Trusted Sacramento Complex Regional Pain Syndrome (CRPS) Lawyer
If you or a loved one in Sacramento is suffering from Complex Regional Pain Syndrome (CRPS) following an accident or injury, securing experienced legal representation is vital. CRPS is a chronic pain condition that typically affects an arm or a leg and can develop after an injury, surgery, stroke, or heart attack. The pain is often disproportionate to the initial injury, and its effects can be debilitating, leading to severe physical and emotional distress, as well as significant financial burdens.
A Sacramento Complex Regional Pain Syndrome (CRPS) lawyer specializes in navigating the intricacies of personal injury claims involving CRPS. These attorneys possess a profound understanding of the medical and legal challenges associated with CRPS. They are adept at gathering comprehensive medical evidence, consulting with expert witnesses, and building a compelling case to secure the compensation you deserve.
The legal process begins with a thorough evaluation of your case. We will review medical records, accident reports, and other pertinent documents to understand the full scope of your condition and its impact on your life. They will then develop a strategy tailored to your unique situation, whether negotiating a fair settlement or taking the case to trial. A skilled CRPS lawyer will advocate vigorously on your behalf, seeking compensation for medical expenses, lost wages, pain and suffering, and other related damages.
Choosing a Sacramento CRPS lawyer means partnering with a dedicated professional who is committed to protecting your rights and securing your future. Their expertise and commitment can provide peace of mind during an incredibly challenging time, allowing you to focus on your recovery while they handle the legal complexities. CRPS can drastically alter your life, but you don't have to face it alone. Seek the guidance of a specialized attorney to ensure your rights are upheld and your path to recovery is supported.
Don’t let the aftermath of CRPS overwhelm you. With the right legal support, you can navigate the challenges ahead and secure the compensation necessary to manage your condition and maintain your quality of life.
Understanding Complex Regional Pain Syndrome (CRPS):
Complex Regional Pain Syndrome (CRPS), formerly known as Reflex Sympathetic Dystrophy (RSD), is a chronic pain condition that can be debilitating for those affected. It often arises after an injury, surgery, or trauma, causing severe pain, changes in skin color and temperature, swelling, and hypersensitivity in the affected area. Living with CRPS can significantly impact a person's quality of life, ability to work, and emotional well-being. In Sacramento, California, individuals suffering from CRPS may seek legal representation from a Sacramento Complex Regional Pain Syndrome (CRPS) lawyer to advocate for their rights, pursue compensation, and navigate the legal complexities of their condition.
CRPS is a complex and poorly understood condition that affects the nervous system, particularly the sympathetic nervous system. It can develop after an injury, surgery, or trauma that damages nerves, leading to abnormal responses in the nervous system. CRPS is characterized by:
Chronic Pain: Individuals with CRPS experience severe, persistent pain in the affected limb or area. The pain is often described as burning, stabbing, throbbing, or shooting and can be debilitating, affecting daily activities and quality of life.
Sensory Changes: CRPS can cause sensory abnormalities, including hypersensitivity to touch, temperature changes, and abnormal sensations such as tingling or numbness.
Swelling and Skin Changes: The affected limb may swell, and there may be changes in skin color, temperature, and texture. The skin may appear red, mottled, shiny, or thin, and hair and nail growth may be affected.
Motor Dysfunction: CRPS can lead to muscle weakness, stiffness, tremors, and impaired coordination and movement in the affected limb.
Emotional and Psychological Impact: Living with chronic pain and disability can have a profound emotional and psychological impact, leading to anxiety, depression, mood swings, and difficulty coping with daily life.
Physicians divide Complex Regional Pain Syndrome into two types, though the treatment options for each are similar.
You may have CRPS-I, which was previously called Reflex Sympathetic Dystrophy Syndrome (RSD). In Type I CRPS, there is no underlying nerve damage. You may have suffered a serious injury to one of your limbs or extremities, but you have not been diagnosed with specific nerve injuries. In Type II CRPS there is underlying nerve damage in the area in which you are suffering from the painful condition. Type II is often associated with high-velocity impact injuries, such as bullet wounds. This condition was previously called causalgia.
If you were injured more than six months ago and are still experiencing discomfort or severe pain, then it is essential you speak with your physician. There is no one specific diagnostic test for this disorder. A doctor can diagnose CRPS based on your medical history and a physical exam. Your doctor may conduct X-rays, MRIs, bone scans, and sympathetic nervous system tests. Tests of your nervous system may look at the temperature of your affected and unaffected limbs, blood flow, and sweat production.
