Complex regional pain syndrome: a narrative review for the practising clinician
- PMID: 31056241
- PMCID: PMC6676230
- DOI: 10.1016/j.bja.2019.03.030
Complex regional pain syndrome: a narrative review for the practising clinician
Abstract
Complex regional pain syndrome (CRPS) is a life-altering condition that usually affects the extremities after a trauma or nerve injury. The physiologic changes that occur as a result of the inciting injury are complex, as the name of the syndrome implies. The pain and disability associated with CRPS often lead to psychological co-morbidities that create a vicious cycle of pain, isolation, and depression. We review recent developments in the understanding of CRPS and advancements in management of this syndrome. Further research in targeting specific mechanisms involved in the pathophysiology of CRPS should lead to prevention of this condition.
Keywords: CRPS; causalgia; chronic pain; reflex sympathetic dystrophy.
Copyright © 2019 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.
Conflict of interest statement
The authors declare that they have no conflicts of interest.
References
-
- Petersen P.B., Mikkelsen K.L., Lauritzen J.B., Krogsgaard M.R. Risk factors for post-treatment complex regional pain syndrome (CRPS): an analysis of 647 cases of CRPS from the Danish Patient Compensation Association. Pain Pract. 2018;18:341–349. - PubMed
-
- Feliu M.H., Edwards C.L. Psychologic factors in the development of complex regional pain syndrome: history, myth, and evidence. Clin J Pain. 2010;26:258–263. - PubMed
-
- Lau F.H., Chung K.C. Silas Weir Mitchell, MD: the physician who discovered causalgia. J Hand Surg Am. 2004;29:181–187. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical