Chronic Regional Pain Syndrome

An exaggerated pain response after injury

Aetiology

  • It can be caused by a peripheral nerve injury (type 2) but often is not (type 1)

Clinical presentation

  • Charcteristics are variable but include constant burning or throbbing, sensitivity to stimuli not normally painful (allodynia) including cold or light touch, chronic swelling, stiffness, painful movement and skin colour changes

Management

  • Management is difficult and requires specialist pain services
  • Pharmacological agents including analgesics, antidepressants (amitriptyline), anticonvulsants (gabapentin) and steroids may help
  • TENS machines, physiotherapy, lidocaine patches and sympathetic nerve blocking injections may also help