Complex Regional Pain Syndrome (CRPS/RSD) Pain Management Specialists
Complex Regional Pain Syndrome (CRPS/RSD)
Condition Overview
Complex Regional Pain Syndrome (CRPS) is a condition in which a person feels intense pain in one part of their body, typically a limb such as an arm or a leg. This pain can feel like burning, stabbing or throbbing and can be caused by something as simple as a light touch. While the exact cause of CRPS is unknown, it often develops after an injury or surgery.
CRPS used to be referred to as Reflex Sympathetic Dystrophy (RSD), but specialists now mostly use the term CRPS because it better reflects the complexity of the condition and its pain symptoms. CRPS is categorized into two types: CRPS type 1 and CRPS type 2.
Both types of complex regional pain syndrome (CRPS) require treatment to prevent symptoms from worsening. An experienced pain specialist can help develop a treatment plan tailored to your specific needs and lifestyle.
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Symptoms of Complex Regional Pain Syndrome (CRPS/RSD)
There are two types of CRPS with similar signs and symptoms but different origins.
CRPS Type 1
Type 1 CRPS — also known as reflex sympathetic dystrophy (RSD) — is a chronic pain condition that typically develops after an injury or trauma but without any specific nerve damage. This form of CRPS is the most common, affecting approximately 90% of those diagnosed. Symptoms may include:
- Pain is described as burning or throbbing
- Hypersensitivity to both temperature and touch
- Swelling and stiffness in the joints
- Skin discoloration or other changes like thinning or shininess
- Changes in hair and nail growth pattern
- Decreased motor function
CRPS Type 2
Type 2 CRPS — also known as causalgia — is a chronic pain condition that occurs after a specific nerve injury. Unlike Type 1 CRPS, which can develop without direct nerve damage, Type 2 CRPS is associated with identifiable nerve damage resulting from trauma, surgery or other injuries.
Like Type 1 CRPS, it causes intense pain, swelling and changes in skin color and temperature in the affected area, often spreading beyond the initial injury site.
Diagnosis of CRPS/RSD
No single test can diagnose CRPS or RSD. A physical exam and a medical history will be the first step toward a diagnosis by our team. Additional tests that can provide helpful information when diagnosing or treating CRPS include sympathetic nervous system tests, bone scans, X-rays or an MRI.
Sympathetic nerve blocks may also be used to confirm CRPS by evaluating pain relief. This comprehensive approach ensures an accurate diagnosis and the development of an effective treatment plan.
Treatment Options for Complex Regional Pain Syndrome
Treatment for CRPS typically involves a multidisciplinary approach tailored to the severity of symptoms and the individual’s overall health. While CRPS cannot always be fully reversed, symptoms can often be managed and minimized with appropriate care.
Early specialist intervention, along with comprehensive management strategies — physical therapy, medication, nerve blocks and psychological support — can significantly alleviate pain and enhance the quality of life for individuals with CRPS.
Treatment options include:
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