CRPS Specialist

Mullica Hill Advanced Therapies

Integrative Wellness Specialists & Interventional Pain Management Specialists located in Mullica Hill, NJ

Finding effective relief from the discomfort of complex regional pain syndrome (CRPS) can be frustrating, if not impossible. To get relief, see the pain management specialists at Mullica Hill Advanced Therapies in Mullica Hill, New Jersey. Rick Pescatore, DO, FAAEM, and Joseph Cesarine, M.D., offer personalized and highly effective solutions to reduce your CRPS symptoms. Learn more by scheduling a consultation online or by phone today.


What is complex regional pain syndrome?

Complex regional pain syndrome (CRPS) is a chronic pain condition that typically affects one limb, usually an arm, leg, hand, or foot. The pain can last six months or longer and is often the result of an injury or surgery.

Symptoms of CRPS include:

  • Prolonged, severe, and possibly constant pain
  • Pain that spreads throughout an entire limb
  • Increased sensitivity in the affected limb
  • Pain may transfer to the opposite limb on the other side of the body
  • Changes in skin temperature and color
  • Swelling in the affected limb
  • Abnormal sweating pattern
  • Changes in hair and nail growth
  • Joint stiffness
  • Decreased ability to move

Symptoms may be mild and can go away on their own, though in most cases the pain is moderate to severe and can last months or years. In severe cases, CRPS pain is chronic and can last a lifetime without treatment.

What causes CRPS?

CRPS develops when there is damage to or malfunction of the peripheral or central nervous systems. In 90% of cases, this is due to trauma from an injury or surgery. With CRPS, the normal nerve signals between the body and brain get interrupted and abnormal signaling occurs, which causes a variety of widespread symptoms.

CRPS can also affect the blood vessels in the injured limb, leading to changes in skin color and temperature. The nerves that control dilation and constriction of blood vessels malfunction and can cause an increase or decrease in blood flow to the affected limb.

CRPS is divided into two types: CRPS I and CRPS II. In CRPS I, sometimes called reflex sympathetic dystrophy, there’s no confirmed injury to the nerves in the affected limb. In CRPS II, also called causalgia, there’s an associated, confirmed nerve injury in the affected limb.

How is CRPS diagnosed?

There is not a test for CRPS, so it’s a diagnosis of exclusion. The doctors perform a series of physical exams, orthopedic tests, and specialized tests — including imaging and blood work — to rule out other potential causes of your pain before diagnosing you with CRPS.

What treatment options are available for CRPS?

At Mullica Hill Advanced Therapies, the team offers advanced therapies for treating CRPS pain that are highly effective, including:

Intravenous ketamine

Small doses of intravenous ketamine can significantly reduce pain without the need for other analgesic medications.

Intranasal analgesia

Inhaling low doses of ketamine can also control pain without the need for opioids or injections.

Transmucosal analgesia

Oral doses of fentanyl have similar analgesic effects to ketamine and can be easier for some patients to take, compared to injections or IVs.

To determine if these therapies can help with your CRPS symptoms, schedule a consultation today by calling or using the online scheduling tool.