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Complex Regional Pain Syndrome (CRPS) is a multi-system disorder thousands of Britons are battling, but knowing how to manage its debilitating effects can be tricky. It is widely known that the condition’s primary symptom, pain, can lead to a loss of limb function and disability.
However, there is a consensus among medical researchers and patient advocacy groups that healthcare professionals do not fully understand CRPS - meaning it is not unusual for patients to experience delayed diagnosis.
There is also a lack of understanding of how effective occupational therapy (OT) is for treating CRPS, partly as high-quality evidence of its success is limited. Despite this, it is believed that outcomes can improve if OT begins in the early stages (within a short while of symptoms presenting), in combination with other therapy methods, such as Physical Therapy.
Occupational therapy must be adapted to the patient as processes can be complex, much like the diagnostic process itself.
Occupational Therapy is a rehabilitative treatment that enables a greater quality of life. An occupational therapist provides tips to reduce fatigue as patients perform daily activities, though they mostly provide treatment. Treatment is designed to help patients adapt to pain and supports their journey to gaining increased independence.
Therapists will generally begin their work by assessing the patients’ dexterity, skin temperature (including vasomotor changes), pain and sensation. They will also factor in the use of extremity during daily activities.
Treatment is conducted as mental or sensory processes, an example of which includes Graded motor imagery.
Graded motor imagery (GMI) treatment centres on helping the patient gradually move their affected limb. Graded motor imagery is a multi-step treatment which includes Left/Right discrimination, Explicit Motor Imagery and Mirror Therapy. GMI is considered a low risk, noninvasive treatment which requires minimal equipment.
The effect of GMI on patients has previously proven positive, as the treatment has led to reduction in pain and limb swelling, both of which are symptoms of CRPS.
Depending on the individual, they may be eligible for an OT referral. The first step to getting one will likely be booking an appointment with a GP who assesses daily activity or asks relevant questions about daily movement.
The patient can discuss a referral, which is free through the NHS or social services. Alternatively, patients can pay for OT and approach a trusted organisation or professional. Treatment plans should address the needs of the individual.
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