More information at https://rsds.org/telltale-signs-and-symptoms-of-crpsrsd/
Roles and Responsibilities of a Sacramento CRPS Lawyer:
A Sacramento CRPS lawyer plays several crucial roles in advocating for individuals with CRPS:
Case Evaluation: During an initial consultation, the lawyer evaluates the details of the CRPS case, including the onset of symptoms, medical diagnosis, treatment history, impact on daily activities, and financial losses. They assess the strength of the claim and discuss legal options for seeking compensation.
Medical Expertise: CRPS lawyers work closely with medical experts, including pain management specialists, neurologists, orthopedic surgeons, and psychologists, to obtain comprehensive medical documentation of the CRPS diagnosis, symptoms, treatment plan, and prognosis. This documentation is essential in building a strong case.
Investigation: The lawyer conducts a thorough investigation into the circumstances surrounding the CRPS, gathering medical records, diagnostic tests, imaging studies, treatment records, witness statements, and expert opinions. They identify liable parties and determine the damages incurred due to CRPS.
Legal Strategy: Based on the investigation and medical evidence, the lawyer develops a legal strategy tailored to the specific case. This may involve pursuing compensation for medical expenses, lost income, pain and suffering, disability accommodations, assistive devices, home modifications, and other damages.
Negotiation: The lawyer handles negotiations with insurance companies, responsible parties, and their legal representatives. They advocate for fair settlements that reflect the full extent of the damages and ensure the client's best interests are represented.
Litigation: If a fair settlement cannot be reached, the lawyer is prepared to take the case to court. Litigation may be necessary to hold negligent parties accountable, present evidence, cross-examine witnesses, and argue the case before a judge and jury.
Types of Compensation in CRPS Cases:
In CRPS cases, individuals may seek various types of compensation, including:
Medical Expenses: Coverage for doctor visits, hospitalization, medications, physical therapy, occupational therapy, psychological counseling, pain management treatments, and ongoing medical care related to CRPS.
Lost Income: Compensation for wages lost due to the inability to work, reduced earning capacity, or disability resulting from CRPS-related limitations.
Pain and Suffering: Damages for physical pain, emotional distress, mental anguish, and loss of enjoyment of life caused by CRPS and its impact on daily activities, relationships, and overall well-being.
Disability Accommodations: Costs associated with accommodations for disabilities, such as mobility aids (wheelchairs, walkers), assistive devices (orthopedic braces, splints), home modifications (ramps, grab bars), and vocational rehabilitation services.
Future Damages: Estimate of future medical expenses, ongoing treatment, rehabilitation needs, loss of earning capacity, and other long-term effects of CRPS on health and financial stability.
Choosing the Right Sacramento CRPS Lawyer:
When selecting a Sacramento CRPS lawyer, consider these factors:
Experience: Look for a lawyer with extensive experience in handling CRPS cases and a track record of successful outcomes.
Expertise: Choose a lawyer who specializes in personal injury law, particularly CRPS and chronic pain conditions, and has a deep understanding of medical and legal complexities.
Resources: Ensure the law firm has access to resources, including medical experts, investigative tools, and legal support staff, to build a strong case on behalf of clients.
Communication: Select a lawyer who communicates effectively, keeps clients informed throughout the legal process, and is responsive to questions and concerns.
Compassion: Seek a lawyer who demonstrates empathy, compassion, and understanding toward clients' situations and challenges they face due to CRPS.
Do You Have an Injury Claim for CRPS?
If you believe that your CRPS is the result of an injury you suffered due to another’s negligence, then you could have reason to contact a Phillips Personal Injury today. Many people never receive the right diagnosis, and they never get the help that they need. They or their doctors might believe that their pain is due to some other malady. Having proper diagnosis from a doctor who understands CRPS and having the legal help of attorneys who have worked similar cases is going to be in your benefit in these instances. You may well have a case that can help you receive the financial restitution you deserve.
Those who have CRPS will find that it an be difficult to live life normally. The pain can be enough that it is impossible to do certain types of work. It can cause financial hardship because of this, as well as mental stress. You need help, and you cannot afford to wait to find it.
