Complex Regional Pain Syndrome Specialist

Enhance Center

Ayman Tarabishy, MD

Interventional Pain Management located in Livonia, MI

Complex regional pain syndrome (CRPS) is a challenging pain condition that causes debilitating pain, usually only localized to one limb. Dual board-certified interventional pain management specialist Ayman Tarabishy, MD, at Enhance Center located in Oakland County, Livonia, Michigan, specializes in the diagnosis and treatment of CRPS and takes an aggressive approach to care focused on providing treatment that may cure the condition and improve your overall quality of life. Call the office today to schedule an appointment with the pain management specialist.

Complex Regional Pain Syndrome Q & A

What is complex regional pain syndrome (CRPS)?

CRPS is a chronic pain condition that causes severe pain localized to one limb (hand, arm, foot, or leg) following an injury. The condition is thought to develop due to damage or malfunction of your peripheral or central nervous system. 

CRPS is classified into types based on diagnostic testing that confirms or rules out nerve damage. The types include:


People with CRPS-I, which was previously referred to as reflex sympathetic dystrophy syndrome, don’t have confirmed nerve damage.


With CRPS-II, previously known as causalgia, nerve damage has been identified. 

No matter the type of CRPS you have, Dr. Tarabishy takes the same approach to care.

What are the symptoms of CRPS?

The primary symptom of CRPS is prolonged, severe pain to the limb. The discomfort you experience may be a burning, squeezing, or pins-and-needles sensation. 

In addition to the pain, you may also experience swelling, temperature changes, or changes in skin color. Other symptoms you may experience to the affected limb include:

  • Changes in hair or nail growth 
  • Joint stiffness
  • Poor muscle control
  • Muscle weakness
  • Changes in skin texture

The exact cause of CRPS isn’t known. However, the symptoms most often arise after an injury to the area, such as a fracture, cut, burn, or after a medical procedure, even something as minor as a needlestick. 

How is CRPS diagnosed?

Dr. Tarabishy conducts a thorough and comprehensive evaluation when you come to the office with symptoms that may be indicative of CRPS. 

During your evaluation, he reviews your symptoms, medical history (specifically looking for an underlying injury), and examines the affected limb.

He may request diagnostic tests, such as blood work or imaging, to rule out other causes of your pain. He may also conduct an electromyography (EMG) and nerve conduction study (NCS) to assess nerve damage. 

What are the treatments for CRPS?

Dr. Tarabishy takes a thorough and comprehensive approach to the treatment of CRPS. When diagnosed early, Dr. Tarabishy may be able to cure your CRPS or prevent it from turning into a chronic condition using a combination of aggressive desensitization therapy and nerve stabilizing medications, with or without a sympathetic nerve block.

If your CRPS is chronic, Dr. Tarabishy takes a multimodal approach to care with the goal of reducing your pain and improving your overall quality of life. Treatment options may include: 

  • Physical therapy
  • Psychological therapy and pain psychology
  • Sympathetic and peripheral nerve blocks
  • Oral medications
  • Spinal cord stimulation
  • Dorsal root ganglion stimulation
  • Peripheral nerve stimulation
  • Ketamine and lidocaine intravenous (IV) infusions
  • Intrathecal pain pump
  • Acupuncture

Due to his training, Dr. Tarabishy has a special interest in the management of CRPS and works closely with you to ensure you get the right diagnosis and most effective treatment plan.

For comprehensive management of your pain, call Enhance Center today to schedule an appointment.