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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35475
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Dear doctors i am a male age 48 5 years ago i suffered a liz

Resolved Question:

dear doctors i am a male age 48 5 years ago i suffered a liz franc fracture dislocation.i undrwent open reduction intrnal fixation with hardware removal 7 months later. and then ultimatly a fusion of my midfoot bones. a bone graft and three permanent screws. i still suffer a great of pain and i take 6 vicodin pills per day .... only way i can there any hope for me at all.regarding my pain.
Submitted: 7 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 7 years ago.


With your persistent severe pain a diagnosis of chronic regional pain syndrome (CRPS) should be the possibility. Following should be integrated in your management;

1) Physical therapy and occupational therapy, plays an important role in functional restoration. The goal is to increase strength and flexibility gradually.

2) Recreational therapy; take part in pleasurable activities that help to decrease pain.

3) Vocational therapy; provide work capacities and targeted work hardening.

4) Spinal cord stimulator

5) Baclofen pump; Intrathecal infusion (Intrathecal bupivacaine infusion or Morphine pump are the other alternatives)

6) Acupuncture

7) Relaxation techniques; associated with the above treatment.

8) Biofeedback training

You need to consult following specialists (if not yet done);

a) Pain management physician
b) MD in physical medicine and rehabilitation

Please feel free for your follow up questions.

Dr. Arun

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