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What is Complex Regional Pain Syndrome Reflex Sympathetic Dystrophy)

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What is RSDS/CRPS?

According to RSDSA (Reflex Sympathetic Dystrophy Syndrome Association):

Reflex Sympathetic Dystrophy Syndrome (RSD) - also known as Complex Regional Pain Syndrome (CRPS) - is a chronic neurological syndrome characterized by:

  • severe burning pain
  • pathological changes in bone and skin
  • excessive sweating
  • tissue swelling
  • extreme sensitivity to touch

There are Two Types of CRPS - Type I and Type II.

  • CRPS Type I (also referred to as RSD) - cases in which the nerve injury cannot be immediately identified
  • CRPS Type II (also referred to as Causalgia) - cases in which a distinct "major" nerve injury has occurred
  • RSD/CRPS is best described in terms of an injury to a nerve or soft tissue (e.g. broken bone) that does not follow the normal healing path
  • RSD/CRPS development does not appear to depend on the magnitude of the injury. The sympathetic nervous system seems to assume an abnormal function after an injury
  • Since there is no single laboratory test to diagnose RSD/CRPS, the physician must assess and document both subjective complaints (medical history) and, if present, objective findings (physical examination).


Criteria for Diagnosing

Complex Regional Pain Syndrome Type I (RSD)

  • The presence of an initiating noxious event, or a cause of immobilization
  • Continuing pain, allodynia, or hyperalgesia with which the pain is disproportionate to any inciting event
  • Evidence at some time of edema, changes in skin blood flow (skin color changes, skin temperature changes more than 1.1°C difference from the homologous body part), or abnormal sudomotor activity in the region of the pain
  • This diagnosis is excluded by the existence of conditions that would otherwise account for the degree of pain and dysfunction

Complex Regional Pain Syndrome Type II (Causalgia)

  • The presence of continuing pain, allodynia, or hyperalgesia after a nerve injury, not necessarily limited to the distribution of the injured nerve
  • Evidence at some time of edema, changes in skin blood flow (skin color changes, skin temperature changes more than 1.1°C difference from the homologous body part), or abnormal sudomotor activity in the region of pain
  • This diagnosis is excluded by the existence of conditions that would otherwise account for the degree of pain and dysfunction.

For more information from RSDSA please visit their website at: http://www.rsds.org

 

In addition to RSDSA, there is also another very informative National RSDS/CRPS group called American RSDHope.  Their site has extensive descriptions of RSDS/CRPS, treaments, medications, the list truly goes on and on.  http://www.rsdhope.org/

If you're just looking for an overview, checkout An Essay on RSDS/CRPS (by a 5th grader)

All information provided on this page was done so with permission from Jim Broatch, Executive Director of RSDSA.  Please do not copy anything from this page as this is copyrighted information

Disclaimer: We are not doctors nor do we have any medical background. All information was collected from other sources (as noted) or is of our personal opinion and is not guaranteed to be error free.

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