Complex regional pain syndrome (CRPS) is a chronic pain condition characterized by severe pain, swelling and changes in the skin. It usually affects the arms, hands, legs or feet. It is also known as reflex sympathetic dystrophy or causalgia. It usually begins after trauma such as an injury to the tissue, bone or nerves of your limb. With early treatment, CRPS may be prevented from getting worse.
The exact cause of CRPS is not known, however certain theories suggest that in some cases the sympathetic nervous system plays an important role in sustaining the pain. It may also be caused by triggering the immune response, which can result in inflammatory symptoms of redness, warmth, and swelling in the affected area.
There are two forms of CRPS based on different causes:
The main symptom of CRPS is intense, burning pain that feels much worse than the injury and continues long after the injury has healed. Your skin color may change to red, blue or white. The skin over the affected area may become tender, thin or shiny and sensitive to hot or cold temperatures. You may also have muscle spasms, joint stiffness, and severe limited mobility in the affected area.
Diagnosis of complex regional pain syndrome is based on your medical history and physical examination. The best way to diagnose and treat CRPS is through a sympathetic block of the affected nerve plexus. The injected anesthetic should numb the affected extremity. Pain relief and improved temperature of the extremity is a positive diagnostic test for CRPS.
Treatment is aimed at relieving painful symptoms so that people can resume their normal lives. The following treatment options are often used:
Complex regional pain syndrome causes intense pain that makes it difficult to use the affected part of the body. If you experience constant, severe pain that affects a limb and makes touching or moving that limb intolerable, see your doctor to determine the cause. It’s important to treat complex regional pain syndrome early to prevent the progression of the condition.