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Complex Regional Pain Syndromes (CRPS)

Home Complex Regional Pain Syndromes (CRPS)

Complex Regional Pain Syndromes (CPRS):

There are two types of CRPS:
  1. CRPS I: If no specific nerve injury can be identified
  2. CRPS II: If specific nerve is damaged

CRPS affects the sympathetic nervous system and this is in turn affects all tissue levels (skin, bone, etc.), there are many symptoms that may occur. The overriding symptom is pain, either neuropathic or nociceptive, characterized as aching, burning, pricking or shooting. Other symptoms vary but can induce sensory changes, oedema, abnormalities of temperatures, sudomotor activity & change in skin color. The symptom occurs after an identified precipitating event or trauma.

CRPS comprises five major symptom complexes. They are:
  1. Pain
  2. Autonomic dysfunction
  3. Oedema
  4. Dystrophy and atrophy
  5. Movement disorders

Pain, oedema and autonomic dysfunction predominate early in the course of CRPS, whereas the movement disorders, dystrophy and atrophy are more important in the later stage.

Pain Management:

  • Conservative methods
  • Intravenous regional sympathetic blockade
  • Interventional
    • Sympathetic blockade
    • Neurostimulation
    • Intrathecal drug delivery

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