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Complex Regional Pain Syndrome

Complex regional pain syndrome (CRPS) is a chronic pain condition that typically affects an arm or a leg. It often develops after an injury, surgery, stroke, or heart attack. Let’s delve into the specifics:

  1. Symptoms:

    • Continuous Burning or Throbbing Pain: Usually in the arm, leg, hand, or foot.

    • Sensitivity to Touch or Cold.

    • Swelling of the painful area.

    • Changes in Skin Temperature:

      • Alternating between sweaty and cold.

      • Skin color changes (from white and blotchy to red or blue).

      • Skin texture alterations (tenderness, thinness, or shininess).

    • Hair and Nail Changes.

    • Joint Stiffness, Swelling, and Damage.

    • Muscle Spasms, Tremors, and Weakness (Atrophy).

    • Decreased Ability to Move the Affected Body Part.

  2. Causes and Risk Factors:

    • Peripheral and Central Nervous System Involvement: CRPS results from differences or injuries in these systems.

    • Trauma or Injury: Often occurs after forceful trauma to an arm or leg.

    • Types of CRPS:

      • Type 1 (Reflex Sympathetic Dystrophy): Develops after an illness or injury that didn’t directly damage nerves.

      • Type 2: Occurs after a distinct nerve injury.

  3. Diagnosis and Treatment:

    • Clinical Evaluation: Based on symptoms and physical examination.

    • Nerve Conduction Studies (NCS): Measure nerve function.

    • Electromyography (EMG): Assess muscle activity.

    • Treatment Options:

      • Conservative Measures:

        • Wrist Splints: To maintain a neutral wrist position.

        • Anti-Inflammatory Medications: Control pain and inflammation.

        • Physical Therapy: Improve strength and flexibility.

      • Corticosteroid Injections: Reduce inflammation.

      • Surgery (Carpal Tunnel Release): In severe cases.

  4. Prevention and Self-Care:

    • Ergonomics: Maintain proper wrist posture during work.

    • Frequent Breaks: Rest and stretch hands.

    • Avoid Repetitive Motions.

 

Remember, early intervention and proper management are crucial for minimizing the impact of complex regional pain syndrome. Consult Dr Chinmoy Roy at Rajarhat Pain Clinic Kolkata for proper management of CRPS.

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