For over 30 years Dr. Pascal has focused on helping patients with severe neurogenic issues such as CRPS / RSD, strokes, traumatic brain injury, spinal cord damage, paralysis, fibromyalgia.
Dr. Pascal uses his vast clinical experience, study and practice of the most advanced neurologic techniques and modalities to help his patients become pain free, recover lost function and experience marked improvements in their health, vitality and quality of life.
What is CRPS?
What causes CRPS?
Complex regional pain syndrome (CRPS) is when a patient experiences severe and prolonged pain and inflammation that can typically follow injury to an arm or leg. Patients an often experience deep pain and hyper-sensitivity of the skin.
The cause of CRPS is thought to be due to improper function of the nerve fibers that carry pain messages to the brain. Excess firing also triggers inflammation in the nerves and associated tissues.
Common conditions associated with CRPS:
Dystonia: Involentary muscle contractions or cramps.
POTS (Postural Orthostatic Tachycardia Syndrome): caused by transitioning from sitting to standing, fast heart rate, dizziness and fatigue.
Gastroparesis: Paralysis of the stomach, impacting digestion by affecting the stomach nerves and muscles.
Neurologic Hypersensitivity: Sound, light
Muscle weakness and atrophy: over time muscles in the legs and/or arms can become weaker and shrink over time.
Most CRPS is thought caused by damage to injured peripheral sensory neurons, which then has secondary effects on the spinal cord and brain.
The most common activities that cause CRPS include:
Fractures. Wrist fractures are the most common cause of CRPS.
Surgery. A surgical incision, retractors, positioning, sutures, or post-operative scarring can cause nerve injury.
Sprains/Strains. Tissue ruptures can cause excess movement of a joint that stretches nearby nerves.
Burns and Cuts. These are the visible signs of injuries that may also have damaged underlying nerves.
Very Rare Penetrations, such as from a cut or needle stick, can accidentally pierce a sensory nerve.
Poor Circulation can delay healing. This can deprive underlying muscles and deeper tissues of oxygen and nutrients, which can cause muscle weakness and joint pain.
Poor Nerve Health. Conditions such as diabetes or neuropathy can lead to CRPS.
What are some common symptoms of CRPS?
How is CRPS treated?
Spontaneous pain, either constant or fluctuating. This may be a burning or “pins and needles” sensation.
Prolonged pain after use or contact. Sometimes the affected area has increased sensitivity with light touch or normal physical contact. This may feel like a pin prick.
Change to skin. This can be a change to skin temperature, skin color, or swelling of the affected area. It can be warmer or cooler than normal. The color may become blotchy, blue, pale, red, purple, or gray. The skin’s texture may change as well due to insufficient oxygen and nutrients.
Sweating and nail and hair growth. Hair and nails may grow rapidly on the affected limb as well as profuse sweating or even no sweating.
Joint stuffness. This is due to reduced movement in the affected limb. Ligaments and tendons become tight and maybe pinch nerves.
Bone growth or waste. Bones may become rough or enlarged in areas where a poorly healed fracture or bone cyst may have existed.
Reduced muscle strength or movement. Most people reported to have reduced ability to move the affected limb. This is caused by pain and abnormalities in the sensory input that coordinates movements. Inflammation and poor circulation attribute to this symptom.
CRPS is often treated with medications, physical therapy, and psychotherapy, often yielding little success in CRPS patients. However, Dr. Pascal has developed a unique method that has consistently proven successful with his patients.
Today, there are only a few places in the world that have successfully treated CRPS. Dr. Pascal is one of the few doctors that attains consistent results with his patients, usually the last in a long line of doctors his patients have sought help from. Dr. Pascal employs the most advanced neurologic techniques and modalities to help his patients become pain free, and recover lost function.
'Dr. Pascal's CRPS Method'
Dr. Pascal travels the world researching the latest techniques, tools, and treatment modalities. After going through his entire program, the majority of Dr. Pascal's CRPS patients report little to no pain and marked improvement in their symptoms, functionality, and experience marked improvements in their health, vitality and quality of life.