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[Complex regional pain syndrome].

F Brunner1

  • 1Universitäre Klinik für Rheumatologie, Abteilung für Physikalische Medizin und Rheumatologie, Universitätsklinik Balgrist, Forchstr. 340, 8008, Zürich, Schweiz. florian.brunner@balgrist.ch.

Zeitschrift Fur Rheumatologie
|April 12, 2017
PubMed
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Complex Regional Pain Syndrome (CRPS) is a painful condition often affecting extremities after injury, characterized by severe and prolonged symptoms. Diagnosis relies on clinical criteria, with treatment involving diverse therapies.

Area of Science:

  • Pain Medicine
  • Neurology
  • Rehabilitation Medicine

Background:

  • Complex Regional Pain Syndrome (CRPS) is a spectrum of painful disorders typically affecting distal extremities after an initial event.
  • CRPS is characterized by pain disproportionate in magnitude and duration to the inciting incident.
  • Clinical signs encompass sensory, vasomotor, sudomotor, motor, and trophic disturbances.

Purpose of the Study:

  • To provide a comprehensive overview of Complex Regional Pain Syndrome (CRPS).
  • To outline the diagnostic criteria and differential diagnoses for CRPS.
  • To summarize current therapeutic approaches for CRPS management.

Main Methods:

  • Diagnosis of CRPS is based on the modified Budapest criteria.
  • Clinical assessment is the cornerstone of diagnosis.
Keywords:
DiagnosisDifferential diagnosisExtremitiesPathophysiologyTherapy

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  • Differential diagnoses are considered, particularly in the early stages.

    • Main Results:

    • CRPS presents with a range of clinical manifestations including sensory, vasomotor, sudomotor, motor, and trophic changes.
    • While some cases resolve, many patients experience chronic symptoms persisting beyond one year.
    • The condition often exceeds the expected clinical course in severity and duration.

    Conclusions:

    • CRPS diagnosis is clinical, relying on the modified Budapest criteria.
    • Early differentiation from conditions like infections and inflammatory disorders is crucial.
    • Management requires a multidisciplinary approach, integrating pharmacological, interventional, and rehabilitative strategies.