Complex regional pain syndrome (CRPS) is a neurological disorder. It frequently affect the hand and causes pain and other symptoms in the extremities. It is not very common. In the US, it affect roughly 200,000 people annually. For CRPS, there are numerous therapeutic options. The more quickly you get a diagnosis and start treatment, the more probable it is that your symptoms will go away.
Different types of Complex regional pain syndrome (CRPS)
The CRPS has two subtypes:
Type I: This kind doesn’t result in nerve injury. It take place following a disease or accident that didn’t directly harm a nerve. Previously known as reflex sympathetic dystrophy, type I.
Type II: This kind develop following recognized nerve injury. It used to be referred as as causalgia.
Additionally, CRPS may be either acute (short-term) or chronic (lasting longer than six months). Usually, it is curable.
Who is impacted by CRPS?
Adults are more frequently affect by CRPS than children. Around 40 years old is when the peak onset occurs. People assigned as female at birth experience. It is more frequently than people born as male. Most cases between 66% and 80% are seen in people of European ancestry.
What signs and symptoms do CRPS have?
CRPS symptoms often appear four to six weeks after an injury, fracture, or surgery. But they might appear for no apparent reason.
Pain is the most prevalent and obvious CRPS symptom. A scorching, stinging, or tearing feeling characterises the pain, which may be chronic or sporadic. It frequently lies deep into the afflicted limb. The impacted area frequently experiences sensory changes, which can include:
- Increased sensitivity to unpleasant stimuli
- Experiencing discomfort from stimuli that are typically painless
In the afflicted location, further signs of CRPS include:
Skin enlargement: Swelling may be intermittent or persistent.
Temperature fluctuations: Your extremity’s skin may feel warmer or colder than the skin on the other.
Colour changes: You may notice that your skin is blotchy, pale, purple or red.
Skin texture changes: You could develop thin, glossy skin or too perspiring skin.
Nail and hair growth changes: You can experience slow or rapid growth in your hair or nails.
What causes Complex regional pain syndrome?
More than 90% of the time, CRPS is brought on by a limb-specific nerve lesion or trauma. It affect the tiniest sensory and autonomic nerve fibres. Bone fractures, particularly wrist fractures, are the most frequent injury link to the development of CRPS. Nerve injury can result from pressure from a cast or from a bone that has fractured or dislocated.
Surgery, sprains, strains, burns, bruises, and cuts are other typical injuries that can cause CRPS. It can also appear without any apparent wounds or as a result of extended immobility times.
Several elements that could raise your risk of getting CRPS include:
Unhealthy nerves: Diseases like diabetes might make your nerves less durable and able to recover themselves.
Immune system problems: Inflammation is largely caused by immune system problems.
Genetics: Your genes may have an impact on how quickly you heal from injuries.
How is the Complex regional pain syndrome identified?
A particular test is not available to identify CRPS. Medical professionals primarily diagnose it by carefully reviewing your symptoms, performing a physical exam, and reviewing your medical history. If you just underwent surgery or suffer an injury, your doctor will question you.
They’ll be looking for:
- A modification in the affect area’s appearance, warmth, and skin texture.
- A degree of discomfort from an accident that is greater than anticipated.
- Any more illnesses or disorders that might be the source of your discomfort, skin changes, or other symptoms.
- To check for underlying nerve injury, they could arrange imaging tests like an ultrasound or magnetic resonance imaging (MRI).
What is CRPS’s course of treatment?
Reduced pain and other symptoms, limb function restoration, and maintenance of life quality are the key objectives of treatment. Early intervention in the management of CRPS is crucial. This is because CRPS might eventually result in the affected limb stiffening. Additionally, without therapy, the discomfort typically get worse and it gets harder to move around.
If at all feasible, seek out medical professionals who have knowledge of treating CRPS. A variety of precisely controlled techniques are needed for treatment, including:
- Occupational therapy and physical therapy
- Modifications in way of life
- Behavioral and psychosocial therapy
- Alternative pain management treatments
- Psychosocial and rehabilitative therapy are the mainstay of care for young children with CRPS
Your quality of life may be significantly impact by complex regional pain syndrome (CRPS). The good news is that you can attempt a wide range of treatment choices. The sooner you are diagnose with CRPS and begin therapy, the more likely it is that your symptoms will improve.