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Has anyone dry needled a pt with CRPS? I have a pt that is interested in trying it but I am a little worried about making things worse for her. She has a 14 yr history of CRPS in her L foot and it has progressed up into her knee and may be causing her low back pain as well. She has significant changes in the skin of her foot so I wouldn’t be able to directly needle her foot but could start in her lower leg. Just looking for people’s experiences, did it make it better or worse?
Hi Amanda-
I am hoping some of your colleagues jump in here who have more experience than I do with this diagnosis. I really don’t have much.My suggestion would be to start proximal…at the lumbar spine…or on the opposite extremity. Even doing some mirror box stuff while needling can be helpful (so I have heard) to change the sensory input into the brain.
I think avoiding the direct area is a good approach.
Hoping someone else chimes in with more detail or suggestions.
Keep us posted!
SueI’ve never used DN on CPRS but I like Sue’s idea of needling the proximal LE, lumbar, opposite LE. Anything to get her to focus her sensation on something else. You may want to consider her low back pain as being secondary to L ankle pain or antalgic gait compensation and treat her LBP that way.
I also think that the fact that she is open to trying DN is a huge advantage for you. I’d like to hear what the result of her treatment is.
-Mark
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