• J Fam Pract · Jun 2005

    Review

    Complex regional pain syndrome underdiagnosed.

    • Anna Quisel, James M Gill, and Peter Witherell.
    • Family Medicine Center, 1401 Foulk Road, Wilmington, DE 19803, USA. bretandanna@comcast.net
    • J Fam Pract. 2005 Jun 1; 54 (6): 524-32.

    AbstractComplex regional pain syndrome (CRPS) type 1 may be diagnosed by history and physical exam with no further testing. Several different diagnostic criteria have undergone validity testing: the 1993 IASP criteria, Bruehl's criteria, and Veldman's criteria; there is no compelling reason to recommend 1 set of criteria over the others. Some cases of CRPS type 1 may be preventable. Some cases of CRPS type 1 in post-stroke upper extremity hemiplegia (also known as shoulder-hand syndrome) may be prevented by early inpatient rehabilitation and avoidance of shoulder trauma to the affected arm. Some cases of post-fracture CRPS type 1 may be prevented with 500 mg vitamin C daily started upon diagnosis of fracture and continued through healing.

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