COMPLEX REGIONAL PAIN SYNDROME
CRPS
AKA
Reflex Sympathetic
Dystrophy Syndrome (RSDS)
Causalgia
SIGNS &
SYMPTOMS
1. SENSORY
3. SUDOMOTOR
OEDEMA
Increased sweating
- Hyperidrosis
Or - complete absence
2. VASOMOTOR
Radiographic
- osteoporosis
patchy
AETIOLOGY
Trauma
- surgical
- minor injury
overactivity
PROGRESS
Discomfort
frank pain
movement
pressure
2-8 weeks
Vasoconstriction
TREATMENT
- early - onward referral
specialist team - aggressive
Analgesia
Therapy
Medication
Pain
- Hyperaesthesia - abnormal sensitivity
- Burning
- Allodynia - pain on light touch
Skin
- cold - temperature asymmetry
- shiny
- white mottled
- or bright red
Oedema
4. MOTOR
TROPHIC
ROM
- decreased
Motor dysfunction
- weakness
- tremor/loss of tone
- dystonia
Trophic changes
- nail
- hair
- skin
DIFFERENTIAL
DIAGNOSIS