CRPS-COMPLEX REGIONAL PAIN SYNDROME

SUMMARY

1. Syndrome of variable course and unknown etiology characterized by chronic pain, swelling, and vasomotor dysfunction of an extremity that is disproportionate to the inciting event.

2. Previously called reflex sympathetic dystrophy (RSD), is a form of chronic pain that usually affects a distal extremity (upper > lower).

3. Two types: CRPS 1 (synonym: RSD; more common, without major major nerve damage) & CRPS 2 (synonym: causalgia; with evidence of nerve damage).

4. Patients have pain, hyperalgesia, edema, temperature asymmetry, muscle atrophy, decreased ROM, or weakness disproportionate to the inciting event.

5. In severe cases, flexion contractures may develop.

6. Diagnosed using the Budapest Diagnostic Criteria.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.