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Hello,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 stimulator5) Baclofen pump; Intrathecal infusion (Intrathecal bupivacaine infusion or Morphine pump are the other alternatives)
6) Acupuncture7) Relaxation techniques; associated with the above treatment.8) Biofeedback trainingYou need to consult following specialists (if not yet done);a) Pain management physicianb) MD in physical medicine and rehabilitationPlease feel free for your follow up questions.Dr. Arun