In California, a person is entitled to recover the following damages against the at-fault party for CRPS:
Past, current, and future medical expenses (the assistance of a Life Care Planner is often needed to helps determine the cost of future medical care);
Lost income or wages due to time away from work;
Any property damage;
The cost of hiring someone to do household chores while you are unable to do them;
Any permanent disfigurement and disability;
Emotional distress, including anxiety, depression, and any interference with family relationships;
Pain and suffering;
Any other costs that were a direct result of your injury.
If you have questions about CRPS injury claims we invite you to contact us. We serve all of Northern CA. and do not charge for the initial consultation and are happy to answer any questions you may have. 530-265-0186
A Sacramento Complex Regional Pain Syndrome (CRPS) lawyer can be a crucial ally for individuals living with this challenging condition. They provide legal expertise, advocacy, and support to help clients pursue compensation, protect their rights, and navigate the complexities of CRPS-related claims. If you're dealing with CRPS in Sacramento, don't hesitate to seek legal representation to ensure your voice is heard and your needs are addressed. A skilled CRPS lawyer can make a significant difference in your journey toward justice and recovery.
Frequently Asked Questions About CRPS
What Causes CRPS?
Complex Regional Pain Syndrome (CRPS), also known as Reflex Sympathetic Dystrophy (RSD), is a chronic pain condition characterized by severe and persistent pain, changes in skin color and temperature, swelling, and hypersensitivity in the affected area. While the exact cause of CRPS is not fully understood, it is believed to result from a complex interaction of neurological, inflammatory, and immune system factors following an injury or trauma. Understanding the potential causes of CRPS is essential for patients, medical professionals, and researchers in developing effective treatment strategies and improving outcomes for individuals with this challenging condition.
1. Injury or Trauma:
CRPS often develops following an injury, surgery, or trauma to a limb or part of the body. This can include fractures, sprains, strains, burns, surgical procedures, crush injuries, or even minor traumas such as injections or medical procedures. The initial injury triggers a cascade of physiological responses that can lead to the development of CRPS in susceptible individuals.
2. Nerve Damage:
Nerve damage or dysfunction plays a significant role in the development of CRPS. The injury or trauma can directly damage nerves or alter their function, leading to abnormal pain signaling and sensitization of pain pathways in the central nervous system. This heightened sensitivity to pain contributes to the characteristic pain symptoms experienced by individuals with CRPS.
3. Neurological Changes:
CRPS involves complex neurological changes in the affected area and the central nervous system. These changes can include alterations in the transmission of pain signals, increased excitability of nerve cells, and abnormal responses to sensory stimuli. Dysfunction in the sympathetic nervous system, which controls involuntary functions such as blood flow and sweating, may also play a role in CRPS.
4. Inflammatory Response:
Following an injury or trauma, the body's immune system initiates an inflammatory response to promote healing and repair. In individuals with CRPS, this inflammatory response may become dysregulated, leading to excessive inflammation, release of pro-inflammatory cytokines, and recruitment of immune cells to the affected area. Chronic inflammation contributes to pain, swelling, and tissue damage characteristic of CRPS.
5. Vascular Abnormalities:
CRPS is associated with vascular abnormalities, including changes in blood flow, vasomotor dysfunction, and altered microcirculation in the affected limb. These vascular changes may contribute to temperature fluctuations, color changes, and edema observed in individuals with CRPS.
6. Genetic Predisposition:
While not fully understood, there may be a genetic component to CRPS susceptibility. Some individuals may have a genetic predisposition that makes them more susceptible to developing CRPS following an injury or trauma. Genetic factors may influence pain perception, immune responses, and nervous system function, contributing to the development and severity of CRPS.
7. Psychological Factors:
Psychological factors such as stress, anxiety, depression, and trauma can influence the experience and perception of pain in individuals with CRPS. These factors may interact with biological mechanisms, exacerbating pain symptoms and impacting the overall management of CRPS.
8. Central Sensitization:
CRPS is associated with central sensitization, a process in which the central nervous system becomes hypersensitive to pain signals. This results in amplification of pain perception, lower pain thresholds, and increased pain intensity in response to various stimuli. Central sensitization contributes to the chronic and persistent nature of CRPS pain.
