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[Reflex dystrophy. Complex regional pain syndrome type I].

Gry Kambskard Petersen1, Michael Reinhold Jensen, Lars B Dahlin

  • 1Ortopaedkirurgisk afdeling T, håndkirurgisk sektion, Amtssygehuset i Gentofte.

Ugeskrift for Laeger
|November 9, 2002
PubMed
Summary

Complex regional pain syndrome type I (CRPS I), or reflex sympathetic dystrophy, is a clinical diagnosis often following injury. Early physiotherapy and corticosteroids may improve outcomes for this painful condition.

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Area of Science:

  • Neurology and Pain Management
  • Clinical Diagnosis and Therapeutics

Context:

  • Reflex sympathetic dystrophy, now termed complex regional pain syndrome type I (CRPS I), is a challenging clinical diagnosis.
  • This syndrome predominantly affects women and commonly arises after soft tissue injuries or fractures.
  • Key symptoms include severe pain, edema, restricted motion, sensory alterations, and trophic changes.

Purpose:

  • To outline the clinical presentation, suspected pathogenesis, and treatment principles for CRPS I.
  • To highlight the current understanding and diagnostic criteria for this complex pain condition.
  • To emphasize the need for further research, particularly large-scale double-blind studies.

Summary:

  • CRPS I is diagnosed clinically, characterized by pain, edema, and functional limitations post-injury.

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  • Pathogenesis is unclear but likely involves sympathetic/sensory nervous system dysfunction or neurogenic inflammation.
  • Early intervention with physiotherapy and corticosteroids appears beneficial, alongside neurogenic pain management strategies.

    • Impact:

    • Provides a concise overview of CRPS I for clinicians and researchers.
    • Underscores the importance of early diagnosis and multidisciplinary treatment approaches.
    • Identifies critical gaps in evidence, advocating for rigorous clinical trials to refine treatment protocols.