Complex regional pain syndrome (CRPS)
CRPS is uncommon, and its cause isn't clearly understood. Treatment is most effective when started early. In such cases, improvement and even remission are possible.
Signs and symptoms of CRPS include:
Symptoms may change over time and vary from person to person. Pain, Swelling, Redness, noticeable changes in Temperature and Hypersensitivity (particularly to cold and touch) usually occur first.
Over time, the affected limb can become cold and pale. It may undergo skin and nail changes as well as muscle spasms and tightening. Once these changes occur, the condition is often irreversible.
CRPS occasionally may spread from its source to elsewhere in your body, such as the opposite limb.
In some people, signs and symptoms of CRPS go away on their own. In others, signs and symptoms may persist for months to years. Because a general physician and non neurological doctors could not appreciate this clinical situation for long time and giving some local pain killers for treatment, and Treatment is likely to be most effective when started early in the course of the illness.
If you experience constant, severe pain that affects a limb and makes touching or moving that limb seem intolerable, see your doctor to determine the cause. It's important to treat CRPS early.
The cause of CRPS isn't completely understood. It's thought to be caused by an injury to or an abnormality of the peripheral and central nervous systems. CRPS typically occurs as a result of a trauma or an injury.
CRPS occurs in two types, with similar signs and symptoms, but different causes:
Many cases of CRPS occur after a forceful trauma to an arm or a leg. This can include a Crushing injury or a fracture.
Other major and minor traumas — such as Surgery, Heart attacks, infections and even sprained ankles — also can lead to CRPS.
It's not well understood why these injuries can trigger CRPS. Not everyone who has such an injury will go on to develop CRPS. It might be due to a dysfunctional interaction between your central and peripheral nervous systems and inappropriate inflammatory responses.
If CRPS isn't diagnosed and treated early, the disease may progress to irreversible and more-disabling signs and symptoms. These may include:
There's some evidence that early treatment might help improve symptoms of CRPS. Often, a combination of different treatments, tailored to your specific case, is necessary. Treatment options include:
Doctors use various medications to treat the symptoms of CRPS.
Pain relievers. Over-the-counter (OTC) pain relievers —
Your doctor may prescribe stronger pain relievers if OTC ones aren't helpful. Opioid medications might be an option. Taken in appropriate doses, they might help control pain.