Neurological Associates

Pain Management Center

Vero Beach, Florida



H. Hooshmand, M.D.






( Epilepsy, Pain, MS) 

An International Referral Center dedicated to Treatment, Education and Research

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This new section of our website will be dedicated to show you the many different views of how RSD/CRPS can affect the body. Below you will view photos that show many of the different types of symptoms that are associated with RSD/CRPS such as edema, discoloration of the skin, skin ulcers/lesions, and deformities of the extremities and digits. You will also see some before and after treatment photos along with some Thermography photos.



Edema Photos

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Skin Ulcer/Lesions Photos

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Skin ulcers after treatment of epidural, regional nerve blocks, and I.V. Mannitol, showed marked improvement of skin ulcers.


Skin Ulcers Caused from Application of Ice

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Five years of daily self-applied cryotherapy(application of ice) resulted in the breakdown of skin, cold blisters, and damage to sensory nerves.

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Eleven days after discontinuation of cryotherapy, treatment of epidural, regional nerve blocks, and I.V. Mannitol, showed marked improvement of the bulbous lesions.

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Bilateral Thermogram shows marked hypothermia due to vasoconstriction in the cryotherapy area.


Skin Lesions Caused from Venipuncture Injury

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Venipuncture CRPS II, five months after a blood test, resulted in neuroinflammatory bulbous lesions.

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Lesions became ulcerated.

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The lesion healed after treatment with I.V. mannitol and I.V. immunoglobulin treatment.



Before and After Treatment Photos

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RSD of Right Foot Before and After Treatment with Epidural Nerve Blocks



Deformity and Discoloration Photos

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Onset of RSD 12-7-1985

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Three years after onset and before surgery 12-7-1988

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Post-Op Fusion of Great Toe 12-14-1988

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Five years after onset of RSD 1990

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Eight years after onset of RSD 1993

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Seventeen years after onset of RSD. Please note toenail on left great toe. 7-11-2002

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Seventeen years after onset of RSD. Please note after removal of toenail on left great toe. 7-12-2002

RSD and Infections



Deformity Photos

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Deformity was caused by multiple carpal tunnel surgeries. This patient also had the 5th digit (little finger) amputated.



Thermography Photos

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CRPS of seven years duration due to right hand injury. Two years of unsuccessful operations at right carpal tunnel, and 5 years of immobilization of hand have resulted in "Boxer’s Hand Deformity" and ultimate amputation.


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Venipuncture RSD/CRPS Damage to the Median Nerve.


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More than two dozen stellate ganglion blocks to each side have damaged enough sympathetic nerve to cause permanent hyperthermia as the manifestation of virtual sympathectomy. Further blocks have no diagnostic or therapeutic value.


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Thermography of face and hands after Sympathectomy


The material on the Neurological Associates Pain Management Center Homepage and all it's associated, linked or reference pages is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician. H. Hooshmand, M.D., Neurological Associates Pain Management Center and Associates will not be held liable for any damage or loss as a result of information provided on this page or associated documentation. Again, this WEB SITE is simply published as an information source and should not be used to treat or make judgments on RSD/CRPS. All associated material on this web site may not be copied, reproduced or quoted without expressed written permission from the owner; Copyright 1999-2014 H. Hooshmand, M.D.

Please note: This is the official Neurological Associates Pain Management Center Website. We are neither affiliated nor associated with any other website that use our name.


Web Site designed and maintained by:

Eric M. Phillips; E-mail:

This page was last updated on 8/17/2008.


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