How can I manage my complex regional pain syndrome condition better?


Answer:  Try decreasing your intake of Omega 6 fatty acids and trans fatty acids.

It’s a long shot based on the study findings below, but if your current intake of trans fat and Omega 6 fatty acids is high, it’s worth a shot cutting back on your trans fat and Omega 6 fatty acids to see if your symptoms improve.
Pain Med. 2010 Jul;11(7):1115-25. Epub 2010 Jun 8.

Do omega-6 and trans fatty acids play a role in complex regional pain syndrome? A pilot study.

Ramsden C, Gagnon C, Graciosa J, Faurot K, David R, Bralley JA, Harden RN.

Abstract

OBJECTIVES:

The study aims to compare the omega-6 (n-6) and omega-3 (n-3) highly unsaturated fatty acids (HUFA), and trans fatty acid (trans FA) status of Complex Regional Pain Syndrome (CRPS) patients to pain-free controls.

DESIGN:

Case control study. Setting. The setting was at a multidisciplinary rehabilitation center.

PATIENTS:

Twenty patients that met the Budapest research diagnostic criteria for CRPS and 15 pain-free control subjects were included in this study. Outcome Measures. Fasting plasma fatty acids were collected from all participants. In CRPS patients, pain was assessed using the McGill Pain Questionnaire-Short Form. In addition, results from the perceived disability (Pain Disability Index), pain-related anxiety (Pain Anxiety Symptom Scale Short Form), depression (Center for Epidemiologic Studies Depression Scale Short Form), and quality of life (Short Form-36 [SF-36]) were evaluated.

RESULTS:

Compared with controls, CRPS patients demonstrated elevated concentrations of n-6 HUFA and trans FA. No differences in n-3 HUFA concentrations were observed. Plasma concentrations of the n-6 HUFA docosatetraenoic acid were inversely correlated with the “vitality” section of the SF-36. Trans FA concentrations positively correlated with pain-related disability and anxiety.

CONCLUSION:

These pilot data suggest that elevated n-6 HUFA and trans FA may play a role in CRPS pathogenesis. These findings should be replicated, and more research is needed to explore the clinical significance of low n-6 and trans FA diets with or without concurrent n-3 HUFA supplementation, for the management of CRPS.