Complex Regional Pain Syndrome (CRPS)

What is CRPS?

CRPS is a painful nerve condition with excess and prolonged pain/inflammation that occurs after an injury. Patients with CRPs have pain out of proportion and extreme sensitivity to the touch.There is improper function of the peripheral C-fiber nerve fibers that carries pain message to the brain.

What causes CRPS?

Trauma, Surgery, prolong immobilization, anxiety/depression, use of ace inhibitors, history of migraines/asthma, smoking, fibromyalgia

How to diagnose CRPS?

There is no specific test to identify CRPS but clinical findings in addition to X-rays, 3 phase bone scan, nerve conduction studies, and MRI can be to used to help with the diagnosis. 

Types of CRPS

type 1: CRPS without demonstrable nerve damage type 2: CRPS with evidence of identifiable nerve damage

What are the signs of CRPS?

exaggerated pain, swelling, stiffness, skin discoloration, excessive sweating, vasomotor disturbances, bony changes on X-ray. 

What is the treatment for CRPS?

Physical therapy, pharmacologic treatment: such as gabapentin, Vitamin C, nerve stimulation, nerve blockade, chemical sympathectomy, surgical sympathectomy, surgical decompression. 

If you have foot or ankle pain and would like a consultation. Make an appointment at Orange County Podiatry with Dr. Andrew Yang or call (949) 651-1202