complex regional pain syndrome Flashcards
crps
chronic progressive disease characterized by severe pain, swelling and change in the skin
classification of pain
type 1= reflex sympathetic dystrophy
type 2= causalgia
type 1
reflex sympathetic dystrophy
Initiated after traumatic event
Have inappropriate autonomic activity and impaired extremity function
Disproportional spontaneous pain and allodynia and hyperalgesia
Abnormal sudomotor activity
Does not have demonstrable nerve lesion
type 2
causalgia
Has evidence of nerve damage
Affects joints area
After trauma
Symptoms of crps
Burning and electrical sensation
Muscle spasm
Local swelling
Change in skin temperature
Change in skin color
Softening and thickening bone
Restricted or painful movements
clinical features of the crps
Pain
Autonomic dysfunction
Trophic
Motor losses
stages of progression of crps
1st stage= acute/early stage
2nd stage= dystrophic stage
3rd stage= atrophic stage
diagnosis of crps
Thermography
Radiography
Electrodiagnostic testing
Sweat testing
Managements of crps
Pharmacological interventions
Invasive
Spinal cord stimulation
Drug pump
Sympathectomy
Physiotherapy
goals of pt in managing crps
Decrease
pain
edema
allodynia
dystonia and joint stiffness