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COMPLEX REGIONAL<br />
PAIN SYNDROME:<br />
New Hope After a<br />
Decade of Dispelling Myths<br />
BY BRADLEY S. GALER, MD<br />
Stephen Spagnoli<br />
C Fibers Backfiring<br />
Mixed Media on Canvas 30x60<br />
Complex Regional Pain Syndrome (CRPS)<br />
is a perplexing condition that has been<br />
relatively ignored and misunderstood by the<br />
medical community because it is so unusual.<br />
Perhaps the confusion that is invoked by this<br />
condition is precisely due to its atypical clinical<br />
presentation: the pain in CRPS patients<br />
does not follow a pattern expected in painful<br />
neurologic conditions, the affected body part<br />
changes color and temperature quite dramat -<br />
ically, and patients often display protective<br />
behavior that looks odd to a practitioner.<br />
T H E PA I N P R A C T I T I O N E R | V O L U M E 16 , N U M B E R 1 | 33