A board-certified interventional pain specialist reviews your client's complete medical record and delivers a physician-authored opinion on Budapest Criteria compliance, causation, permanency, and documentation gaps — before the defense IME exposes them.
The Problem
CRPS requires formal Budapest Criteria documentation — sensory, vasomotor, sudomotor/edema, and motor/trophic categories with specific signs and symptoms in each. Most treating physicians describe pain and swelling without mapping findings to the diagnostic standard. The defense IME does map them — and finds gaps.
Three-phase bone scan, thermographic assessment, and quantitative sudomotor axon reflex testing (QSART) provide objective evidence that corroborates the clinical diagnosis. Without them, the defense argues CRPS is a subjective diagnosis unsupported by objective data. The treating physician rarely knows to order these tests.
CRPS develops after trauma — but the medical record must establish the causal chain with specificity. When did neuropathic symptoms first appear relative to the injury? Was there a documented inciting event at a specific nerve distribution? Without this, the defense expert attributes symptoms to pre-existing neuropathy or psychological overlay.
The Deliverable
A comprehensive, physician-authored written opinion addressing every dimension of your client's CRPS case — designed to withstand defense IME attack and strengthen your position at mediation or trial.
Systematic evaluation of your client's medical record against the internationally recognized Budapest Criteria. Each diagnostic category — sensory, vasomotor, sudomotor/edema, motor/trophic — is assessed with specific findings from the chart. Gaps in documentation are identified with recommendations for addressing them.
Identification of confirmatory tests not yet performed — three-phase bone scan, thermography, QSART, skin biopsy for small fiber neuropathy — with specific rationale for why each test would strengthen the diagnostic foundation. Prioritized by impact on case value.
A causation analysis connecting the inciting traumatic event to the development of CRPS, stated within reasonable medical certainty (or your state's applicable standard). Addresses temporal relationship, anatomic plausibility, and differential diagnosis. Pre-existing conditions are specifically addressed.
Assessment of permanency based on CRPS staging, disease duration, treatment response, and current functional status. Projected future medical care with estimated costs — spinal cord stimulation, intrathecal pump, ongoing pain management, physical therapy, psychological support.
A specific, actionable list of steps the treating physician can take to strengthen the medical record before the defense IME or deposition. This section alone can change the trajectory of your case.
Reviewing Physician
Your review is performed by a board-certified interventional pain management specialist who actively diagnoses and treats CRPS patients in clinical practice — not a retired physician reviewing files for supplemental income. The difference shows in the opinion.
A treating physician understands CRPS from the exam room. They know which physical findings map to which Budapest categories because they perform those exams daily. They know which confirmatory tests change case trajectory because they order them. They write causation language that holds under cross-examination because they've defended their clinical decisions before.
National Coverage
We accept cases from all 50 states. Records can be submitted electronically. No in-person examination required for record review and opinion. If your client is in New Jersey or New York and needs treatment, we can discuss clinical evaluation.
Common Questions
Submit a Case
Submit the form and we'll contact you within one business day to discuss the case and provide instructions for secure record transmission. Or call us directly — we're happy to discuss your case before you commit.