Conditions Treated

Complex Regional Pain Syndrome

Complex Regional Pain Syndrome (CRPS) is a chronic pain condition of unknown cause or etiology. It is characterized by pain, redness, and swelling in the area affected, most commonly a limb. Even though the specific cause of CRPS is not known, there are theories pertaining to the mechanism behind the symptoms. One theory states that an abnormal function of the sympathetic nervous system is responsible for the symptoms. Another theory suggests that an auto-immune response could cause the redness and swelling associated with CRPS.

There are two accepted forms of CRPS:

• CRPS 1: Occurs in arms or legs after minor surgery
• CRPS 2: Occurs secondary to a nerve injury

It is important to recognize that CRPS is not exclusively a pain disorder. The nerves affected also control muscles and sweat glands, which explains why CRPS patients may have abnormal sweating patterns, muscle abnormalities, and problems with sensation. Expert evaluation is required for the diagnosis and management of CRPS.

CareFirst treatments for CRPS:

• Medications
• Trigger Point Injections
• Activity Modification
• Work Modification
• Ergonomic Training
• Rehabilitation/Therapy
• Massage/Myofacial Techniques
• Electrical Modalities/TENS
• Iontophoresis/Phonophoresis
• Ultrasound
• Chiropractic Manipulation
• Osteopathic Manipulation
• Work Conditioning Programs
• Work Hardening Programs
• Interdisciplinary Pain Programs

 In addition to the above treatments, diagnostics tests may be utilized to determine the underlying pathology of CRPS for more appropriate treatment.  Examples include x-ray, MRI, Cat Scan, Myelogram, etc. CareFirst Physicians work closely with your family doctor and other specialist to coordinate your care.

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