Cierra8218MemberMarch 19, 2011 at 7:10 amPost count: 1
Hi Doc Corenman,
Long time no see…..
Do you think the spine has any relation to the disease of CRPS/RSD? If so what component do you believe plays a role in this? We are looking for researchers and sponsors for our event this summer. Would really like to have you contact me. [email protected]. Dr. Barolat is helping, would love to catch up with you. Really want to know what you think about the spine and CRPS? Cheers. Glad you found my keys. haha
Have a wonderful weekend.Donald Corenman, MD, DCModeratorMarch 22, 2011 at 8:23 amPost count: 8378
A pleasure to talk with you again. The spine itself is not related to RSD/CRPS (reflex sympathetic dystrophy/ complex regional pain syndrome) but does carry the fibers of the sympathetic nervous system that is thought to be the cause of these disorders. The autonomic nervous system as you know contains two parts, the sympathetic and parasympathetic systems. The sympathetic system goes through the cord and exits in the thoracic spine (T1-T12). Any injury, from a simple contusion to a fracture (to a spine injury) can cause the onset of these syndromes. The “why” has not been elucidated yet.
There is a theory that the pain signals are carried by afferent tracts (sensory tracts) of the sympathetic nervous system that have yet to be discovered by medicine. Heretofore, the sympathetic nervous system was thought to carry only efferent tracts (a one way pathway from the brain to the target organs). The reason the sensory tracts are thought to exist is that an anesthetic block of one of the sympathetic ganglia temporarily stops the pain. This should not happen if this was only a brain to body tract.
I know you are involved with fundraising for research to uncover the causes and find solutions and I applaud you for that. If I can be of any service- please let me know.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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