Oldies but Goodies – What is Complex Regional Pain Syndrome – in plain English

Over this holiday season we are posting the most read articles from the last five years.  Here is the first. What is Complex Regional Pain Syndrome – in plain English What is Complex Regional Pain Syndrome? Well, complex regional pain syndrome (CRPS) is exactly that Complex: Many, many different problems have been identified in people with … [Read more...]

Should we turn away people with CRPS?

Two foods I love eating regularly (and that’s probably not a good thing for the latter) are tuna and ice cream. Thankfully, I have a firm grasp of the concept that some things just weren’t made for mixing. You might think this is a funny way to start a blog post on CRPS… but I promise you the Adelaide heat hasn’t fried my brain. I contend that … [Read more...]

It worked before but now it doesn’t? Graded Motor Imagery in Clinical Practice

While pain may be a universal experience, one experience that can often plague and frustrate everyone is that time when something works one moment but then all of a sudden doesn’t work the next. If you’ve ever had the pleasure of experiencing this you’ll find that it applies to many things in life whether it be the temperamental office photocopying … [Read more...]

A day in the life of a clinical scientist

I know that many of you out there are 'in the 'hood' with respect to writing and reviewing manuscripts. For the rest of you, here are some reviews we got on a paper concerning the development of CRPS.  I have had to remove some bits because they give away the journal and the study, which we will resubmit somewhere else. However, I think they are … [Read more...]

More on body awareness and chronic pain

Evidence has been accumulating that shows that people with chronic pain have modifications in body awareness. For example patients suffering from CRPS express feelings of foreignness towards their painful body part, distorted sense of size and shape, and difficulty determining the position of the affected limb (e.g., Lewis, Kersten, McCabe, … [Read more...]

People who can’t imagine

When I remember primary school, I remember one of my teachers cutting snot out of his nose with a pair of scissors when he thought no-one was looking. When I remember high school, I remember teachers saying two things, mainly.  "Lorimer, LORIMER, are you with us?" and "Well you certainly have a good imagination..."  In fact, imagining things … [Read more...]

Teaching people about pain – a kind of position paper

Some time ago, I wrote this paper, at the request of the journal Physical Therapy Reviews, on reconceptualising pain. It is a little old now but it has come to be a bit of a position paper. The position has four fundamentals, none of which will be very surprising to anyone I imagine: (i) pain does not provide a measure of the state of the … [Read more...]

Of moose and maple syrup – a Canadian visits BodyinMind

I had the honour of spending the past week with the brilliant and extremely pleasant folks of the Body in Mind group at Neuroscience Research Australia (NeuRA).  The type of work going on here is the definition of cutting edge in my opinion, and I’m sure I was only introduced to a small part of it.  I’m calling it right here right now, look out for … [Read more...]

The genetics of dystonia in CRPS – not what we were expecting

This is yet another important study from the TREND group in the Netherlands. Bob van Hilten, one of that rare breed who is both terrifically successful and remarkably nice, a generous, physical and intellectual sequoia of a man, wrote this little blurb below. As far as my meagre resources can decipher, it provides good evidence that the most likely … [Read more...]

Preventing CRPS after wrist fracture

The last post described a new paper in BMC Neurology suggesting guidelines for the treatment of CRPS. They also discussed prevention. They concluded that people who fracture their wrist should be given 500 mg daily vitamin C because two RCT's show a reduction in incidence of CRPS in those who do this[1,2] both papers from the same group as the … [Read more...]