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Understanding Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome, often referred to as CRPS, is a chronic and complex pain condition that typically affects an arm or a leg.

What is Complex Regional Pain Syndrome (CRPS)?

Complex Regional Pain Syndrome, often referred to as CRPS, is a chronic and complex pain condition that typically affects an arm or a leg. This condition, which can develop after an injury, surgery, or trauma, is characterized by intense and prolonged pain, changes in skin color and temperature, and swelling in the affected area.

Symptoms:

CRPS symptoms can vary in intensity and duration, but they often include:

  • Continuous, Intense Pain: Persistent pain disproportionate to the initial injury.
  • Changes in Skin Color and Temperature: Skin may become red, blue, or pale, and may feel warmer or cooler than the surrounding areas.
  • Swelling and Stiffness: Swelling, inflammation, and stiffness in the affected limb.
  • Changes in Hair and Nail Growth: Increased or decreased hair and nail growth.
  • Joint and Muscle Discomfort: Discomfort or difficulty moving joints and muscles.

Causes of CPRS

The exact cause of CRPS is not fully understood, but it is believed to involve abnormal responses from the peripheral and central nervous systems. Common triggers for CRPS include:

  • Injury or Trauma: Fractures, sprains, surgery, or other trauma to a limb can lead to CRPS.
  • Nerve Damage: Conditions affecting nerves, such as carpal tunnel syndrome or peripheral neuropathy.

Your Path to CPRS Management

Understanding the complexities of CRPS is the first step toward effective management. At Napa Pain Institute, we are committed to partnering with you on your journey to relief.

We offer many treatment options including:

 

Our personalized and multidisciplinary approach aims to address the challenges associated with CRPS and enhance your overall well-being.

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Neurovations, a patient care and innovation company, was founded in 1992 by CEO Dr. Eric Grigsby. We are a national leader in medical device and pharmaceutical innovation, clinical research, and a world-class education program focusing on pain and neuroscience. Dr. Grigsby is deeply connected to the healthcare community through our non-profit HealthRoots Foundation.

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DR. MELANIE D. JOHANSSON, MD, FACEP

Dr. Johansson comes to us as a fellowship-trained and board-certified pain management specialist with nearly a decade of experience. She completed her fellowship training at Walter Reed National Military Medical Center in Bethesda, MD where she then became the associate program director of the pain medicine fellowship and an assistant professor of military and emergency medicine. She graduated from the Virginia Commonwealth University School of Medicine in Richmond, Virginia, was Pre-medicine at San Diego State University, and received her BSN from Marquette University in Milwaukee, Wisconsin.

Her breadth of experience comes from a full career of serving in the United States Navy where she was the recipient of multiple academic and military service awards including a Meritorious Service Medal, three Navy Commendation Medals, and numerous other individual, unit, and campaign awards. She has multiple published works and is the founding member of a military Pain Medicine Special Interest Group with the American Society of Regional Anesthesia.

In her free time, Dr. Johansson enjoys traveling, is newly married, loves dogs, and enjoys cooking and baking, as well as other creative pursuits. She has a particular interest in advanced procedural techniques for chronic pain relief and the effects of lifestyle on pain and healing. She looks forward to continuing our mission of providing our patients with the best care, every day.

Eric Grigsby, MD, MBA

CEO & Founder of Neurovations

Dr. Eric Grigsby enjoys a national reputation for excellence in the field of Pain Management. He has a background as a researcher, teacher and clinician and brings over 30 years of clinical experience to the Napa Pain Institute. Dr. Grigsby attended elementary and secondary school in his hometown of Knoxville, Tennessee, and received a Bachelor’s Degree in Biology and Economics from Brown University in Providence, Rhode Island. He formed an interest in Pain Management as a career while working at Boston Children’s Hospital in the Department of Orthopedic Surgery.

After graduating from Boston University Medical School in 1984, Dr. Grigsby trained in General Surgery, Anesthesiology, and Pain Management at the Mayo Clinic in Rochester, Minnesota. He was invited to join the Medical Staff and teach at the Mayo Medical School until moving to California in 1989. The Dean of the University of California at Davis Medical Center then invited Dr. Grigsby to establish their first Pain Management Center, where he served as Medical Director until 1992. Following his post at UC Davis, Dr. Grigsby established his private Pain Management practice in Napa, California.

Today, he and his staff of over 50 professionals consult with patients throughout Northern California and the western United States.  More recently, Dr Grigsby completed his Masters in Business Administration from Duke University’s Fuqua School of Business. He speaks nationally on topics such as non-operative treatment of spinal disorders, the safe use of medications for the treatment of pain, and the legal and regulatory issues relating to the proper treatment of patients with chronic illness.