Diagnosis and management of complex regional pain syndrome complicating upper extremity recovery
Li, Z.; Smith, B.Paterson.; Smith, T.L.; Koman, L.Andrew.
Journal of Hand Therapy Official Journal of the American Society of Hand Therapists 18(2): 270-276
2005
ISSN/ISBN: 0894-1130 PMID: 15891984 Document Number: 585335
Complex regional pain syndrome (CRPS) is a clinical syndrome of pain, autonomic dysfunction, trophic changes, and functional impairment. CRPS is common after hand trauma or surgery. Early diagnosis and intervention is critical for adequate recovery. The diagnosis of CRPS requires a careful history, physical examination, and supporting diagnostic testing. Optimal treatment requires a multidisciplinary approach. A large spectrum of pharmacologic interventions is efficacious in treating CRPS. Surgery may be used to relieve nociceptive foci. Patient-specific hand therapy is very important in reducing swelling, decreasing pain, and improving range of motion.