Complex Regional Pain Syndrome (CRPS)

Hand Therapy Advice

 If you have any questions regarding any of the advice included in this leaflet please do not hesitate to contact the physiotherapy department on 0114 263 2112

 

 

 issue April 2020 / review April 2022 / version 1

What is CRPS? CRPS is a debilitating, painful condition associated with changes to sensation, movement, skin and bone.

For many years it was known by other terms including Sudeck’s Atrophy, Post Traumatic Pain Syndrome, Reflex Sympathetic Dystrophy and causalgia.

It is not fully understood and can be difficult to diagnose.

It commonly affects the wrist, ankle and knees and anybody can develop it.

What causes CRPS?The cause of CRPS remains unknown. It commonly arises up to a few weeks following injury but the severity of trauma bears no relationship to the extent of the condition.

In some cases there is no precipitating trauma at all. CRPS is differentiated into 2 types according to the absence (Type I) or

presence (Type II) of nerve injury. However, treatment of both remains essentially the same.Diagnosis This can be difficult and delayed due to there being no specific test for CRPS.

It relies on the identification of common symptoms and these can include: Pain that is

disproportionate to the inciting event

Swelling Circulatory/skin colour

changes Increased sensitivity to

touch and temperature Nail and hair changes Sweating Weakness, tremor and

muscle spasm Restricted range of

movement, stiffness and limited function

Treatment CRPS has no proven cure but the majority of sufferers experience a lesser degree of symptoms over time.

Early and effective pain control is essential in permitting therapeutic techniques and quality of life. The setting of realistic goals with your Healthcare providers is of importance.

The control of oedema and the introduction of early movement are critical in preventing stiffness and joint contractures.

Regular attention and sensory stimulation should be paid to the affected limb and early functional use within the tolerance of pain. Exercises should be undertaken regularly, with care not to aggravate pain.

It can take a long time for symptoms to be brought under control and other agencies such as your G.P, consultant and pain management services may play a part in the long-term management of the condition.

Your therapist can give you further advice regarding the specific management of your condition.

Samantha Cook (Hand Therapist)