{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"CRPS and Pain Pumps for the PM&amp;R Boards!","description":"\ud83c\udf99\ufe0f PainExam Podcast Show Notes CRPS &amp;amp; Intrathecal Pain Pumps \u2014 High-Yield ABA Pain Board Review  \ud83d\udd25 Episode Overview In this episode of the PainExam Podcast, David Rosenblum reviews two essential ABA Pain Medicine Board topics:   Complex Regional Pain Syndrome (CRPS)  Intrathecal Drug Delivery Systems (Pain Pumps)  This episode focuses on:   High-yield board pearls  Clinical decision-making  Interventional treatment strategies Common exam pitfalls  Whether you are preparing for the:  ABA Pain Medicine Boards  ABPM  ABIPP  FIPP  \u2014or looking to sharpen your interventional pain knowledge\u2014this episode delivers practical and testable concepts.  \ud83e\udde0 Topic 1: Complex Regional Pain Syndrome (CRPS) \ud83d\udd2c What is CRPS? CRPS is a chronic neuropathic pain condition characterized by:   Disproportionate pain  Autonomic dysfunction  Sensory abnormalities Motor and trophic changes   \ud83d\udccb CRPS Types  CRPS Type I  No confirmed nerve injury  Formerly \u201cReflex Sympathetic Dystrophy\u201d   CRPS Type II   Confirmed nerve injury  Formerly \u201cCausalgia\u201d   \u26a0\ufe0f Pathophysiology CRPS involves:   Peripheral sensitization  Central sensitization  Sympathetic dysfunction  Neurogenic inflammation  Cortical reorganization   \ud83e\ude7a High-Yield Clinical Features   Burning pain  Allodynia  Hyperalgesia  Temperature asymmetry Skin color changes  Edema  Weakness and trophic changes   \ud83d\udcda Budapest Criteria (BOARD FAVORITE) Diagnosis requires:   Continuing pain disproportionate to injury  Symptoms in \u22653 categories  Signs in \u22652 categories   \ud83d\udc8a Treatment  First-Line   Physical therapy (MOST important)  Early mobilization   Medications   Gabapentin  Pregabalin  TCAs   Interventional   Sympathetic blocks  Spinal cord stimulation   \ud83d\udea8 Board Pearls   Early treatment improves outcomes  CRPS may spread beyond the initial site  Immobilization worsens symptoms   \ud83d\udc89 Topic 2: Intrathecal Drug Delivery Systems (Pain Pumps) \ud83d\udd2c What Are Intrathecal Pumps? Intrathecal pumps deliver medications directly into the CSF, allowing:   Lower systemic doses  Better analgesia  Reduced systemic side effects   \ud83c\udfaf Indications   Failed back surgery syndrome  Cancer pain  Refractory neuropathic pain  Severe chronic pain not responsive to conservative therapy   \ud83d\udc8a Common Intrathecal Medications  Opioids   Morphine  Hydromorphone   Non-Opioid   Ziconotide   Other   Baclofen (spasticity)   \u26a0\ufe0f Ziconotide \u2014 HIGH-YIELD BOARD PEARL Ziconotide:   Blocks N-type calcium channels Does NOT cause respiratory depression Can cause psychiatric side effects   \u26a0\ufe0f Major Complications   Infection  Catheter malfunction Pump failure  Withdrawal syndromes  Catheter-tip granuloma formation   \ud83d\udea8 Granuloma Formation High-dose intrathecal opioids may cause:   Catheter-tip inflammatory masses Cord compression  Neurologic deficits   \ud83d\udccb Trialing Patients typically undergo:   Bolus trial  Continuous infusion trial  before permanent implantation.  \ud83c\udfaf Board Pearls   Ziconotide = no respiratory depression  Pump failure can cause life-threatening withdrawal  Granulomas are associated with opioid concentration   \ud83d\udcdd High-Yield Board Takeaways  CRPS   Budapest criteria = critical  Early PT = first-line  Autonomic dysfunction = hallmark    Intrathecal Pumps   Ziconotide is highly testable  Know granuloma risks  Understand pump complications and withdrawal   \ud83c\udf93 Pain Board Prep Resources Prepare for your ABA Pain Medicine boards with: \ud83d\udc49 https:\/\/painexam.com \ud83d\udc49 https:\/\/nrappain.org  \ud83c\udfc6 Why Physicians Choose NRAP Academy   Comprehensive board prep  High-yield MCQs  Virtual Pain Fellowship  Ultrasound-guided pain training  Interventional pain education   \ud83c\udfa4 Upcoming Training Join upcoming:   Ultrasound-guided procedure workshops  Regenerative medicine courses Pain board review sessions    \ud83d\udce2Register today! If you\u2019re serious about: \u2705 Passing your pain boards \u2705 Mastering interventional pain \u2705 Improving patient outcomes Subscribe to the PainExam Podcast and join the Virtual Pain Fellowship. \ud83d\udc49 https:\/\/nrappain.org \ud83d\udc49 https:\/\/painexam.com Reference&amp;nbsp; https:\/\/dontforgetthebubbles.com\/complex-regional-pain-syndrome\/ https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459151\/ ","author_name":"The PMRExam Podcast","author_url":"http:\/\/pmrexampodcast.libsyn.com\/podcast","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/41262735\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/88AA3C\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/content\/201858485"}