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Related Experiment Videos

Complex regional pain syndrome underdiagnosed.

Anna Quisel1, James M Gill, Peter Witherell

  • 1Family Medicine Center, 1401 Foulk Road, Wilmington, DE 19803, USA. bretandanna@comcast.net

The Journal of Family Practice
|June 9, 2005
PubMed
Summary

Complex regional pain syndrome (CRPS) type 1 diagnosis relies on clinical evaluation, with no single criterion set proving superior. Early rehabilitation and vitamin C may prevent some CRPS type 1 cases.

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Area of Science:

  • Pain Medicine
  • Neurology
  • Rehabilitation Medicine

Background:

  • Complex regional pain syndrome (CRPS) type 1 is a clinical diagnosis.
  • Established diagnostic criteria include IASP, Bruehl's, and Veldman's criteria.
  • The validity testing shows no definitive superiority of one criterion set over others.

Purpose of the Study:

  • To review the diagnostic criteria for CRPS type 1.
  • To explore potential preventative strategies for CRPS type 1.

Main Methods:

  • Literature review of diagnostic criteria for CRPS type 1.
  • Analysis of studies on CRPS type 1 prevention.

Main Results:

  • CRPS type 1 can be diagnosed via history and physical examination.

Related Experiment Videos

  • No single diagnostic criterion set (IASP, Bruehl's, Veldman's) is demonstrably superior.
  • Early inpatient rehabilitation and avoidance of shoulder trauma may prevent CRPS type 1 in post-stroke hemiplegia.
  • Daily vitamin C supplementation (500 mg) initiated at fracture diagnosis may prevent post-fracture CRPS type 1.
  • Conclusions:

    • CRPS type 1 diagnosis is primarily clinical.
    • Preventative measures, including early rehabilitation, trauma avoidance, and vitamin C, show promise for specific CRPS type 1 populations.