Complex Regional Pain Syndrome (CRPS)

Understanding Chronic Pain and Treatment Options

Neurology

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Last updated: Mar 24, 2025

What is CRPS?

Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that typically affects a limb after an injury, surgery, or trauma. It's characterized by prolonged, severe pain that's often disproportionate to the initial injury.

Types of CRPS

  • Type 1 (RSD): Occurs without confirmed nerve damage
  • Type 2: Occurs with confirmed nerve damage

Common Symptoms

  • Intense, burning pain
  • Sensitivity to touch
  • Temperature changes in affected area
  • Skin color changes
  • Swelling
  • Limited mobility
  • Changes in hair and nail growth

Risk Factors

  • Trauma or injury
  • Surgery
  • Immobilization
  • Female gender (more common)
  • Age (typically affects adults 20-50)

Diagnosis

Diagnosis is primarily clinical, based on:

  • Medical history
  • Physical examination
  • Symptom pattern
  • Diagnostic tests to rule out other conditions

Treatment Options

Medical Treatments

  • Pain medications
  • Nerve blocks
  • Antidepressants
  • Anticonvulsants

Physical Therapy

  • Gentle exercise
  • Desensitization techniques
  • Mirror therapy
  • Graded motor imagery

Additional Therapies

  • Psychological support
  • Occupational therapy
  • Biofeedback
  • Spinal cord stimulation

Living with CRPS

  • Early treatment is crucial
  • Regular exercise within limits
  • Stress management
  • Support group participation
  • Regular medical follow-up

Prognosis

Outcomes vary significantly:

  • Some patients recover completely
  • Others have ongoing symptoms
  • Early intervention improves prognosis
  • Treatment response varies individually

When to Seek Help

Contact your healthcare provider if:

  • Pain becomes severe
  • Symptoms worsen
  • New symptoms develop
  • Treatment isn't providing relief

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