Conclusion:
CRPS is a multifaceted condition with complex underlying mechanisms involving neurological, inflammatory, immune, vascular, genetic, and psychosocial factors. While the exact cause of CRPS remains unclear, it is likely a combination of these factors interacting in susceptible individuals following an injury or trauma. Advancements in research and understanding of CRPS pathophysiology are crucial for developing targeted therapies, improving pain management strategies, and enhancing outcomes for individuals living with this challenging condition.
Who suffers from CRPS?"
CRPS, or Complex Regional Pain Syndrome, can affect individuals of all ages, genders, and backgrounds. While it is relatively rare compared to other pain conditions, CRPS can have a profound impact on those who suffer from it. The condition is known to occur more frequently in women than in men, with some studies suggesting a ratio of 3 to 1. However, men can also develop CRPS, and the condition does not discriminate based on gender.
CRPS often occurs following an injury, trauma, or surgical procedure, although it can also arise spontaneously without an apparent trigger. Injuries that can lead to CRPS include fractures, sprains, strains, burns, and surgeries. The severity of CRPS symptoms can vary widely among individuals, with some experiencing mild discomfort and others facing debilitating pain and functional impairment.
CRPS can affect any part of the body, but it most commonly affects the extremities, such as the arms, hands, legs, and feet. The symptoms of CRPS can be challenging to manage, as they often include severe and persistent pain, changes in skin color and temperature, swelling, stiffness, and hypersensitivity to touch and stimuli.
Individuals with CRPS may also experience emotional and psychological challenges, including anxiety, depression, mood swings, and difficulty coping with the impact of the condition on their daily lives. CRPS can disrupt work, social activities, and relationships, leading to significant physical, emotional, and financial burdens for patients and their families.
Overall, anyone who experiences an injury or trauma that triggers abnormal pain responses and neurological changes has the potential to develop CRPS. Early diagnosis, comprehensive treatment, and ongoing support are essential for managing CRPS and improving the quality of life for those affected by this complex pain condition.
How common is CRPS?
CRPS, or Complex Regional Pain Syndrome, is considered relatively rare compared to other pain conditions. It is estimated to affect between 5 and 26 per 100,000 individuals annually, with the incidence varying depending on the population studied and diagnostic criteria used. While CRPS can occur at any age, it is more commonly diagnosed in adults, particularly those between the ages of 40 and 60. Despite its rarity, CRPS can have a significant impact on the lives of those affected, highlighting the importance of accurate diagnosis, specialized care, and ongoing research into effective treatment approaches.
How is CRPS diagnosed?
CRPS diagnosis typically involves a thorough medical history review, physical examination, and assessment of symptoms. Healthcare providers look for key signs, including disproportionate pain to the initial injury, changes in skin color, temperature, and texture, swelling, and hypersensitivity. Imaging tests such as X-rays, MRIs, or bone scans may be used to rule out other conditions and assess bone and tissue changes. Additionally, nerve conduction studies and sympathetic nervous system tests can help confirm CRPS. Collaboration between pain specialists, neurologists, and other healthcare professionals is crucial for accurate diagnosis and developing a comprehensive treatment plan for CRPS patients.
The Budapest criteria, also known as the Budapest Diagnostic Criteria for Complex Regional Pain Syndrome (CRPS), were established to provide standardized guidelines for diagnosing CRPS. These criteria are based on clinical signs and symptoms observed in patients with CRPS. The Budapest criteria include four categories:
Pain: The patient must report continuous, disproportionate pain that is not limited to a specific nerve territory. The pain should be exacerbated by movement or stimuli and can be described as burning, shooting, or throbbing.
Sensory: The patient must exhibit at least one sign of sensory abnormalities such as hyperalgesia (increased pain sensitivity), allodynia (painful response to non-painful stimuli), or abnormal responses to thermal or tactile stimuli in the affected limb.
Vasomotor: The patient must display at least one symptom related to vasomotor abnormalities, such as changes in skin color (redness or pallor), temperature asymmetry (warmer or colder than the opposite limb), or skin texture changes (thin or shiny).
Motor/Trophic: The patient must exhibit at least one sign of motor dysfunction or trophic changes in the affected limb, such as weakness, tremor, dystonia (involuntary muscle contractions), decreased range of motion, or alterations in hair or nail growth.
To meet the Budapest criteria for CRPS diagnosis, the patient must have symptoms from at least three of the four categories listed above. The symptoms should not be better explained by another medical condition or disorder.
