Q how will uh manage complex regional pain syndrome ?
Q IASP criteria for CRPS?
Q difference between CRPS 1 and CRPS 2 ?
Q differentiate CRPS from other pain syndromes ?
Management - opioids , Gabapentin
CRPS 1- WITHOUT NERVE INJURY
CRPS 2 WITH NERVE INJURY
DIAGNOSITIC - IASP criteria
CRPS pain is disproportinate to the injury… This differentiate from other pathology
Management options for CRPS namaste are many
. Physical therapy
. Drugs (Analgesic, anti inflammatory like steroids Vitc etc, sympathetic blockers etc)
. Psychotherapy (eg Mirror box therapy etc)
1.IASP (less specificity)
2.Budapest (more specificity)
CRPS 1 without nerve injury
CRPS 2 with nerve injury
Both can be D/b via NCS/EMG
Differentiating features from other pain syndrome
1.Pain will be out of proportion to the inciting injury (if any)
Pain will not be limited to the dermatomal distribution
Other features of CRPS will be there (Sudomotor/vasomotor/motor/trophic) Dr can uh differentiate between IASP criteria and Budapest
Old IASP doesn’t includes these subjective categories unlike budapest (new IASP)