Complex regional pain syndrome (CRPS)

Persistent, disproportionate pain in a limb, usually after an injury.

Overview

Complex regional pain syndrome is persistent pain in a limb that is out of proportion to the original injury, with changes in skin, temperature, swelling and movement. Early, graded rehabilitation and a multidisciplinary approach are important.

Symptoms

  • Severe, burning pain in a limb
  • Swelling and skin colour or temperature changes
  • Heightened sensitivity to touch
  • Stiffness and reduced use of the limb

Causes

  • Often follows an injury, surgery or immobilisation
  • Altered nervous-system pain processing
  • Not fully understood

Treatment

  • Early, graded movement and desensitisation
  • Pain education and self-management
  • Multidisciplinary pain management
  • Maintaining function of the limb