(CRPS; Reflex Sympathetic Dystrophy [RSD]; Causalgia; Sympathetically Maintained Pain)
- CRPS 1, also called reflex sympathetic dystrophy or RSD, has no observable nerve damage.
- CRPS 2, also called causalgia, produces similar symptoms after a verified nerve injury has occurred.
|Complex Regional Pain Syndrome|
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- Sensitivity to touch or even a light breeze
- Swelling in the arm or leg
- Unusual sweating patterns
- Excessively warm or cool skin
- Hair and nails changes which may become brittle and crack
- Abnormal movement in the arm or leg, such as a tremor, jerking, or spasms
- A pale, blue, and/or shiny look to the skin
- Limited joint movement
- An initial traumatic or painful event to a limb, or keeping the limb still for a period of time
- Continuing pain in the limb that is out of proportion to any stimulus, such as pain with even light touch
- Swelling, changes in skin blood flow, movement problems,or temperature changes only in the affected limb
- No other cause for the symptoms
- Pictures may need to be taken of your internal body structures. This can be done with:
- The electrical activity in your nerves and muscles may need to be tested. This can be done with:
- You may need to have your body's heat measured. This can be done with a thermogram.
- You may need to have your autonomic nervous system evaluated. This can be done with quantitative sudomotor axon reflex test (QSART).
- Pain relievers
- Antiseizure medications
- Topical pain relievers that are applied to the skin
- Nerve block injections
- Early use of pain relievers after trauma
- Use of sympathetic nerve block after trauma
- Desensitization techniques, if needed
- Use of vitamin C may reduce the risk of CRPS after a wrist fracture.
International Research Foundation for RSD/CRPS http://www.rsdfoundation.org
Reflex Sympathetic Dystrophy Syndrome Association http://www.rsds.org
Health Canada http://www.hc-sc.gc.ca
Promoting Awareness of RSD and CRPS in Canada http://www.rsdcanada.org
Complex regional pain syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated June 24, 2013. Accessed June 27, 2013.
Harden RN, Bruehl SP. Diagnosis of complex regional pain syndrome: signs, symptoms, and new empirically derived diagnostic criteria. Clinical Journal of Pain . 2006;22:415-419.
Complex Regional Pain Syndrome Fact Sheet. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/reflex%5Fsympathetic%5Fdystrophy/detail%5Freflex%5Fsympathetic%5Fdystrophy.htm . Updated June 26, 2013. Accessed June 27, 2013.
8/10/2007 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : Zollinger PE, Tuinebreijer WE, Breederveld RS, Kreis RW. Can vitamin C prevent complex regional pain syndrome in patients with wrist fractures? A randomized, controlled, multicenter dose-response study. J Bone Joint Surg Am . 2007;89:1424-1431.
11/9/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.phpDynaMed's Systematic Literature Surveillance : Cacchio A, DeBlasis, E, Necozione S, di Orio F, Santilla V. Mirror therapy for chronic complex regional pain syndrome type 1 and stroke. N Engl J Med . 2009;361(6):634-636.
- Reviewer: Rimas Lukas, MD; Brian Randall, MD
- Review Date: 06/2013 -
- Update Date: 05/11/2013 -