Healthcare professionals use the Budapest criteria as a guideline for evaluating patients with suspected CRPS, helping to ensure accurate diagnosis and appropriate management of this complex pain syndrome.
How much does CRPS actually hurt?
Complex Regional Pain Syndrome (CRPS) is recognized as one of the most painful conditions a person can experience. The pain associated with CRPS is often described as intense, burning, and relentless. Unlike typical pain that subsides with healing, CRPS pain can persist and even worsen over time, significantly impacting a person's quality of life.
Individuals with CRPS often report a continuous burning or “pins and needles” sensation in the affected limb. The pain can be triggered by seemingly innocuous stimuli, such as a light touch or a gentle breeze, which would not typically cause discomfort. This phenomenon, known as allodynia, highlights the extreme sensitivity and dysfunction of the nervous system in CRPS patients.
Moreover, CRPS can lead to a variety of other distressing symptoms, including swelling, changes in skin color and temperature, and motor impairments. The pain is not only physical but also profoundly affects mental and emotional well-being. Many patients experience anxiety, depression, and sleep disturbances as a result of living with chronic, unyielding pain.
The exact cause of the intense pain in CRPS is not fully understood, but it is believed to involve a combination of peripheral nerve injury and abnormal responses in the central nervous system. The condition is notoriously difficult to treat, often requiring a multifaceted approach including medications, physical therapy, and psychological support.
In summary, CRPS pain is exceptionally severe and can dominate every aspect of a person’s life. Its complexity and intensity make effective management challenging, emphasizing the need for specialized medical and psychological care to help patients cope with its profound impact.
Can CRPS spread from where it began?
Complex Regional Pain Syndrome (CRPS) can be an unpredictable condition, and one of its challenging aspects is its potential to spread beyond the initial site of injury. While CRPS typically begins in one limb, it is not uncommon for the pain and other symptoms to extend to other parts of the body over time. The spread of CRPS can occur in a contiguous manner, moving from the original site to adjacent areas, or in a mirror-image pattern, affecting the opposite limb.
The exact mechanisms behind the spread of CRPS are not fully understood, but it is believed to involve complex interactions between the nervous system and the immune system. This condition causes abnormal pain signaling and inflammatory responses, which may contribute to its expansion. The spread can happen gradually or suddenly, and its extent varies widely among individuals.
For some patients, the spread of CRPS can lead to widespread pain, making management even more challenging. This progression underscores the importance of early and aggressive treatment to potentially limit the condition's reach and severity. Treatment strategies often include medications, physical therapy, nerve blocks, and psychological support to address both the physical and emotional aspects of CRPS.
Monitoring the symptoms and maintaining open communication with healthcare providers are crucial for managing CRPS effectively. If you notice new areas of pain or other symptoms developing, it is important to seek medical advice promptly. Early intervention can help manage the spread and improve the overall quality of life for those living with CRPS.
In summary, while CRPS can spread from its original site, proactive and comprehensive treatment can play a key role in managing this complex and painful condition.
How long does CRPS last?
The duration of Complex Regional Pain Syndrome (CRPS) varies significantly among individuals, making it a challenging condition to predict and manage. For some, CRPS may resolve within months, while for others, it can persist for years or even become a lifelong condition.
In the early stages, CRPS is often classified into two phases: acute and chronic. The acute phase occurs within the first few months following the initial injury, during which symptoms may be more responsive to treatment. Early intervention is crucial in this stage, as timely and aggressive treatment can improve the chances of reducing symptoms and potentially achieving remission.
However, if CRPS progresses to the chronic phase, which occurs after about six months, the condition can become more resistant to treatment. Chronic CRPS is often characterized by persistent pain, swelling, and other symptoms that can significantly impair daily functioning and quality of life.
The variability in CRPS duration is influenced by several factors, including the severity of the initial injury, the promptness of diagnosis and treatment, and individual differences in response to therapy. Some people may experience periods of remission, where symptoms significantly diminish or disappear, only to have flare-ups later on.
Long-term management of CRPS typically involves a multidisciplinary approach, combining medications, physical therapy, nerve blocks, and psychological support. Regular follow-up with healthcare providers is essential to adjust treatments as needed and to address any new or worsening symptoms promptly.
In summary, the duration of CRPS is highly variable, ranging from months to potentially a lifetime. Early diagnosis and comprehensive treatment are key to managing the condition and improving the chances of recovery or long-term remission.
