Regional Peri-Articular Pain - Complex Regional Pain Syndrome

Question 1

What is Complex Regional Pain Syndrome?

Answer 1

Abnormal neuroinflammatory response to a traumatic event

-post injury/surgery

Question 2

How does Complex Regional Pain Syndrome present?

Answer 2

Allodynia (pain response to non-painful stimulation)
Persistent pain in area affected
-out of proportion to initial injury
Stiffness/swelling along w/ abnormal hair/nail changes

Question 3

What investigations may be appropriate in Complex Regional Pain Syndrome?

Answer 3

Bone scans (inc activity in affected limb)

Question 4

What is the management of Complex Regional Pain Syndrome?

Answer 4

Specialist - involves pain team/psychological support/physiotherapy

Question 5

What preventative options are available for Complex Regional Pain Syndrome?

Answer 5

Adequate analgesia at time of injury

Early mobilisation post fracture