of a limb modulates the pain and swelling evoked by movement

Can distorted body image contribute to symptoms View more documents from BodyIn Mind. G. Lorimer Moseley (1,2), Timothy J. Parsons (1) and Charles Spence (3) 1 Department of Physiology, Anatomy & Genetics, University of Oxford, UK 2 Prince of Wales Medical Research Institute, Sydney, Australia 3 Crossmodal Research Laboratory, Department … [Read more...]

Graded motor imagery for chronic pain

Graded Motor Imagery for Chronic PainView more documents from BodyIn Mind. Abstract Background: Phantom limb and complex regional pain syndrome type 1 (CRPS1) are characterized by changes in cortical processing and organization, perceptual disturbances, and poor response to conventional treatments. Graded motor imagery is effective for a small … [Read more...]

Neglect and CRPS – the discussion needs to continue…..

Space-based, but not arm-based, shift in tactile processing in complex regional pain syndrome and its relationship to cooling of the affected limb G. Lorimer Moseley(a), Alberto Gallace(b)(c) and Charles Spence(c) (a) Pain Group & Department of Physiology, Anatomy & Genetics, University of Oxford, UK and Prince of Wales Medical Research … [Read more...]

Letter to the BMJ – Neuropathic pain – Management is more than pills

We have one important caveat in relation to Freynhagen and Bennett’s review—that evidence based non-pharmacological treatment for neuropathic pain was absent.[1] Several randomised controlled trials show that graded motor imagery reduces pain and disability in chronic complex regional pain syndrome 1 (CRPS1) and phantom limb pain after … [Read more...]

NEMJ Mirror Therapy – comment by Lorimer Moseley

The New England Medical Journal recently published an article on Mirror Therapy for Chronic Complex Regional Pain Syndrome Type 1 after Stroke (see below for a look at what they had to say). It seems to be a really good study. That said, I wish it wasn't published as a letter only, because it is hard to rule out all the usual threats to validity - … [Read more...]

The Outcome of the Complex Regional Pain Syndrome

The 'Outcome of the Complex Regional Pain Syndrome' is another important paper by Marissa de Mos – she and her team really are making some important contributions to the CRPS knowledge base.  They got a list of people who had been diagnosed with CRPS, got in touch and then assessed all those who agreed to participate (Total number=259, … [Read more...]

Imagined movements cause pain and swelling in a patient with complex regional pain syndrome

G. Lorimer Moseley University of Queensland and Royal Brisbane & Women’s Hospital, Brisbane, Australia. Abstract Complex regional pain syndrome type 1 (CRPS1) is characterized by pain, swelling, and sudomotor and motor dysfunction. The affected limb is exquisitely sensitive, and gentle movements can exacerbate symptoms. Local or spinal … [Read more...]