Showing posts from November, 2016


THIS PAGE IS FOR PATIENTS OR DOCTORS WHO ARE FAMILIAR WITH CRPS .  What causes CRPS is not known. In most of the cases it is the trauma. When physical Trauma is associated with  psychological trauma ---- chances of CRPS go up significantly. Example:  A Patient who whom I know lost his son in the accident and also injured his arm. He developed one of the worst forms of CRPS. We have divided CRPS into three categories 1. post traumatic 2. non traumatic It is important for all physicians to understand that Crps is in the brain and not in the limb. The pain will remain even if you amputate the limb. Dr Tramboo MD.


Treatment for CRPS/RSD has to be individualized. Medications used for CRPS are usually meant to deal with neuropathic pain. Treatment for CRPS may be difficult. The goal of treatment is to seek pain relief and to restore function. CRPS can not be treated but effectively managed.  Treatment modalities are continuously evolving as research and clinical practice provides new evidence and insights. For example it was once thought that sympathetic nerve blocks were a diagnostic tool and a curative procedure. This has been disproven over time. Some current treatment methods that may work for you are: 1.Use of anti-convulsants  2. Use of TCA antidepressants 3. Physical and occupational therapy (including graded motor imagery and mirror box therapy), the anesthetic Ketamine, steroids in the acute phase, nerve blocks, spinal cord stimulator, warm water therapy, calmare therapy, hyperbaric oxygen therapy, use of opiates (may be considered controversial), bisphosphonates (study starting

We Offer Treatment With Advanced Neuro Modulation

We Offer the most advanced Neuro Modulation for limb Crps, which includes peripheral lead placement. Trial of 3 days will be conducted before permanent implant.   email for further query:    


What is complex regional pain syndrome? Complex regional pain syndrome (CRPS) is a chronic pain condition most often affecting one of the limbs (arms, legs, hands, or feet), usually after an injury or trauma to that limb.  CRPS is believed to be caused by damage to, or malfunction of, the peripheral and central nervous systems.  The central nervous system is composed of the brain and spinal cord, and the peripheral nervous system involves nerve signaling from the brain and spinal cord to the rest of the body.  CRPS is characterized by prolonged or excessive pain and mild or dramatic changes in skin color, temperature, and/or swelling in the affected area. There are two similar forms, called CRPS-I and CRPS-II, with the same symptoms and treatments. CRPS-II (previously called causalgia) is the term used for patients with confirmed nerve injuries. Individuals without confirmed nerve injury are classified as having CRPS-I (previously called reflex sympathetic dystrophy syndrome).


Complex regional pain syndrome Complex regional pain syndrome reflex sympathetic dystrophy (RSD), causalgia, reflex neurovascular dystrophy (RND) Complex regional pain syndrome Complex regional pain syndrome  ( CRPS ), also known as  reflex sympathetic dystrophy ( RSD ), is a long term condition that often worsens with time. It is characterized by severe pain and sensitivity, swelling, and changes in the skin. It may initially affect one limb and then spread throughout the body; 25 to 35 percentage of people afflicted report symptoms throughout their whole body. The cause of CRPS is unknown though CRPS is associated with dysregulation of the central nervous system  and autonomic nervous system resulting in multiple functional loss, impairment and disability. Precipitating factors in clude injury and surgery, although there are cases where no injury had occurred at the original site. CRPS is not caused by psychological factors, yet the constant pain and reduced quali


CRPS like diabetes or hypertension is supposed to be incurable disease but manageable. Please note: If your CRPS symptoms persist despite treatment, means you are not being adequately  treated or you are now in the central sensitization phase. Early treatment will prevent CRPS from going to irreversible central sensitization phase.   We at KMI hospital Kashmir India have started CRPS ( complex regional pain syndrome ) management plan.  Years of experience in dealing with refractory CRPS patients, we conclude that early intervention can actually reverse CRPS. Timely sympathetic blocks can be the treatment. FOR PATIENTS WITH REFRACTORY CRPS, WE DO THE FOLLOWING:   1. neuro-stimulator for Pain augmentation  We will soon introduce Neuro stimulator (SpineLoop), which will have the advantage of non movable leads. That means no fear of lead migration and pain relief for ever. This will be first of its type in the world 2. Anesthetic infusions, targeting NMDA receptors 3. Desensit

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CRPS Type 1  - used to be known as reflex sympathetic dystrophy, Sudeck's atrophy, reflex neurovascular dystrophy, or algoneurodystrophy. No damage has occurred. It is triggered by an apparent trivial injury, such as a fractured or sprained ankle. Complex Regional Pain Syndrome Type 2  ( CRPS Type 2 ) is a severely painful response to a peripheral nerve injury.  CRPS Type 2  is characterized by severe, burning pain affecting a specific area as a result of the nerve injury.  How ever medical management does not differ for type one or type two.


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About Dr Tariq Tramboo

All about Dr Tariq Tramboo  Name: Tariq Ahmad Tramboo MBBS, MD, FIPP (USA).  Current Position:  Head Relief Pain Clinic India (Srinagar) Chair:  SpineLoop International ( Actively involved in research to treat pain.   With Numerous patents in the field of Pain medicine Dr Tramboo holds 55th position among the best brains in the world — field Innovation.