Complex regional pain syndrome (CRPS), also known as reflex sympathetic dystrophy is a pain syndromewith an unclear pathophysiology and unpredictableclinical course.CRPS is a syndrome occurring as a complication ofsurgery or trauma. It is a collection oflocally appearing painful conditions following a trauma,which chiefly occur distally and exceed in intensity and
duration the expected clinical course of the originaltrauma, often resulting in considerably restricted motorfunction.The symptoms consist of a combination ofcontinuous pain, sensory dysfunction, vasomotor andsudomotor dysfunction, and motor and trophic signs.Symptoms can range from hyperalgesia, mechanical allodynia, hypoalgesia andmechanical hypoesthesia, temperature changes,abnormal sweating or edema, redness or color changes in the skin, motor dysfunction to dystonia. Management is multidisciplinary and depends on the stage of the disease.
Treatment options aims at function restoration , vocational rehabilitation by using guided motor imagery, visual feedback, occupational therapy, physiotherapy, recreational therapy, etc. Pharmacological agents includes NSAIDS, corticosteroids, carbamazepine, opioids, NMDA receptor antagonist, clonidine, calcitonin or bisphosphonates, etc.Interventions like sympathetic neurolytic blocks, iv lignocaine, Brachial plexus block, spinal cord stimulation, can give good pain relief.
Consult our Pain Specialist to diagnose pain generator and also ask for minimally invasive treatment of CRPS.