CRPS Management & Personal Injury Documentation
Expert evaluation and comprehensive management of Complex Regional Pain Syndrome, combined with thorough, defensible medical documentation for personal injury and medicolegal cases.
CRPS: Comprehensive Care for a Complex Condition
Complex Regional Pain Syndrome (CRPS) is one of the most challenging and debilitating chronic pain conditions — characterized by disproportionate, persistent pain following an injury or procedure, accompanied by autonomic changes (color, temperature, sweating), trophic changes (skin, hair, nail), and motor dysfunction. Early, aggressive, multidisciplinary management significantly improves long-term outcomes.
Dr. Grossman applies the Budapest Criteria for diagnosis and utilizes a full spectrum of interventional, pharmacologic, rehabilitative, and neuromodulatory treatments — coordinated through SSMC's integrated care model.
Interventional Treatments
- Stellate ganglion block (upper extremity CRPS)
- Lumbar sympathetic block (lower extremity CRPS)
- Spinal cord stimulation — most evidence-supported intervention for refractory CRPS
- Intravenous ketamine infusion protocols
- Regional nerve blocks for desensitization and PT facilitation
Pharmacologic Management
- Neuropathic agents: gabapentinoids, SNRIs, TCAs
- Bisphosphonates (alendronate) for bone-related CRPS pain
- Low-dose naltrexone (emerging evidence)
- Topical compounded analgesics
- Short-course corticosteroids in acute phase
Rehabilitation Integration
- Desensitization therapy: graded tactile exposure
- Graded Motor Imagery (GMI) and mirror therapy
- Occupational therapy: functional task retraining
- Physical therapy: aquatherapy, gentle ROM, neuroplasticity-targeted protocols
- Psychology: pain catastrophizing, CBT integration
Personal Injury Documentation
- Comprehensive initial evaluation with injury causation analysis
- Objective functional assessment and impairment rating (AMA Guides)
- Detailed narrative reports suitable for attorney, insurance, and court use
- IME (independent medical evaluation) services available
- Records review and expert opinion letters
Why Documentation Quality Matters in Personal Injury
In personal injury and medicolegal cases, the quality and completeness of medical documentation often determines case outcomes. Dr. Grossman provides structured, defensible documentation that clearly establishes:
- Mechanism of injury and causal relationship to current diagnosis
- Objective functional limitations supported by examination findings
- Medical necessity for all treatments rendered
- Prognosis, anticipated future medical needs, and maximum medical improvement (MMI)
- Degree of permanent impairment when applicable