As one of Jacksonville’s most reputable and most highly rated lawyers, John has established an outstanding record of success and specializes in personal injury and accident recovery- INCLUDING CHRONIC PAIN cases. Much of that success is due to the values that drive our firm: integrity, dedication and excellence. John and his staff has extensive trial experience as a personal injury lawyer.
What is “chronic pain”?
“Chronic” means, “Of long duration; continuing.” We all know what pain is. Chronic pain isn’t just physical, it is mental and emotional pain. Unrelenting pain messes with the brain, changes personalities and harms families. There are numerous and varied types of “chronic pain.” We are going to discuss CRPS.
What is CRPS – Chronic Regional Pain Syndrome?
There are Two Types of CRPS – Type I and Type II
- •CRPS Type I (also referred to as RSD) – cases in which the nerve injury cannot be immediately identified
- •CRPS Type II (also referred to as Causalgia) – cases in which a distinct “major” nerve injury has occurred
- •CRPS is best described in terms of an injury to a nerve or soft tissue (e.g. broken bone) that does not follow the normal healing path
- •CRPS development does not appear to depend on the magnitude of the injury. The sympathetic nervous system seems to assume an abnormal function after an injury.
- •Since there is no single laboratory test to diagnose CRPS, the physician must assess and document both subjective complaints (medical history) and, if present, objective findings (physical examination).
What is the criteria for diagnosing CRPS?
Complex Regional Pain Syndrome Type I (RSD)
- •The presence of an initiating noxious event, or a cause of immobilization
- •Continuing pain, allodynia, or hyperalgesia with which the pain is disproportionate to any inciting event
- •Evidence at some time of edema, changes in skin blood flow (skin color changes, skin temperature changes more than 1.1°C difference from the homologous body part), or abnormal sudomotor activity in the region of the pain
- •This diagnosis is excluded by the existence of conditions that would otherwise account for the degree of pain and dysfunction
Complex Regional Pain Syndrome Type II (Causalgia)
- •The presence of continuing pain, allodynia, or hyperalgesia after a nerve injury, not necessarily limited to the distribution of the injured nerve
- •Evidence at some time of edema, changes in skin blood flow (skin color changes, skin temperature changes more than 1.1°C difference from the homologous body part), or abnormal sudomotor activity in the region of pain
- •This diagnosis is excluded by the existence of conditions that would otherwise account for the degree of pain and dysfunction.
A Specialized lawyer is a MUST-
Most injury lawyers are too likely to treat an RSD client like they treat an auto whiplash client – as someone who simply has pain from an injury. There is very little objective injury. And even the client’s doctor’s do not understand their client’s injury or have misdiagnosed it. What many doctors and lawyers do not realize is that RSD is much worse than a broken arm or leg. The majority of our RSD clients end up on permanent and total disability. The lifetime medical bills alone can be enormous. Permanently implanted pain pumps, stimulators, paralysis, and early death are some of the future issues a RSD patient and his/her attorney have to consider. Most of our clients are financially devastated by diagnosis. Others find it hard to maintain a marriage, act as parents and to keep their friends while contending with severe chronic pain that many others have trouble understanding or do not believe.
We believe you. We will help you.
We have additional information at www.chronicpainlawyer.com