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CRPS / RSD

Complex Regional Pain Syndrome

Complex Regional Pain Syndrome (CRPS) is a chronic pain condition usually affecting a limb after injury or surgery — producing burning pain, swelling, and skin changes disproportionate to the original injury.

Overview

About Complex Regional Pain Syndrome

Complex Regional Pain Syndrome (CRPS), formerly known as reflex sympathetic dystrophy (RSD), is a chronic pain disorder that most often affects an arm or leg after an injury, surgery, fracture, or stroke. The pain is out of proportion to the original event and is accompanied by changes in skin color, temperature, swelling, and sensitivity.

Because CRPS can progress and become harder to treat over time, early diagnosis and a multidisciplinary plan are critical. Our team combines interventional procedures with rehabilitation to interrupt the pain cycle.

Common symptoms

  • Continuous burning or throbbing pain in a limb
  • Sensitivity to touch, temperature, or pressure (allodynia)
  • Swelling and changes in skin color or temperature
  • Changes in hair, nail growth, or skin texture
  • Stiffness, weakness, or tremor in the affected area
Causes & risk factors

What causes complex regional pain syndrome

01

Fractures or broken bones

02

Surgery, especially of the limbs

03

Sprains, strains, and crush injuries

04

Nerve damage from trauma

05

In some cases, with no clear inciting event

Treatment options

How we treat complex regional pain syndrome

Sympathetic nerve blocks

01

Stellate ganglion or lumbar sympathetic blocks to interrupt the pain signaling driving CRPS.

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Spinal cord stimulation

02

Advanced therapy for CRPS that has not responded to less-invasive options.

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Trigger point and steroid injections

03

Targeted injections to reduce localized inflammation and muscle guarding.

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Physical therapy

04

Desensitization, graded motor imagery, and gentle reconditioning of the affected limb.

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When to seek care

When to see a specialist

See a pain specialist promptly if pain after an injury or surgery seems out of proportion to the event, if you notice skin color, temperature, or swelling changes, or if symptoms are not improving as expected during recovery. Early treatment matters.

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All common symptoms

  • Continuous burning or throbbing pain in a limb
  • Sensitivity to touch, temperature, or pressure (allodynia)
  • Swelling and changes in skin color or temperature
  • Changes in hair, nail growth, or skin texture
  • Stiffness, weakness, or tremor in the affected area

Get expert care for complex regional pain syndrome

Request a consultation and our specialists will identify the source of your pain and build a treatment plan around it.

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