The Upper Hand: Chuck & Chris Talk Hand Surgery

Chuck and Chris discuss CRPS

Oct 25, 2020
Two hand surgeons dive deep into the complexities of complex regional pain syndrome (CRPS), discussing its diagnosis and treatment challenges. They share strategies for successful patient management and the importance of effective communication. The podcast also touches on the nuances of pain management, including nerve blocks during surgeries. With a mix of professional insights and personal anecdotes, the hosts highlight the emotional connections they forge with their patients, making for an engaging and informative discussion.
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INSIGHT

CRPS Types and Treatment Differences

  • Complex Regional Pain Syndrome (CRPS) has two types: Type I without clear nerve injury and Type II with identifiable nerve injury.
  • Type II CRPS is more amenable to treatment by hand surgeons due to its nerve-related pain nature.
ADVICE

Early CRPS Recognition and Referral

  • In distal radius fractures with disproportionate pain, assess for splint tightness and finger motion immediately.
  • Early therapy referral is important once CRPS or abnormal swelling is suspected to mobilize the hand.
ADVICE

Surgical Approach to Nerve Symptoms

  • Do not let nerve studies delay surgery if clinical signs indicate nerve compression.
  • A low threshold for carpal tunnel release during distal radius fracture repair can be beneficial if nerve symptoms are present.
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