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Lisa Delia, Maria Brown, and Jim Broatch at the 2005 Achilles Walk for Hope and Possibility fundraiser.<br />

RSDSA sponsored a team.<br />

“… [I]n publicizing RSD, we generally focus on the pain,<br />

not the disabilities that come with it-the legs and hands that no<br />

longer work, the bones that become osteoporitic, the joints that<br />

become locked, the muscles that become spastic. … There is an<br />

awful lot we leave out—how a productive member of society<br />

can become too disabled to work or take care of her children.<br />

We don’t discuss the tremendous personal losses—families,<br />

friends, jobs—that RSD wreaks … (4)”<br />

We address many of these issues in our publications, such<br />

as the RSDSA Review (a quarterly newsletter), the Support<br />

Group Newsletter (a bi-monthly electronic publication), and<br />

In Pain, Out of Work, Can’t Pay the Bills, a resource directory<br />

that identifies the governmental and private programs that<br />

can help low-income families obtain treatment and needed<br />

medication, pay their bills, and avoid losing their home.<br />

Originally published in 2001, the directory is now in its third<br />

edition. We publish several brochures as well, such as<br />

CRPS/RSD: Prevention is the Name of the Game, which links<br />

CRPS to sports injuries and the surgeries that traditionally<br />

follow them. This brochure is written for coaches and trainers,<br />

and particularly for athletes, a group we believe is at high<br />

risk for developing the syndrome.<br />

Website<br />

Most people with CRPS or persistent pain learn about RSDSA<br />

by visiting our website, www.rsds.org. In 2005, we had an average<br />

of 37,000 visits per month. Our highest traffic, 57,000 in<br />

April, was driven by a People magazine cover story revealing that<br />

Paula Abdul had been diagnosed with RSD.<br />

Our website houses all of our educational<br />

brochures (in <strong>PDF</strong> format); videos<br />

or PowerPoint ® presentations from past<br />

international conferences; scientific articles<br />

on the diagnosis, treatment, and management<br />

of CRPS that have appeared in our<br />

quarterly newsletter or in peer-reviewed<br />

journals; links to other professional and<br />

consumer sites; and much more. We<br />

encourage individuals to sign up to receive<br />

free electronic alerts about new discoveries,<br />

clinical trials, articles in the media, legislative<br />

initiatives, and upcoming events.<br />

Srinivasa N. Raja, MD, Director<br />

of Pain Research at Johns Hopkins University<br />

has created a PowerPoint ® presentation,<br />

Diagnosis and Treatment Options<br />

of RSD/CRPS, which can be downloaded<br />

for use during in-service training or for<br />

personal edification.<br />

Join RSDSA<br />

RSDSA is a vibrant organization that is<br />

sensitive to the needs and concerns of<br />

its 6,000 members and the greater<br />

CRPS community. In the Fall 2005 RSDSA Review, Norman<br />

Harden, MD, said, “Without RSDSA, progress in fighting the<br />

syndrome would likely come to a halt. Even basic and essential<br />

Revised Clinical Practice Guidelines<br />

THE THIRD EDITION of RSDSA’s Clinical Practice Guidelines<br />

will be available in hard copy and on the website by the end<br />

of March. In 2004, RSDSA approved a grant to revise the<br />

evidence-based Clinical Practice Guidelines, which had not been updated<br />

since 2002. RSDSA received a grant from the National Organization<br />

for Rare Diseases, Inc. (NORD) to print and distribute the guidelines.<br />

R. Norman Harden, MD, Director, Center for Pain Studies, Addison Chair,<br />

Rehabilitation Institute of Chicago, Chicago, Illinois, edited the guidelines.<br />

Contributing authors were Stephen Bruehl, PhD, Department of<br />

Anesthesiology, Vanderbilt University Medical Center, and Allen Burton,<br />

MD, Department of Anesthesiology and Pain Medicine. The guidelines<br />

include the following five chapters and a treatment algorithm:<br />

❥ Introduction and Diagnostic Considerations<br />

❥ Interdisciplinary Management<br />

❥ Pharmacotherapy of Complex Regional Pain Syndrome (CRPS)<br />

❥ Psychological Interventions<br />

❥ Interventional Therapies<br />

CRPS can be a difficult syndrome to treat, especially if treatment<br />

is offered piecemeal rather than in an interdisciplinary fashion as<br />

recommended. Jim Broatch, Executive Director, says, “Our goal in<br />

writing these guidelines was to make sure that those individuals<br />

suffering with CRPS receive the proper diagnosis and appropriate<br />

treatment. Through education, we hope to minimize patient<br />

losses as much as we possibly can.”<br />

T H E PA I N P R A C T I T I O N E R | V O L U M E 16 , N U M B E R 1 | 19

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