How is CRPS treated?
Treating Complex Regional Pain Syndrome (CRPS) involves a comprehensive and multidisciplinary approach tailored to the individual's specific symptoms and needs. The primary goal of treatment is to alleviate pain, improve function, and enhance the quality of life.
Medications are often the first line of treatment for CRPS. These may include pain relievers, anti-inflammatory drugs, corticosteroids to reduce inflammation, and medications specifically targeting nerve pain, such as anticonvulsants and antidepressants. In some cases, stronger pain medications like opioids may be prescribed, though their use is carefully monitored due to the risk of dependence.
Physical therapy is another crucial component of CRPS treatment. Through guided exercises, patients can improve mobility, strength, and function in the affected limb. Physical therapists often employ desensitization techniques and graded motor imagery to help reduce pain and increase limb use.
Nerve blocks and other interventional procedures can also be effective. These involve injecting anesthetics or steroids near the affected nerves to block pain signals. In more severe cases, spinal cord stimulation or intrathecal drug pumps may be considered, delivering pain relief directly to the spinal cord or through the spinal fluid.
Psychological support is essential, as chronic pain can lead to significant emotional and mental health challenges. Cognitive-behavioral therapy (CBT), mindfulness techniques, and counseling can help patients cope with the emotional toll of CRPS and develop strategies to manage pain.
Complementary therapies such as acupuncture, biofeedback, and occupational therapy may also be beneficial for some individuals, providing additional pain relief and improving overall well-being.
In summary, treating CRPS requires a multifaceted approach that combines medications, physical and psychological therapies, and interventional procedures. Early and aggressive treatment is crucial to managing symptoms effectively and enhancing the patient's quality of life.
If you or a family member have been affected by CRPS due to the negligence of another, or if you have questions or concerns regarding your rights, we invite you to give us a call
Resources
There are numerous organizations providing information and support regarding RSD, CRPS, and chronic pain conditions in general. Here are just a few:
Reflex Sympathetic Dystrophy Syndrome Association of America
PO Box 502
Milford, CT 06460
Tel: (203)877-3790
Fax: (203)882-8362
Tel: (877)662-7737
Email: info@rsds.org
American Chronic Pain Association
P.O. Box 850
Rocklin, CA 95677
USA
Tel: (916)632-0922
Fax: (916)632-3208
Tel: (800)533-3231
Email: ACPA@pacbell.net
Arthritis Foundation
P.O. Box 7669
Atlanta, GA 30357-0669
USA
Tel: (404)965-7627
Tel: (800)283-7800
Email: arthritisfoundation@arthritis.org
NIH/National Institute of Neurological Disorders and Stroke
P.O. Box 5801
Bethesda, MD 20824
Tel: (301)496-5751
Fax: (301)402-2186
Tel: (800)352-9424
TDD: (301)468-5981
Email: me20t@nih.gov
American Pain Society
4700 West Lake Avenue
Glenview, IL 60025
Tel: (847)375-4715
Fax: (866)574-2654
Email: info@ampainsoc.org
Pain.com
c/o Dannemiller, Inc.
5711 Northwest Parkway
San Antonio, TX 78246
Tel: (210)641-8311
Fax: (210)641-8329
Email: editor@pain.com
American RSDHope
P.O. Box 875
Harrison, ME 04040-0875
USA
Tel: (207)583-4589
Fax: (207)583-4978
Email: rsdhope@roadrunner.com
International Association for the Study of Pain
IASP Secretariat
111 Queen Anne Ave N, Suite 501
Seattle, WA 98109-4955
Tel: (206)283-0311
Fax: (206)283-9403
Email: IASPdesk@iasp-pain.org
Vasculitis of the Central Nervous System
vasculitisoftheCNS@yahoogroups.com
Tel: (770)978-5636
Email: cnsvsurvivor@aol.com
Genetic and Rare Diseases (GARD) Information Center
PO Box 8126
Gaithersburg, MD 20898-8126
Tel: (301)251-4925
Fax: (301)251-4911
Tel: (888)205-2311
TDD: (888)205-3223
P.A.R.C. Promoting Awareness of RSD/CRPS in Canada
PO Box 21026
St. Catharines
Ontario, L2M 7X2
Canada
Tel: 905-934-0261
Email: carlayoung74@hotmail.com