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I ended up on crutches for about fifteen months with my ankle looking like this the entire time. Michael Nicholas: Studies done elsewhere have reported change in brain activity after these sorts of interventions, when people start moving again, the symptoms settle, then changes have been seen along the measures like FMRIs. And it appears that the longer those changes are present, the more severe they become and the harder it is to intervene. Prof Michael Cousins [email protected] Management Research Institute Royal North Shore Hospital St Leonards NSW 2065 A/Prof Michael Nicholas [email protected] Pain Management Program Royal North Shore Hospital St Leonards NSW 2065 Pain Management Research Institute ADAPT Pain Management Program Australian Reflex Sympathetic Dystrophy Support Group National Institute of Neurological Disorders and Stroke (USA) Complex Regional Pain Syndrome Fact Sheet Mayo Health Insite Chronic pain Better Health Channel Pain management ^ top Everyone with RSD/CRPS should go to which is the best website and used by doctors as well as patients all over the world.

NARRATION: The relentless nature of this condition led one sufferer to make a harrowing decision. Michael Cousins: Last year a young lad who became so desperate that he managed to convince his surgeon to amputate his leg.On the other hand chronic pain or persistent pain as I prefer to call it, is bad pain.Because it just keeps going, regardless of whether the initiating injury or disease has healed up.Dr Maryanne Demasi: So these are the pictures of your ankles are they? Michael Cousins: Lets just have a look and see how things are going. Michael Cousins: One of the key issues really is early diagnosis and early intervention. I've started going out and socialising again and hanging out with my friends.Kate Ross: Yeah these photos were taken about six years into the CRPS. Because we know now that there are neuro-plasticity changes in the brain. There's definitely a lot to be said about how much the power of the mind can really help you through it. Laura Black: I just want to get on top of this enough to be able to do something with my life. I mean I've got the degree, I know that I'm not going to be able to go into practice but you know I want to be able to use that degree, you know, not let this win.

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  1. In other words, I believe that cultural systems are, to a great extent, communicative systems and that language is only one, although probably the most important, of the communicative (sub)systems.