Complex Regional Pain Syndrome

Question 1

Definition

Answer 1

-Neuropathic pain, long lasting pain that is out of proportion to underlying cause

Question 2

Types

Answer 2

Type 1
-occurs without peripheral nerve damage 
Type 2
-occurs in the context of damage/trauma to peripheral nerves 
Warm and Cold CRPS
-Vasodilation and vasoconstriction

Question 3

Main Signs and symptoms

Answer 3

Pain
-Regional 
-Long lasting 
-Hyperalgesia 
-Allodynia 
Functional impairment
-Weakness 
-Reduced ROM

Question 4

Treatment

Answer 4

• Prevention through mobilization post injury
• Pt awareness of condition, its real but no damage
• Psychologist
• Physical therapy, keep function of affected limb
• Medication for pain
• CRPS type 2 see neurological specialist

Question 5

DDX

Answer 5

• Infection
• DVT
• Fibromyalgia
• Other autoimmune conditions

Question 6

Etiology and risk factors

Answer 6

• Often distal and following an injury or trauma event
• Hx Fractures most common
• Genetic predisposition
• 40-70 years of age