COMPLEX REGIONAL PAIN SYNDROMES
Complex regional pain syndrome (CRPS) type I is a regional pain syndrome that usually develops after tissue trauma. Allodynia (the perception of a nonpainful stimulus as painful), hyperpathia (an exaggerated pain response to a painful stimulus), and spontaneous pain occur. Symptoms are unrelated to the severity of the initial trauma and are not confined to the distribution of a single peripheral nerve. CRPS type II is a regional pain syndrome that develops after injury to a peripheral nerve, usually a major nerve trunk. Spontaneous pain initially develops within the territory of the affected nerve but eventually may spread outside the nerve distribution.
- Early mobilization with physical therapy or a brief course of glucocorticoids may be helpful for CRPS type I or II. Chronic glucocorticoid treatment is not recommended.
- Current treatment paradigms are multidisciplinary with a focus on early mobilization, physical therapy, pain management, pt education, and psychological support.
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Citation
Kasper, Dennis L., et al., editors. "COMPLEX REGIONAL PAIN SYNDROMES." Harrison's Manual of Medicine, 20th ed., McGraw Hill Inc., 2020. harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623732/all/COMPLEX_REGIONAL_PAIN_SYNDROMES.
COMPLEX REGIONAL PAIN SYNDROMES. In: Kasper DLD, Fauci ASA, Hauser SLS, et al, eds. Harrison's Manual of Medicine. McGraw Hill Inc.; 2020. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623732/all/COMPLEX_REGIONAL_PAIN_SYNDROMES. Accessed November 10, 2024.
COMPLEX REGIONAL PAIN SYNDROMES. (2020). In Kasper, D. L., Fauci, A. S., Hauser, S. L., Longo, D. L., Jameson, J. L., & Loscalzo, J. (Eds.), Harrison's Manual of Medicine (20th ed.). McGraw Hill Inc.. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623732/all/COMPLEX_REGIONAL_PAIN_SYNDROMES
COMPLEX REGIONAL PAIN SYNDROMES [Internet]. In: Kasper DLD, Fauci ASA, Hauser SLS, Longo DLD, Jameson JLJ, Loscalzo JJ, editors. Harrison's Manual of Medicine. McGraw Hill Inc.; 2020. [cited 2024 November 10]. Available from: https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623732/all/COMPLEX_REGIONAL_PAIN_SYNDROMES.
* Article titles in AMA citation format should be in sentence-case
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BT - Harrison's Manual of Medicine
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